Coverage for Continuous Glucose Monitoring for Individuals with Type 2 Diabetes Treated with Nonintensive Therapies: An Evidence-Based Approach to Policymaking

Grazia Aleppo, Irl B. Hirsch, Christopher G. Parkin, Janet McGill, Rodolfo Galindo, Davida F. Kruger, Carol J. Levy, Gregory P. Forlenza, Guillermo E. Umpierrez, George Grunberger, Richard M. Bergenstal

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Numerous studies have demonstrated the clinical benefits of continuous glucose monitoring (CGM) in individuals with type 1 diabetes (T1D) and type 2 diabetes (T2D) who are treated with intensive insulin regimens. Based on this evidence, CGM is now a standard of care for individuals within these diabetes populations and widely covered by commercial and public insurers. Moreover, recent clinical guidelines from the American Diabetes Association and American Association of Clinical Endocrinology now endorse CGM use in individuals treated with nonintensive insulin regimens. However, despite increasing evidence supporting CGM use for individuals treated with less-intensive insulin therapy or noninsulin medications, insurance coverage is limited or nonexistent. This narrative review reports key findings from recent randomized, observational, and retrospective studies investigating use of CGM in T2D individuals treated with basal insulin only and/or noninsulin therapies and presents an evidence-based rationale for expanding access to CGM within this population.

Original languageEnglish
Pages (from-to)741-751
Number of pages11
JournalDiabetes Technology and Therapeutics
Volume25
Issue number10
DOIs
StatePublished - 1 Oct 2023

Keywords

  • Basal insulin
  • Continuous glucose monitoring
  • HbA1c
  • Noninsulin medications
  • Type 1 diabetes
  • Type 2 diabetes

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