Flash Glucose Monitoring & Implantable Sensors
|
|
- Conrad Arnold
- 5 years ago
- Views:
Transcription
1 Flash Glucose Monitoring & Implantable Sensors Timothy Bailey, MD, FACE, CPI President & CEO, AMCR Institute Clinical Associate Professor, UCSD School of Medicine
2 Disclosures Research Support: Abbott, Ambra, Ascensia, BD, Boehringer Ingelheim, Calibra Medical, Companion Medical, Dance Biopharm, Dexcom, Eli Lilly, Glooko, Glysens, Kowa, Lexicon, MannKind, Medtronic, Novo Nordisk, sanofi, Senseonics, Taidoc, Versartis, Xeris Consulting Honoraria: Abbott, Astra Zeneca, Ascensia, BD, Calibra, Capillary Biomedical, Eli Lilly, Intarcia, Medtronic, Novo Nordisk, Sanofi Speaking Honoraria: Abbott, Eli Lilly, Medtronic, Novo Nordisk, Sanofi
3 Monitoring Matters There is benefit from CGM use for EVERYONE with diabetes The majority of patients (even with type 1 diabetes) do not use or have access to a CGM device Adherence and persistence of CGM remain poor Additional options may increase CGM use 3
4 CGM Improves A1c & Hypoglycemia Vigersky RA. J Diabetes Sci Technol 2015;9:
5 DIAMOND trial RANDOMIZED CONTROL TRIAL, 6 MONTHS, 158 T1 ADULTS >25 years CGM MDI Time in range ( mg/dl) 51% 45% Beck R.W. et al. JAMA. 2017;317(4): Beck R.W. et al. JAMA. 2017;317(4):
6 GOLD trial CROSSOVER RANDOMIZED CONTROL TRIAL, 6 MONTHS, 161 T1 ADULTS >18 years CGM MDI Time in range ( mg/dl) 42% 39% Lind, M. et al. JAMA ;317(4): Lind, M. et al. JAMA ;317(4):
7 CGM Use- T1 Exchange Data
8 CGM Use in Mealtime Insulin Dosers 2.9MM 0.3 MM 10% T2 60% 2.6 MM 90% T1 40% Mealtime Insulin using patients CGM penetration 1. Based on internal analysis from BBC and SHA claims data
9 27% of Patients Discontinue CGM Use Within 1 Year Reason N=262 CGM not working properly / accurate enough 71% Problems with adhesive / insertion 61% Too expensive / not covered by insurance 58% Uncomfortable to wear 41% Using pump / don t want two sites on body 33% CGM too big 28% T1D Exchange; Why Do Some People with T1D Stop Using a Pump and CGM? 2016 Type 1 Diabetes (T1D) Exchange Registry (2016)
10 CGM System Wish List Longer sensor life Less frequent sensor insertions Current systems require replacements/year No calibration Easy to wear and remove For physical activities or discretion Less Alarms More Alarms Cheaper
11 Flash Glucose Monitoring 10 day sensor No calibration No alarms Records data q 15 min (8hr) Scan to see glucose levels 8-hour look-back with graph First SMBG replacer
12 Flash vs CGM Feature FGM CGM Alarms - + Duration days 7-10 days Calibration - + (G6 optional) Data Transfer Requires scan Passive Transmitter Memory 8 hours 3 hrs (G6) Cost $$ $$$
13 Flash Glucose Monitoring RCT s Author Population Design Outcomes Bolinder T1, A1c<7.5%, no HU n=241; 6 mos. (vs SMBG) 38% time <70 mg/dl (A1c no change) Reddy T1, Gold >=4 or severe hypo within 6 mos n=80; 8 wks. (vs G5 cgm) greater time <60 mg/dl & distress with G5 Haak T2 on MDI, A1c % n=224; 6 mos (vs SMBG) 43% time <70 mg/dl (A1c no change) Bolinder J. Lancet 2016; 388: Reddy M. Diabet Med 2018; 35: Haak T. Diabetes Ther 2017; 8:
14 Monitoring Matters: Real World Data Type 1 Exchange Data; 2011 Data from > FSL readers. Dunn T et al. DTT 2017; 19(Suppl 1):A12
15 Intermittent Flasher 20 y/o young woman; Type 1 diabetes since age 8 months Medtronic pump for many years; Omnipod started 12/2015; MDI since mid-2016 Tresiba 25 qd (states takes most days) Humalog u/d (forgets frequently) Other meds: Lithium, Lamictal, Gabapentin, Lorazepam A1c (seen 2x/yr or less- away at college) 7/13/ % 11/20/ % - started FGM 1/2018 5/21/ % CGM (5/8-21/2018): mean=278 (SD=109); TIR=20% (>range 80%)
