FreeStyle Libre now available on NHS prescription to eligible people with
Type 1 diabetes in Merton
FreeStyle Libre*, the flash glucose monitoring device to help people with Type 1 diabetes monitor their own glucose levels using a sensor the size of a two pound coin, is now available on prescription for people in Merton with Type 1 diabetes that meet the criteria.
Since 1 July 2018, residents of Merton with Type 1 diabetes who are aged four years or over, are eligible to receive FreeStyleLibre on NHS prescription as long as they understand the basic principles of insulin dose adjustment; know how to appropriately manage their glucose levels; and fulfil at least one of the following criteria:
1. Have Type 1 diabetes, test frequently and can reduce strip usage by eight strips a day by using the FreeStyle Libresystem
2. Have Type 1 diabetes with HbA1c >8.5% (69.4mmol/mol) or disabling hypoglycaemia (low glucose levels) and are eligible for insulin pump therapy
3. Have Type 1 diabetes, are administering multiple daily injections or on insulin pump therapy where monitoring of glucose levels is not possible with finger-prick devices.
An interim position statement was issued in October 2017 asking primary care prescribers not to prescribe FreeStyle Libre sensors until an evaluation had been undertaken to establish eligibility criteria for NHS prescribing. NHS London Procurement Partnership together with NHS London Clinical Networks have now completed the evaluation of FreeStyle Libre and issued prescribing guidance on behalf of London clinical commissioning groups. NHS Merton CCG has adopted this prescribing guidance. More information about the guidance can be found here.
The patient's local diabetes specialist team will decide on their eligibility at their next routine appointment.
People with Type 1 diabetes, not currently under the care of a local diabetes specialist team, can discuss with their GP whether they should be referred for an eligibility assessment at a specialist centre.
*More information about the FreeStyle Libre is available at www.freestylelibre.co.uk/libre/help/tutorials.html