Glucose interstitial fluid detection sensors
Drug Safety Update
October 2024: Insulin pumps and continuous glucose monitoring (CGM) equipment: guidance for users on reporting suspected adverse incidents and safety concerns to the MHRA’s Yellow Card scheme
Continuous Glucose Monitoring Systems
NHS Kent and Medway ICB have agreed that prescribing of continuous glucose meters (CGM) can be for those people living with diabetes in the eligible cohorts defined by NICE criteria NG17, NG18 and NG28. This is for those devices which can be prescribed on FP10 prescription only. Please see below for guidance to help support this implementation.
K&M Guidelines for the Prescribing of Continuous Glucose Monitors
Note: At acute NHS Trusts, these systems are not supplied by pharmacy, they are ordered directly from the manufacturer by the Diabetic team.
Specialist initiation: These are healthcare professionals in secondary care, community, or primary care healthcare professionals who have undertaken appropriate training for the initiation and monitoring use of these devices (see policy and document attached for further information on this) and can make a shared decision with patients.
FreeStyle Libre 2 sensors are being discontinued at the end of August 2025. All existing patients using the FreeStyle Libre 2 sensor will require their repeat prescription to be changed to the FreeStyle Libre 2 Plus sensor.
Inform patients that their prescription will be changed and advise them to use up existing supplies of FreeStyle Libre 2 sensors first. No app updates or change of reader are required.
Only FreeStyle Libre 2 Plus should be used for new initiations. FreeStyle Libre 2 Plus sensors last 15 days, opposed to FreeStyle Libre 2 sensors which last 14 days. FreeStyle Libre 2 Plus prescription quantities: 2 sensors = 30 days, 4 sensors = 60 days. Maximum 24 sensors to be prescribed per year.
Dexcom ONE is due to be discontinued in the near future. Patients should be moved to Dexcom One plus at their next appointment using up any existing supplies.
Only one transmitter once every 3 months – no more than 4 transmitters per year
| Pack |
|---|
| 1 kit |
| 3 kit |
Dexcom ONE is due to be discontinued in the near future. Patients should be moved to Dexcom One plus at their next appointment using up any existing supplies.
This item has an inbuilt transmitter so no other items are required to be prescribed with this item.
One sensor lasts 10 days.
| Pack |
|---|
| 1 kit |
- On Formulary Preferred
- On Formulary Second Line
- On Formulary Third Line
- Specialist Initiation
- Secondary Care Only
- Not Approved for Formulary