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Access a compilation of resources for professionals assisting patients with use of a continuous glucose monitor CGM. Learn more about how you can improve the lives of people with diabetes by supporting increased access to CGMs.

Watch the videos below to hear patient and practitioner perspectives on how CGMs are shaping the future of diabetes care. Has your life been changed by wearing a Continuous Glucose Monitor?

If so we want to hear from you! CGMs are the new standard in diabetes care, and should be accessible to every person with diabetes. CGMs provide significant, potentially life changing benefits for diabetes management. CGMs are recommended for several reasons because they:. People with type 1 and type 2 diabetes who use a CGM have fewer instances of hypoglycemia and a lower A1C.

One obstacle with CGMs is the cost of access to diabetes technology. Many people with diabetes who have put off getting an insulin pump or CGM, do so because they are too expensive. Another major obstacle is due to strict Medicaid coverage policies they are not accessible for people who need them.

In fact, people with diabetes on Medicaid, especially in minority communities who use Medicaid, are the least likely to use a CGM. This is concerning since people with diabetes are more than twice as likely to receive their health care from Medicaid as those without diabetes.

Individuals who meet the coverage criteria listed in the FAQs below for a CGM and want to learn more about them should talk to their health care provider to ensure it is the right tool for the management of their diabetes.

The American Diabetes Association ® ADA released a new study looking at pharmacy and medical benefit claims for CGMs across commercial insurance plans, Medicare and Medicaid and data on age, race, geography, and diabetes prevalence.

The findings show people of lower income and older people of color who live in states with the highest rates of diabetes prevalence and mortality are the least likely to get access to a CGM.

ADA is quite concerned about these findings, given the effect of the COVID pandemic on this population and the importance of tools like CGMs in diabetes management. It wirelessly transmits results to a small recording device no larger than a cell phone or to a smartphone or other smart device. In some cases, it transmits the information directly to an insulin pump figure 2.

You can attach the recording device to your clothing, carry it in a purse or bag, or place it near you eg, on a bedside table. If you use a CGM system, you will need to remove the sensor and replace it on a different part of your body approximately once every 7 to 14 days.

Different CGM systems are available; one implantable sensor can last up to days, but it needs to be inserted and removed by a physician, nurse practitioner, or physician assistant.

FREQUENCY OF GLUCOSE TESTING. Studies have proven that people with diabetes who maintain normal or near-normal blood glucose levels reduce their risk of diabetes-related complications. Checking your glucose levels can play an important role in achieving your glucose goals and reducing the risk of complications.

See "Patient education: Preventing complications from diabetes Beyond the Basics ". Type 1 diabetes — For people with type 1 diabetes, frequent glucose testing is the only way to safely and effectively manage blood glucose levels.

People with type 1 diabetes may use blood glucose monitoring BGM with fingersticks and a glucose meter, or continuous glucose monitoring CGM.

In people with type 1 diabetes, CGM is generally used if available and affordable. See 'Methods of glucose monitoring' above and 'Continuous glucose monitoring' below and "Patient education: Type 1 diabetes: Overview Beyond the Basics ". Most people with type 1 diabetes who use BGM alone need to check their blood glucose level at least four times every day.

If you use an insulin pump, give yourself three or more insulin injections per day, or are currently pregnant, you may need to test as many as 10 times a day or more.

See "Patient education: Care during pregnancy for patients with type 1 or 2 diabetes Beyond the Basics ". This way you will be able to access your testing equipment wherever you are, making it easier to manage your blood glucose.

Glucose monitoring is useful for people with type 2 diabetes who take insulin or certain medications that can cause hypoglycemia. It is generally unnecessary in people who manage their diabetes with diet alone or who take medications that do not cause hypoglycemia, especially if they have reached their glucose goals.

Your health care provider can help you determine how frequently to check your glucose based on your situation. Most people with type 2 diabetes who perform glucose monitoring use BGM. For people taking insulin, CGM may be used if available and affordable. See 'Who should use CGM? How to check your blood glucose — The following steps include general guidelines for testing blood glucose levels.

However, because the instructions can vary between devices, it's best to check the package insert for your glucose meter or talk with your health care provider. It's important to never share monitoring equipment or fingerstick devices, as this could lead to infection.

Lancets that are used more than once are not as sharp as a new lancet and can cause more pain and injury to the skin. Alternate sites are often less painful than the fingertip. However, results from alternate sites are not as accurate as fingertip samples.

This should not be a problem if you always use the same site. However, when your blood glucose is rising rapidly eg, immediately after eating or falling rapidly in response to insulin or exercise , it's more accurate to use the fingertip, as testing at alternate sites may give significantly different results in these situations.

If you have difficulty getting a good drop of blood from your fingertip, try rinsing your fingers with warm water and shaking your hand below your waist. This can help get the blood flowing.

The results will be displayed on the meter after several seconds. Blood glucose meters — There is no single blood glucose meter that is better than others. Your health care provider or pharmacist can help you choose a meter based on your preferences as well as other factors like cost, ease of use, and accuracy; it should be one that is approved by either the International Organization for Standardization or the US Food and Drug Administration FDA.

Medicare also covers costs of BGM. Accuracy of home BGM — Blood glucose meters are reasonably accurate. However, there can be some variability between meters, so it is always wise to use caution and common sense.

If you get a result that does not fit with how you feel for example, if it says your blood glucose is very low but you don't have any symptoms , take a second reading or use an alternate method for testing your blood glucose such as a different meter.

Blood glucose meters are least accurate during episodes of low blood glucose. See "Patient education: Hypoglycemia low blood glucose in people with diabetes Beyond the Basics ".

The accuracy of BGM can be affected by several factors, including the type of blood glucose strip and meter. Inaccurate readings can be caused by the use of expired strips, improper storage of strips exposure to high temperature and humidity , inadequate cleansing of your skin, and ingestion of vitamin C and acetaminophen.

It's a good idea to check the accuracy of your blood glucose meter occasionally by bringing it with you when you have an appointment to get blood testing. This way, you use your home monitor to check your blood glucose at the same time that blood is drawn and compare the results.

If the results differ by more than 15 percent, there may be a problem with your meter or other equipment; your provider can help you figure out what's going on and how to correct the problem. Help for people with vision impairment — People with vision impairment a common complication of diabetes sometimes have difficulty using glucose meters.

Meters with large screens and "talking" meters are available. If you have impaired vision, you can get help from the American Association of Diabetes Care and Education Specialists ADCES at Continuous glucose monitoring CGM is a way to monitor your glucose levels every 5 to 15 minutes, 24 hours a day.

Because of reliability issues, warm-up periods, and the need to calibrate some of the devices, CGM does not eliminate the need for at least occasional fingersticks. CGM systems are described in detail above see 'Continuous glucose monitoring' above. Who should use CGM?

CGM systems are most often used by people with type 1 diabetes. Periodic use of CGM can also help you and your health care provider determine when your glucose is low or high and how to adjust your medication doses or food intake to prevent these fluctuations. Devices that combine an insulin pump with a CGM system are also available.

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