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Differences in US insurance coverage favoring "flash glucose monitoring" over "continuous glucose monitoring" were an advantage to early adoption of Abbott's less expensive system. In the UK, flash glucose monitors and sensors are available to many patients without charge on the National Health Service (NHS). [11]
Continuous glucose monitors: ... many who suffer from diabetes still have trouble accessing CGMs due to inconsistent insurance coverage and out-of-pocket costs.
However, an increasing number of insurance companies do cover continuous glucose monitoring supplies (both the receiver and disposable sensors) on a case-by-case basis if the patient and doctor show a specific need. The lack of insurance coverage is exacerbated by the fact that disposable sensors must be frequently replaced.
In 2008, Breakthrough T1D funded a clinical trial that demonstrated the efficacy of continuous glucose monitors (CGMs) in helping to manage blood sugar, with lower HbA1c levels and reduced rates of severe hypoglycemia. The research confirmed substantial benefits for T1D patients, leading to insurance coverage of CGMs and more widespread use. [25]
Libre 3 “If someone is paying out-of-pocket for a continuous glucose monitor, I generally recommend the Freestyle Libre 2 or 3, as it is generally more affordable out of pocket,” says Dr. Hong.
For many in the U.S., health insurance plays a large role in what blood sugar meter you can use. Though, people with any type of diabetes can tell you it’s the test strips that get really expensive.
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