16 Flash Data
17 FGM User Data > 700K patients in OUS ~100k patients in US (in 5 months) 1 41% mealtime insulin using patients on FreeStyle Libre are T1 patients 2 1. Based on claims data analysis 2. Based on survey data 18
18 Implantables in Medicine Cardiac Contraceptive Diabetes Endurity Pace Maker Reveal LINQ Nexplanon MiniMed Insulin Pump Intarcia medici Eversense CGM Copyright Senseonics 2018
19 20 The Eversense CGM System Sensor Fully implanted Small size Up to 90 days Smart Transmitter On-body vibe alerts Removable/Rechargeable Gentle adhesive Mobile App Real-time readings every 5 mins No extra receiver Trends, alerts w/ predictive alerts
20 21 Copyright Senseonics 2018 How it Works Sensor Powered by Transmitter Fluorescence with Glucose Binding
21 Sensor Insertion / Removal Procedure Sensor inserted/removed brief, office-based procedure Custom insertion tools Procedure: Skin disinfected and anesthetized Small incision in upper arm Blunt dissector creates subcutaneous pocket Sensor transferred to pocket Similar removal procedure
22 Readings Directly on Mobile Device ios and Android platforms Current glucose reading Trend arrow Trend graph High glucose alert (top red line) High glucose target level (top green line) Low glucose target level (bottom green line) Low glucose alert (bottom red line)
23 Pivotal Trial Programs PRECISE II Jul 2016 N=90 T1/T2 Blinded use 8 sites PRECISION Feb 2018 N=35 T1/T2 Unblinded use 3 sites Primary Outcome: Accuracy and safety of the Eversense system through 90 days.
24 PRECISE II: Demonstrated Accuracy of Eversense Software Version Mean Absolute Relative Difference (95% CI) Study SW 8.8% (8.3%, 9.4%) SW % (8.0%, 9.1%) Based on all evaluable data from all patients with at least one paired glucose reading between primary sensor and reference values
25 Accuracy Comparison with Other CGMs through Sensor Life Device Data Source Percent of System Readings Within 15/15% of Reference DAY 1 DAY 3-4 DAY 7 DAY 10 DAY 14 DAY 30 DAY 60 DAY 90 Eversense PRECISE II 77% % 87% 85% PRECISION 79% -- 86% -- 88% 88% 87% 84% Dexcom G5* -- 77% 89% 90% Medtronic Guardian (3)* -- 68% 87% 82% FreeStyle Libre* -- 76% 82% 85% 85% * Summary of Safety and Effectiveness Data (SSED) - Medical Device Databases - Results based on calibration every 12 hours 26
26 Sensor Wear, HbA1c, and Hypoglycemia Outcomes In Recent Landmark RCTs Reduction in the amount of time in hypoglycemia ranged from 38% (IMPACT) to 46% (DIAMOND) 1. Lind M, Polonsky, W, Hirsch, I, et al. CGM vs Conventional Therapy for Glycemic Control in Adults w/ T1D Treated With MDI The GOLD Randomized Clinical Trial. JAMA. 2017;317(4): Bolinder J, Antuna R, Geelhoed-Duijvestijn P, Kröger J, Weitgasser R. Novel glucose-sensing technology & hypoglycaemia in T1D: a multicentre, non-masked, randomized controlled trial. Lancet 2016; 388: Beck R, Riddlesworth, T, Ruedy, K, et al. Effect of CGM on Glycemic Control in Adults with T1D Using Injections for Insulin Delivery: The DIAMOND Randomized Clinical Trial. JAMA. 2017;317(4): Battelino T, Conget I, Olsen B, et al. The use and efficacy of CGM in T1D treated with insulin pump therapy: a randomised controlled trial. Diabetologia. 2012;55(12): doi: /s
27 Real-world adherence data Repeat users sensor wear time from 1 st to 4 th sensor. Based on commercial end users in Europe 1. De Bock M, Cooper M, Retterath A, et al. Continuous Glucose Monitoring Adherence: Lessons From a Clinical Trial to Predict Outpatient Behavior. Journal of Diabetes Science and Technology. 2016;10(3): doi: / Data on file. Senseonics 2018.
