The Surrey Heartlands Integrated Care System Area Prescribing Committee have agreed that real time Continuous Glucose Monitoring (rtCGM) or intermittently scanned Continuous Glucose Monitoring (isCGM) is offered to children and young people with type II diabetes in line NG18 Diabetes (type 1 and type 2) in children and young people: diagnosis and management).

CGM devices have been given the following traffic light status:

BLUE traffic light status (with an information sheet)

Initiation will be by the diabetes specialist service, who will provide the first 28 days of treatment (and capillary test strips if required), prior to transfer of care to primary care.

• Freestyle Libre 2 (isCGM)     
• Dexcom One (rtCGM)

RED traffic light status

Initiation and continued supplies will be through the specialist diabetes service

• Freestyle Libre 3 (rtCGM)      
• Dexcom G7 (rtCGM)  

Use the flow chart to ensure the most appropriate and cost-effective CGM devices are used to meet patient need