Use of FreeStyle Libre System                   

• NHS Lanarkshire will provide FreeStyle Libre & Dexcom ONE systems to people with Type 1 Diabetes, who are attending secondary care Diabetes Services and who are using multiple daily insulin injections of insulin or using an insulin pump therapy.
• It was also agreed that, in certain circumstances, it may be appropriate for those people with Type 2 Diabetes to be prescribed this item.
• People will have to be assessed by a Diabetes Service specialist clinician.

Guidance for people with Type 1 diabetes – eligibility criteria for Freestyle Libre 2 plus® & Dexcom ONE®+

1. 1. 1. People who undertake intensive monitoring with a minimum of 6 tests per day.
      2. Impaired awareness of hypoglycaemia.
      3. Frequent admissions with DKA (diabetic ketoacidosis) or hypoglycaemia.
      4. People who require a third party to perform monitoring or where dexterity or disability can make conventional testing difficult.
      5. Those who meet the current NICE criteria for insulin pump therapy or experience disabling hypoglycaemia and where the use of FreeStyle Libre may avoid the need for pump therapy.
      6. Women who are either planning a pregnancy or are pregnant.

Guidance for people with Type 2 diabetes – eligibility criteria for Freestyle Libre 2 plus® & Dexcom ONE®+

For patients with Type 2 diabetes, if using ‘multiple daily insulin injections’ and any of the following criteria apply:

1. 1. 1. Recurrent or severe hypoglycaemia
      2. Impaired hypoglycaemia awareness
      3. Require a third party to perform monitoring or where dexterity or disability can make conventional testing difficult.
      4. Would otherwise be advised to self-measure capillary glucose levels at least six times per day

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• In keeping with the Scottish Health Technologies Group advice statement (2018), people wishing to use this device will also have to:

1. 1. 1. 1. Agree to attend a locally provided flash glucose monitoring education session.
         2. Agree to scan glucose levels no fewer than six times per day.
         3. Satisfy their clinical team that they (or carer) have the required knowledge/skills to self-manage diabetes.