28 PRECISE II: KM survival probability of 91% at Day 90 PRECISION: All sensors functioned 90 days Sensor Longevity Sensor Survival Probability PRECISE II Sensor Survival Probability PRECISION Time since Implant (days) Time since Implant (days)
29 AMCR Institute Trial Participant It was especially important for me not to be seen as sickly or overly dependent on glucose testing during this time. 62 yo woman with Type 1 DM MDI Lantus and Novolog Accurate Convenient Discreet Was better able to manage her DM in a discreet manner A1c improved from 7.1 to 6.8% The experiences and testimonial are unique and individual to the speaker, and may not represent the same experiences, results or conclusions of other patients regarding the Eversense System. Neither the speaker nor Senseonics endorses or promotes any use of the Eversense System that is not consistent with the product labeling.
30 Glucose Monitoring Matters Summary More glucose monitoring can only impact health if patients wear and interact productively with sensors. Implantables and FGM are important additions to our toolbox that will enable more of our patients to embrace CGM and achieve better glycemic control.
31 Practical Pearls Glucose Monitoring Matters CGM is better than SMBG (if it is used) Choice of system mostly depends on individual preference Alarms appear to be more effective in reducing hypoglycemia Newer CGM s will enable more of our patients to safely achieve glycemic goals
Canaccord Growth Conference August confidently live life with ease
Canaccord Growth Conference August 2018 confidently live life with ease Forward-Looking Statements This presentation contains forward-looking statements that are not purely historical regarding Senseonics
More informationCowen Investor Conference March confidently live life with ease
Cowen Investor Conference March 2018 confidently live life with ease Forward-Looking Statements This presentation contains certain forward-looking statements that involve risks and uncertainties that could
More informationJanuary 2017 Investor Presentation. confidently live life with ease
January 2017 Investor Presentation confidently live life with ease Forward-Looking Statements This presentation contains certain forward-looking statements that involve risks and uncertainties that could
More informationDIABETES TECHNOLOGY: WHERE ARE WE NOW AND WHERE ARE WE GOING? Presented by: Tom Brobson
DIABETES TECHNOLOGY: WHERE ARE WE NOW AND WHERE ARE WE GOING? Presented by: Tom Brobson March 3 rd, 2018 Who is this guy? Accelerating Progress 1 Oh that guy! Accelerating Progress 2 STATE OF T1D CARE
More informationconfidently live life with ease Management Presentation
confidently live life with ease Management Presentation 1 Forward-Looking Statements This presentation contains certain forward-looking statements that involve risks and uncertainties that could cause
More informationContinuous Glucose Monitors for Diabetes Management
Continuous Glucose Monitors for Diabetes Management Ryan Huang, DO PGY II, Sonia Garcia-Jayne, DO PGY II Mandeep Gill, DO PGY I, Justin Leeka, DO, PGY I, Catherine Nguyen OMS IV Family Medicine Residency,
More informationControl of Glycemic Variability for Reducing Hypoglycemia Jae Hyeon Kim
Control of Glycemic Variability for Reducing Hypoglycemia Jae Hyeon Kim Division of Endocrinology and Metabolism, Samsung Medical Center, Sungkyunkwan University School of Medicine Conflict of interest
More informationDiabetes Technology Update. Sarah Konigsberg, MD Diabetes & Endocrine Assoc. April 7, 2018
Diabetes Technology Update Sarah Konigsberg, MD Diabetes & Endocrine Assoc. April 7, 2018 Disclosures None No future technologies are FDA approved Continuous Glucose Monitors Continuous Glucose Monitors
More informationHow to Set Up a Diabetes Technology Practice in the Real World: Meaningful Monitoring Thoughtful Therapy Troubled Times
How to Set Up a Diabetes Technology Practice in the Real World: Meaningful Monitoring Thoughtful Therapy Troubled Times Timothy Bailey, MD, FACE, CPI Director of Interventional Endocrinology, AMCR Institute
More informationThe Diamond Study: Continuous Glucose Monitoring In Patients on Mulitple Daily Insulin Injections
