Some people living with type 1 diabetes over the age of 21 years
are now eligible to access subsidised continuous glucose monitoring
CGM helps those with type 1 diabetes to monitor their glucose
levels through a wearable device and reduces the requirement to
regularly check their blood glucose levels via a finger prick.
CGM is suitable for anyone living with type 1 diabetes whether
they are using multiple daily injections or an insulin pump.
To be eligible for the subsidized CGM consumables through the
National Diabetes Services Scheme (NDSS), a person living with type
1 diabetes must have valid concession status and a high clinical
need as assessed by their endocrinologist or diabetologist,
physician, credentialled diabetes educator or nurse practitioner.
There are also other conditions for eligibility.
Here is the complete list
of who is eligible:
What is CGM?
CGM is a method of continuously tracking glucose levels through
a sensor probe just under the skin. A CGM system is made up of a
sensor, transmitter and receiver.
The sensor device includes a small, flexible sensor cannula that
is worn for around seven days and then replaced.
The sensor is packaged with an automatic insertion device and
medical tape to adhere the sensor to the skin. The sensor is
positioned on top of the skin and measures glucose readings that
come from the probe placed in the interstitial fluid, just under
The transmitter is a device that attaches to the sensor and
sends glucose readings to a receiver so they can be read. Depending
on the CGM manufacturer, the transmitter will need to be replaced
either every three, six or 12 months.
Some transmitters may be rechargeable and require recharging
Others do not need recharging, have a shorter life and require
replacement more often.
The receiver allows you to receive and review your glucose
readings electronically. The receiver can be a standalone device or
a compatible smart device such as a smart phone.
People who use a smart device need to ensure that it has
compatible technology to receive the data transmitted.
If you use a smart phone as a receiver, you may be able to
connect other people who you nominate, for example, family members,
to view your CGM readings.
The benefits of CGM is that they can send real time alarms to a
receiver or smart phone to alert the wearer or a carer that there
may be an issue with glucose levels.
This allows for detection of levels trending high or low, which
may help the user to address any concerns earlier.
Checking BGLs via a finger prick is still recommended every 12
hours to calibrate the CGM. If there are clinical symptoms,
checking BGLs with a finger prick is advisable.
The sensor and transmitter are water resistant and can be worn
in the shower. The receivers need to remain dry.
Under the NDSS subsidies, those who are eligible to access CGM
will receive fully subsidised sensors and transmitters.
However, the cost of the receiver is not subsidised. The outlay
for a standalone receiver or a compatible smart phone can start at
To find out if you are eligible for subsidised CGM or which CGM
device is suitable for you, talk to your health care team.
Click here to read Diabetes Australia's Position Statement:
Glucose self-monitoring in adults with type 1 diabetes or type 2