Accessing CGM Tech for Children and Teens with T1D
Managing T1D in children and teenagers can be challenging, but advancements like Continuous Glucose Monitoring (CGM) devices have significantly improved glucose control and quality of life. This guide provides parents with a summary of how to access CGM devices available on the NHS across different parts of the UK. Discuss with your Diabetes Healthcare Team about what is available to your child and how it might help.
NICE (National Institute for Health and Care Excellence) Guidelines Recommending CGM
NICE has established clear guidelines to support the use of CGM in managing T1D among children and young people:
Recommendation for CGM Use: All children over 4 years old and young people with Type 1 diabetes should be offered real-time continuous glucose monitoring (CGM) or flash glucose monitoring to help manage their condition effectively.
Device Selection: The choice of CGM device should be tailored to the individual’s preferences and needs, ensuring the selected device’s functionality aligns with their lifestyle. Several factors could include- accuracy, length of sensor, how it impacts your child’s school life or if they have needle anxiety. Your hospital clinic or Diabetes Healthcare Team will guide you through this process.
Accessing CGM Devices
While NICE provides overarching guidelines, the implementation can vary across England, Wales, Scotland and Northern Ireland.
England and Wales
Eligibility: Children and young people under 18 with T1D are entitled to CGM devices through the NHS
Process: Parents should consult their child’s diabetes healthcare team to discuss CGM options. The team will assess the child’s suitability and guide the family through the process.
Scotland
Eligibility: Anyone with T1D who uses multiple daily injections or a pump and is actively engaged in managing their T1D, is eligible to access a CGM on prescription.
Process: Consult with your child’s Diabetes Care Team to explore available glucose monitoring options and determine the most appropriate device.
Northern Ireland
Eligibility and Process: Consult directly with your child’s healthcare team to understand the available options and eligibility criteria.
Healthcare Team’s Assessment Process
The diabetes healthcare team plays a pivotal role in determining CGM suitability:
Comprehensive Evaluation: The team assesses your child’s medical history, current diabetes management regime and any challenges faced
Discussion of Options: Various glucose monitoring devices are discussed, considering the child’s and family’s preferences and lifestyle.
Trial Period: In some cases, a trial period with a CGM device may be offered to evaluate its effectiveness and suitability for the child’s needs.
Education and Training: Training on device usage, data interpretation and integration into daily routines is provided to ensure optimal benefit.
Access to CGM devices has become more widespread across the UK, offering invaluable support in managing Type 1 diabetes among children and teenagers. Discuss with your child’s diabetes healthcare team to find the best possible option for your child.