8/5/217 The Diamond Study: Continuous Glucose Monitoring In Patients on Mulitple Daily Insulin Injections Richard M. Bergenstal, MD Executive Director International Diabetes Center at Park Nicollet Minneapolis,
More informationNEW TECHNOLOGIES FOR MANAGING DIABETES ANGELA THOMPSON DNP, FNP-C, BC-ADM, CDE, FAANP
NEW TECHNOLOGIES FOR MANAGING DIABETES ANGELA THOMPSON DNP, FNP-C, BC-ADM, CDE, FAANP No commercial support or sponsorship was received for this project I have nothing to disclose OBJECTIVES Identify at
More informationWhen Will CGM Replace SMBG? Roy W. Beck, MD, PhD. JAEB Center for Health Research Tampa, Florida
When Will CGM Replace SMBG? Roy W. Beck, MD, PhD JAEB Center for Health Research Tampa, Florida Financial Disclosures Dr. Beck does not have any personal conflicts of interest His employer, the JAEB Center
More informationToday s Goals 10/6/2017. New Frontiers in Diabetes Technology. Disclosures
New Frontiers in Diabetes Technology Marie E. McDonnell, MD Director, Brigham and Women's Diabetes Program Division of Endocrinology, Diabetes and Hypertension Brigham and Women s Hospital Today s Goals
More informationNEWS BRIEFING Advances in Technology. moderated by: Irl Hirsch, MD University of Washington Medical Center
NEWS BRIEFING Advances in Technology moderated by: Irl Hirsch, MD University of Washington Medical Center 1 EMBARGO POLICY All recordings are for personal use only and not for rebroadcast online or in
More informationIncorporating CGM Into Clinical Decision Making. Etie Moghissi, MD, FACE Clinical Associate Professor, David Geffen School of Medicine UCLA
Incorporating CGM Into Clinical Decision Making Etie Moghissi, MD, FACE Clinical Associate Professor, David Geffen School of Medicine UCLA 1 Limitations of Current Glucose Monitoring Methods A1c Standard
More informationUpdate on Diabetes Technology
Update on Diabetes Technology Andrew Ahmann, MD Professor of Medicine Director, Harold Schnitzer Diabetes Health Center OHSU Objectives: Recognize the growing role of technology in assisting patients and
More informationIncorporating CGM Into Clinical Decision
Incorporating CGM Into Clinical Decision Making Etie Moghissi, MD, FACE Clinical Associate Professor, David Geffen School of Medicine UCLA 1 It is Time to Think Beyond A1C HbA1c is simple to administer
More informationROLE OF CONTINUOUS GLUCOSE MONITORING IN DIABETES TREATMENT
2018 ROLE OF CONTINUOUS GLUCOSE MONITORING IN DIABETES TREATMENT CONTRIBUTING AUTHORS IRL B. HIRSCH, MD Professor of Medicine University of Washington Seattle, WA TADEJ BATTELINO, MD, PHD Professor of
More informationContinuous Glucose Monitoring (CGM)
Continuous Glucose Monitoring (CGM) Background Info A1c Average glucose levels over previous 2-3 months Currently remains gold standard for determining control Indicator of risk for development of complications
More informationAbbott FreeStyle Libre Pro System
Professional CGM Abbott FreeStyle Libre Pro Reader Kit includes: Reader, USB cable, interactive tutorial on USB, and power adapter, user s manual, Quick Start Guide, Quick Reference Guide Kit includes:
More informationAnnual Stockholder Meeting May 30, confidently live life with ease
Annual Stockholder Meeting May 30, 2018 confidently live life with ease Forward-Looking Statements This presentation contains certain forward-looking statements that involve risks and uncertainties that
More informationUpdate on Continuous Glucose Monitoring (CGM) Technology in Diabetes. Elena Toschi, MD November 12, 2016
Update on Continuous Glucose Monitoring (CGM) Technology in Diabetes Elena Toschi, MD November 12, 2016 Presenter Disclosure Information Elena Toschi, MD No financial disclosure Objectives: Use of CGM
More informationAdvances in Diabetes Care Technologies
Advances in Diabetes Care Technologies 1979 2015 Introduction Roughly 20% to 30% of patients with T1DM and fewer than 1% of insulin-treated patients with T2DM use an insulin pump In 2007, the U.S. FDA
More informationCGM and Closing The Loop
CGM and Closing The Loop Dualities Research: Helmsely Charitable Trust, ADA, JDRF, NIDDK Consulting: Abbott Diabetes Care, Roche, Intarcia, Valeritas, Adocia, Big Foot Like With Pumps, We ve Come A Long
More informationAdvances Towards the Bionic Pancreas.
