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Currently, many health plans and government payers provide CGM coverage only to patients with T1D and to patients with T2D treated with intensive insulin regimens eg, multiple daily injections, insulin pumps. In light of the emerging evidence, health plans may begin to reconsider their eligibility criteria for patients with T2D treated with basal or noninsulin therapies.

Another potential driver of expanded coverage for flash CGM is the increasing reliance on telemedicine and digital diabetes technologies as a result of the COVID pandemic. All current CGM systems feature the ability to automatically transmit glucose data to clinicians via cloud-based software for interpretation and remote clinical visits. A key strength of our analysis was the use of claims data from a large data set, which included 10, patients with T2D treated with basal insulin and noninsulin therapy.

Moreover, the data set provided reliable information about acquisition of the flash CGM system and details on patient treatment post flash CGM system acquisition. Importantly, use of ICD codes allowed us to accurately quantify complications and utilization of health care resources eg, ED visits, inpatient hospitalizations without reliance on patient-reported data.

Our study had notable limitations. The observational design of our study precluded a matched control group for comparison. A randomized controlled study design would have allowed us to quantify differences in outcomes between flash CGM acquisition and continued use of traditional blood glucose monitoring or no monitoring.

Nor did our study directly estimate the impact of clinical history on physician prescribing behavior. The latter patients often develop diabetes earlier, tend to have more severe disease, and have less access to new technologies due to their socioeconomic status. These data are important as payers try to cope with mounting costs related to care for patients with diabetes, especially direct costs for inpatient and outpatient treatment.

Additional studies are needed to assess the frequency and persistence of flash CGM use within this population to determine its impact on longer-term clinical outcomes. Moreover, data from these studies may add to our understanding of the feasibility and clinical utility of flash CGM within the broader population with T2D and help guide clinicians in developing personalized treatment regimens that meet the individual needs of each patient. The authors thank Christopher G.

Source of Funding: Abbott Diabetes Care provided funding for the study. Dr Kerr was employed by Abbott at the time of manuscript authorship and submission. Mr Roberts is employed by and owns stock in Abbott. Ms Nabutovsky is employed by Abbott, owns Abbott stock, and holds pending and issued Abbott patents. Email: kevineden yahoo. Global economic burden of diabetes in adults: projections from to Diabetes Care.

American Diabetes Association. Economic costs of diabetes in the U. Quality of life and glucose control after 1 year of nationwide reimbursement of intermittently scanned continuous glucose monitoring in adults living with type 1 diabetes FUTURE : a prospective observational real-world cohort study.

Marked improvement in HbA1c following commencement of flash glucose monitoring in people with type 1 diabetes. The new FreeStyle Libre flash glucose monitoring system improves the glycaemic control in a cohort of people with type 1 diabetes followed in real-life conditions over a period of one year. Endocrinol Diab Metab. Pintus D, Ng SM. Freestyle Libre flash glucose monitoring improves patient quality of life measures in children with type 1 diabetes mellitus T1DM with appropriate provision of education and support by healthcare professionals.

Diabetes Metab Syndr. The potential impact of the FreeStyle Libre flash glucose monitoring system on mental well-being and treatment satisfaction in patients with type 1 diabetes: a prospective study. Carl Montoya.

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Visit LibreView. Follow the on-screen instructions to upload your data. For more information and support, visit LibreLinkUp. Enable your loved one to see and automatically share their glucose readings in an instant. View current glucose. See where glucose is headed. View a scan history.

The last scans are listed below the latest reading. The list starts with the second most recent reading. Between 0. To see your results, notifications must be turned on. By opening the app, more glucose results can be viewed — each colour-coded to match the level of the reading. Instead, the lock screen will display the text describing the glucose rate of change e. Do not immerse longer than 30 minutes. Not to be used above 10, feet.

A finger prick test using a blood glucose meter is required during times of rapidly changing glucose levels when interstitial fluid glucose levels may not accurately reflect blood glucose levels or if hypoglycemia or impending hypoglycemia is reported by the FreeStyle LibreLink app or when symptoms do not match the app readings. The FreeStyle LibreLink app is only compatible with certain mobile devices and operating systems.

Please check the website for more information about device compatibility before using the app. Please check www. Automatic upload requires a wireless internet connection or mobile data connection. The LibreLinkUp mobile app is not intended to be a primary glucose monitor: home users must consult their primary device s and consult a healthcare professional before making any medical interpretation and therapy adjustments from the information provided by the app.

FreeStyle Libre uses cookies to give you the best possible service. By using our website, you consent to the use of cookies. The FreeStyle Libre 2 flash glucose monitoring system is indicated for measuring interstitial fluid glucose levels in people aged 4 years and older with diabetes mellitus. Please check www. The LibreLinkUp mobile app is not intended to be a primary glucose monitor: home users must consult their primary device s and consult a healthcare professional before making any medical interpretation and therapy adjustments from the information provided by the app.

Automatic upload requires a wireless internet connection or mobile data connection. FreeStyle Libre uses cookies to give you the best possible service. By using our website, you consent to the use of cookies. The FreeStyle Libre 2 flash glucose monitoring system is indicated for measuring interstitial fluid glucose levels in people aged 4 years and older with diabetes mellitus.

The FreeStyle Libre flash glucose monitoring system is indicated for measuring interstitial fluid glucose levels in adults aged 18 years and older with diabetes mellitus.

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