Look to the fu­ture CGM for kids

Is your child el­i­gi­ble for sub­sidised con­tin­u­ous glu­cose mon­i­tor­ing? Di­a­betic Liv­ing in­ves­ti­gates…

Diabetic Living - - Contents -

Thanks to the fed­eral gov­ern­ment’s de­ci­sion to sub­sidise con­tin­u­ous glu­cose mon­i­tor­ing (CGM) prod­ucts, some chil­dren and teens with type 1 now have ac­cess to fully sub­sidised CGM de­vices through the Na­tional Di­a­betes Ser­vices Scheme (NDSS). There are a few strings at­tached, how­ever – the sub­sidy is only open to those un­der 21, and there are cer­tain cri­te­ria that need to be met in or­der to ac­cess it. Find out whether you and your loved one are el­i­gi­ble, and what you will need to do in or­der to get a hold of this life-chang­ing di­a­betes de­vice…

What does the sub­sidy ac­tu­ally cover?

CGMs mea­sure blood glu­cose lev­els (BGLs) con­tin­u­ously through­out the day and night. Each de­vice has three main parts: • A small dis­pos­able glu­cose sen­sor which is in­serted just un­der the skin and which needs to be re­placed every six to seven days, de­pend­ing on the de­vice

• A trans­mit­ter which at­taches to the sen­sor and sends glu­cose read­ings to the wire­less re­ceiver, a mo­bile phone or in­sulin pump • A re­ceiver, com­pat­i­ble mo­bile phone or com­pat­i­ble in­sulin pump that dis­plays and stores the glu­cose read­ings.

Sub­sidised ac­cess is only avail­able for CGM de­vices that have alarms alert­ing the user when BGLs are get­ting too low or too high – th­ese in­clude Dex­com and Medtronic CGM de­vices. The sub­sidy will cover the full cost of sen­sors and trans­mit­ters, how­ever, you will need to pay if you de­cide to use a re­ceiver, rather than a pump or smart­phone.

Does my child qual­ify?

For kids aged 10 and un­der:

Th­ese young­sters must be ex­pected to ben­e­fit clin­i­cally from the use of CGM, and their fam­ily/carer must be will­ing and ca­pa­ble to use CGM. They must also be com­mit­ted to ac­tively par­tic­i­pat­ing in a di­a­betes man­age­ment plan that in­cor­po­rates CGM. Chil­dren who meet th­ese cri­te­ria and who ac­cess sub­sidised CGM prod­ucts through this ini­tia­tive will con­tinue to have sub­sidised ac­cess af­ter they turn 11 and won’t be re­assessed.

For young peo­ple aged 11-21:

This group faces the same cri­te­ria as above, how­ever, they must also meet one of four ad­di­tional cri­te­ria. Th­ese are:

• Fre­quent, sig­nif­i­cant hy­po­gly­caemia, or low

BGLs – this means more than one episode a year re­quir­ing as­sis­tance.

• Im­paired aware­ness of hy­po­gly­caemia

• An in­abil­ity to recog­nise or com­mu­ni­cate about symp­toms of hy­po­gly­caemia

• A sig­nif­i­cant fear of hy­po­gly­caemia that is se­ri­ously af­fect­ing their over­all health and well­be­ing, or that is con­tribut­ing to hy­per­gly­caemia as a re­ac­tion to this fear.

My child meets the cri­te­ria – what next?

To ac­cess CGM sen­sors and trans­mit­ters through the NDSS, you or your child will need to be as­sessed by an au­tho­rised health pro­fes­sional: an en­docri­nol­o­gist or di­a­betes ed­u­ca­tor. They’ll fill out and sign the NDSS Con­tin­u­ous Glu­cose Mon­i­tor­ing Eli­gi­bil­ity Assess­ment. If you or your child are new users of CGM, a starter kit will be sent to the health pro­fes­sional nom­i­nated on the form.

They can as­sist you in set­ting up the de­vice. Af­ter this, and for those of you al­ready us­ing CGM, you’ll be able to or­der prod­ucts through your phar­macy in the same way you or­der blood glu­cose test strips, in­sulin pen nee­dles and pump con­sum­ables.

Want more in­for­ma­tion?

Speak with your en­docri­nol­o­gist or di­a­betes ed­u­ca­tor about whether your child is el­i­gi­ble and which CGM de­vice is the best op­tion. Find out more at ndss.com.au/cgm

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