Advances Towards the Bionic Pancreas. Ron Brazg MD, FACE Rainier Clinical Research Center Renton, WA DISCLOSURES Rainier Clinical Research Center is an independent research facility not directly affiliated
More informationAdvances in Technology in the Treatment of Diabetes Mellitus 2017 How far have we come-how far are we going? Is there a final frontier?
Advances in Technology in the Treatment of Diabetes Mellitus 2017 How far have we come-how far are we going? Is there a final frontier? Alan B Schorr DO FAAIM FACE www.sugardoc.com abs@sugardoc.com Disclosures
More informationCONTINUOUS GLUCOSE MONITORING SOLUTIONS Provided by Roche Diabetes Care
CONTINUOUS GLUCOSE MONITORING SOLUTIONS Provided by Roche Diabetes Care More confidence for your patients 03 GIVING YOU THE CHOICE CGM solutions provided by Roche Diabetes Care Welcome to a world of new
More informationComparing the use of SMBG vs. CGM data to Optimize Glucose Control in T2DM
Comparing the use of SMBG vs. CGM data to Optimize Glucose Control in T2DM For the first time using CGM to assess glucose control achieved in both groups Richard M. Bergenstal, MD International Diabetes
More informationUpdates in Diabetes Technology
Updates in Diabetes Technology Jessica Kirk, MSN, RN, CPN, CDE Nurse Manager, Endo ECHO No disclosures Disclosures 1 Objectives Distinguish patients appropriate for continuous glucose monitoring and insulin
More informationInsulin Pumps and Glucose Sensors in Diabetes Management
Diabetes Update+ 2014 Congress Whistler, British Columbia Friday March 21, 2014ǀ 8:15 8:45 am Insulin Pumps and Glucose Sensors in Diabetes Management Bruce A Perkins MD MPH Division of Endocrinology Associate
More informationTwo types of continuous glucose monitoring (CGM) systems are currently available for daily diabetes self-management: real-time CGM
Review Diabetes Selecting the Appropriate Continuous Glucose Monitoring System a Practical Approach Peter Adolfsson, 1 Christopher G Parkin, 2 Andreas Thomas 3 and Lars G Krinelke 4 1. Department of Pediatrics,
More information10:20 AM March 5, B 100% 235 u. 124 mg/dl 3 HRS INSULIN ON BOARD:
DEXCOM G5 MOBILE CGM COMPATIBLE B 100% 235 u INSULIN ON BOARD: OPTIONS 10:20 AM March 5, 2017 400 350 300 250 200 150 100 50 1.1 u 1:09 hrs BOLUS 124 mg/dl 3 HRS The pump that gets updated, not outdated.
