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Letter
Variations in access to continuous glucose monitoring and flash glucose sensors for children and young people in England and Wales: a national survey
  1. Elspeth Clare Ferguson1,
  2. Neil Wright1,
  3. Fiona Regan2,
  4. Juliana Chizo Agwu3,4,
  5. Eleri Williams5,
  6. Astha Soni1,
  7. Alison Timmis6,
  8. Melanie Kershaw7,
  9. Josephine Drew8,
  10. Christopher Moudiotis9,
  11. Sze May Ng10,11
  12. On behalf of the Association of Children’s Diabetes Clinicians UK
  1. 1Sheffield Children's NHS Foundation Trust, Sheffield, UK
  2. 2Wexham Park Hospital, Slough, UK
  3. 3Department of Paediatrics, Sandwell and West Birmingham NHS Trust, West Bromwich, UK
  4. 4Institute of Clinical Sciences, College of Medicine and Dental Sciences, University of Birmingham, Birmingham, UK
  5. 5Hampshire Hospitals NHS Foundation Trust, Winchester, UK
  6. 6Countess of Chester Hospital NHS Foundation Trust, Chester, UK
  7. 7Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  8. 8Department of Paediatrics, Nottingham University Hospitals NHS Trust, Nottingham, UK
  9. 9Department of Paediatrics, Royal Devon and Exeter NHs Foundation Trust, Exeter, UK
  10. 10Paediatric Department, Southport and Ormskirk NHS Trust, Ormskirk, UK
  11. 11Department of Women's and Children's Health, University of Liverpool, Liverpool, UK
  1. Correspondence to Dr Sze May Ng, Paediatric Department, Southport and Ormskirk NHS Trust, Ormskirk L39 2AZ, UK; may.ng{at}nhs.net

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We write to report on the Association of Children’s Diabetes Clinicians’ (ACDC) national survey on access to continuous glucose monitoring (CGM) and Freestyle Libre Flash Glucose Sensors (FGS) for children and young people (CYP) with type 1 diabetes (T1DM) in England and Wales.

CGM and FGS allow continuous blood glucose monitoring for patients with T1DM, therefore reducing the need for finger-prick blood testing. CGM provides a continuous interstitial glucose reading, whereas FGS requires 8 hourly scans to provide data with no alarms.

Funding pathways for such devices are complex. While there is clear guidance from The National Institute of Health and Care Excellence (NICE) with regards to whom CGM should be prescribed,1 access is determined locally by Clinical Commissioning Groups (CCGs). Some CCGs require individual funding applications (IFAs), whereas others have local policies on who should access devices. The recently published National Health Service (NHS) Long-Term Plan, advises that all individuals meeting published clinical criteria should be able to access FGS devices from April …

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