More informationSubjects and Methods 2017, 64 (8),
2017, 64 (8), 827-832 Careful readings for a flash glucose monitoring system in nondiabetic Japanese subjects: individual differences and discrepancy in glucose concentrarion after glucose loading Keiko
More informationDiabetes and Technology. Saturday, September 9, 2017 Aimee G sell, APRN, ANP-C, CDE
Diabetes and Technology Saturday, September 9, 2017 Aimee G sell, APRN, ANP-C, CDE Disclosure Speaker s Bureau: Janssan Pharmaceuticals Current Technology V-Go by Valeritas Continuous Sensors (personal
More informationDiabetes Management with Continuous Glucose Monitoring & Multiple Daily Injections. Aaron Michels MD
Diabetes Management with Continuous Glucose Monitoring & Multiple Daily Injections Aaron Michels MD Outline SMBG & CGM by age group JDRF CGM Trial Sensor Augmented Insulin Pump Therapy for A1c Reduction
More informationReal-time Continuous Glucose Recording: An analysis of end user self-reported experiences
Real-time Continuous Glucose Recording: An analysis of end user self-reported experiences Author: Tim Street Abstract Objective: This study analyzed user's views on their use of real-time continuous glucose
More informationObjectives. The Problem. We ve come a LONG way, Innovations in Diabetes Care and Management. Barbara Walz, RN, BSN, CDE April 26, 2018
Objectives Innovations in Diabetes Care and Management Barbara Walz, RN, BSN, CDE April 26, 2018 1. Briefly discuss the history of diabetes management over the past 100 years 2. Describe the impact of
More informationAdvances in Diabetes Care Technologies
1979 Advances in Diabetes Care Technologies 2015 Introduction Roughly 20% - 30% of patients with T1DM and fewer than 1% of insulin-treated patients with T2DM use an insulin pump In 2007, the US FDA estimated
More informationAdvances in Diabetes Care Technologies
1979 Advances in Diabetes Care Technologies 2015 Introduction Insulin pump use: ~ 20% - 30% of patients with T1DM < 1% of insulin-treated patients with T2DM 2007 FDA estimates ~375,000 insulin pumps for
More informationDiabetes Care Publish Ahead of Print, published online April 7, 2017
Diabetes Care 1 The Impact of Continuous Glucose Monitoring on Markers of Quality of Life in Adults With Type 1 Diabetes: Further Findings From the DIAMOND Randomized Clinical Trial DOI: 10.2337/dc17-0133
More informationObjective: Established methods of self-monitoring of glucose levels include capillary self-monitoring of blood glucose (SMBG) and
Flash Continuous Glucose Monitoring and its IMPACT to REPLACE Blood Glucose Monitoring in the Management of Type 1 and Type 2 Diabetes Stephen M Twigg, 1 Mahmood R Kazemi, 2 and Maria E Craig 3 1. Central
More informationInsulin Pumps and Continuous Glucose Sensors- Embracing Technology. Susan Cavalier, BS, RN, CDE Manager, Diabetes Educator Sanford Diabetes Education
Insulin Pumps and Continuous Glucose Sensors- Embracing Technology Susan Cavalier, BS, RN, CDE Manager, Diabetes Educator Sanford Diabetes Education Diabetes Management Tools in 1974 Insulin pump history
More informationDexcom Current and Future Technology Innovations. Jorge Valdes Chief Technical Officer
Dexcom Current and Future Technology Innovations 2015 Jorge Valdes Chief Technical Officer G5 App Sensor (Same as G4) Indicated for adults and children down to Age 2 years Tiny insertion needle (26Ga)
More informationThe Growing Future of Diabetes: Insulin Pump Therapy in Type 1 and 2 Diabetes
The Growing Future of Diabetes: Insulin Pump Therapy in Type 1 and 2 Diabetes Sarah Dombrowski, PharmD, BCACP Pennsylvania Pharmacists Association 10/20/18 1 Objectives At the completion of this activity,
More informationLessons From The Type 1 Diabetes Exchange
Lessons From The Type 1 Diabetes Exchange Andrew Ahmann, MD Harold Schnitzer Diabetes Health Center at OHSU Presenter Disclosure Information In compliance with the accrediting board policies, the American
More informationDIABETES & ENDOCRINE DIABETES TECHNOLOGY: HOW TO STAY CURRENT WITH ONGOING TECHNOLOGY ADVANCEMENT
DIABETES TECHNOLOGY: HOW TO STAY CURRENT WITH ONGOING TECHNOLOGY ADVANCEMENT Min-Jye Chen, MD Endocrinology Diabetes Management of the School-Aged Child Provided by Texas Children s Hospital Provider #18-267764-A
More informationContinuous Glucose Monitoring
Continuous Glucose Monitoring Information about fully-subsidised continuous glucose monitoring for children and young people with type 1 diabetes Continuous glucose monitoring (CGM) can help in managing
More informationHow I use the latest technology to investigate and treat a person with Type 1 Diabetes. Dr Pratik Choudhary
How I use the latest technology to investigate and treat a person with Type 1 Diabetes Dr Pratik Choudhary Disclosures Advisory board and speaker fees from Medtronic, Roche, Abbott and Johnson and Johnson,
More informationThe Realities of Technology in Type 1 Diabetes
The Realities of Technology in Type 1 Diabetes May 6, 2017 Rosanna Fiallo-scharer, MD Margaret Frederick, RN Disclosures I have no conflicts of interest to disclose I will discuss some unapproved treatments
More informationAbbott FreeStyle Libre Pro System
, the Professional CGM Abbott FreeStyle Libre Pro Reader Kit includes: Reader, USB cable, interactive tutorial on USB, and power adapter, user s manual, Quick Start Guide, Quick Reference Guide Kit includes:
More informationKing s Research Portal
King s Research Portal DOI: 10.1089/dia.2017.0051 Document Version Publisher's PDF, also known as Version of record Link to publication record in King's Research Portal Citation for published version (APA):
More informationTechnology in Diabetes Care: Emerging Level
Technology in Diabetes Care: Emerging Level Charlotte Parsons ARNP, CDE Christine Fisher, RD, CD, CDE, CPT WADE April 26, 2019 Disclosures to Participants Notice of Requirements for Successful Completion:
More informationPump and Sensor Data Interpretation. Irl B. Hirsch, MD University of Washington School of Medicine
Pump and Sensor Data Interpretation Irl B. Hirsch, MD University of Washington School of Medicine Dualities Research: Medtronic Diabetes Consulting: Abbott Diabetes Care, BD, Bigfoot, Roche Raise Your
More informationPredicts and helps prevent lows with. zero fingersticks NOW FEATURING BASAL-IQ TECHNOLOGY
Predicts and helps prevent lows with * zero fingersticks NOW FEATURING BASAL-IQ TECHNOLOGY Basal-IQ Technology is not a substitute for active self-management of your diabetes. Please see back cover for
More informationDiabetes II Insulin pumps; Continuous glucose monitoring system (CGMS) Ernest Asamoah, MD FACE FACP FRCP (Lond)
Diabetes II Insulin pumps; Continuous glucose monitoring system (CGMS) Ernest Asamoah, MD FACE FACP FRCP (Lond) 9501366-011 20110401 Objectives Understand the need for insulin pumps and CGMS in managing
More informationDescription of the technology
Advice Note 2017/ 001 What is the clinical effectiveness, safety and budget impact of the Freestyle Libre System compared with current glucose monitoring methods for people aged 4 years and over with diabetes
More informationOriginal Article. Nicholas B. Argento, MD 1 ; Katherine Nakamura, PhD 2 ABSTRACT
Original Article Nicholas B. Argento, MD 1 ; Katherine Nakamura, PhD 2 ABSTRACT Objective: Little information is available on personal real-time continuous glucose monitoring (PCGM) in patients 65 years
More informationCONTINUOUS OR INTERMITTENT GLUCOSE MONITORING IN INTERSTITIAL FLUID
FLUID Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices and drugs are dependent
More informationArtificial Pancreas Device Systems. Populations Interventions Comparators Outcomes. pump. pump
Protocol Artificial Pancreas Device Systems (10130) Medical Benefit Effective Date: 04/01/18 Next Review Date: 01/19 Preauthorization Yes Review Dates: 03/15, 03/16, 03/17, 01/18 Preauthorization is required.
More informationReal-Time Continuous Glucose Monitoring: From Application to Evaluation
Real-Time Continuous Glucose Monitoring: From Application to Evaluation Gary Scheiner MS, CDE Owner/Director, Integrated Diabetes Services 333 E. Lancaster Ave., Suite 24 Wynnewood, PA 1996 (877) 735-3648
More informationUsing and Interpreting Diabetes Data. Irl B. Hirsch, MD University of Washington
Using and Interpreting Diabetes Data Irl B. Hirsch, MD University of Washington Dualities Research: Helmsely Charitable Trust, ADA, JDRF, NIDDK Consulting: Abbott Diabetes Care, Roche, Intarcia, Valeritas,
More informationQuick Reference Guide. Sensor Smart Transmitter Mobile App
Quick Reference Guide Sensor Smart Transmitter Mobile App Refer to the Eversense CGM User Guide for more detailed information. For a Spanish version of the User Guide and Quick Reference Guide, please
More informationFlash Glucose Monitoring (Flash GM) Frequently asked questions (November 2018)
Flash Glucose Monitoring (Flash GM) Frequently asked questions (November 2018) What is Flash Glucose Monitoring (Flash GM)? Flash glucose monitoring is a small sensor that you wear on your skin (usually
More informationMINIMED 640G WITH SMARTGUARD GIVES YOU CONFIDENCE TO TAKE CONTROL OF YOUR DIABETES
MINIMED 640G WITH SMARTGUARD GIVES YOU CONFIDENCE OF YOUR DIABETES HAVE YOU CONSIDERED THE REAL IMPACT HYPOS HAVE ON YOUR LIFE? AN ESTIMATED 1 HOUR EVERY DAY IS LOST TO THE MANAGEMENT OF 43% OF PEOPLE
More informationDiabetes Technology in Irl B. Hirsch, MD University of Washington School of Medicine Seattle, WA
Diabetes Technology in 2018 Irl B. Hirsch, MD University of Washington School of Medicine Seattle, WA Dualities Research: Medtronic Diabetes Consulting: Abbott Diabetes Care, BD, Bigfoot, Roche Let s First
More informationQUESTION 4. WHAT CLINICAL DATA ARE CURRENTLY AVAILABLE TO SUPPORT EXPANDED CGM COVERAGE BY PAYERS AS PERTAINS TO QUESTIONS 1 AND 3?
500 1 QUESTION 4. WHAT CLINICAL DATA ARE CURRENTLY AVAILABLE TO SUPPORT EXPANDED CGM COVERAGE BY PAYERS AS PERTAINS TO QUESTIONS 1 AND 3? WHAT ADDITIONAL DATA ARE NEEDED? AACE/ACE CGM Consensus Conference:
More informationArtificial Pancreas Device Systems. Populations Interventions Comparators Outcomes Individuals: With type 1 diabetes
Protocol Artificial Pancreas Device Systems Medical Benefit Effective Date: 07/01/18 Next Review Date: 01/20 Preauthorization Yes Review Dates: 03/15, 03/16, 03/17, 01/18, 05/18, 01/19 Preauthorization
More informationCAROLINAS CHAPTER/AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS Annual Meeting HILTON HEAD ISLAND FRIDAY PRESENTATION
CAROLINAS CHAPTER/AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS 2016 Annual Meeting HILTON HEAD ISLAND FRIDAY PRESENTATION September 9-11, 2016 ~ Sonesta Resort ~ Hilton Head Island, SC This continuing
More informationAdvances in Diabetes Technology Part II: Analysis of Diabetes Self Management Devices and Support Tools
Advances in Diabetes Technology Part II: Analysis of Diabetes Self Management Devices and Support Tools Jennifer Trujillo, PharmD, FCCP, BCPS, CDE, BC ADM Associate Professor University of Colorado School
More informationMaking Sense of Glucose Monitoring. My Journey with Glucose Monitoring Over the Last 37 Years 8/7/2017
HSW1 Disclosure to Participants Making Sense of Glucose Monitoring Alison B. Evert, MS, RD, CDE UW Neighborhood Clinics UW Medicine Seattle, WA Conflict of Interest (COI) and Financial Relationship Disclosures:
More informationWOULD YOU LIKE MORE CONFIDENCE IN YOUR HYPOGLYCAEMIC CONTROL? SMARTGUARD. PROVIDES PREDICTIVE PROTECTION
WOULD YOU LIKE MORE CONFIDENCE IN YOUR HYPOGLYCAEMIC CONTROL? SMARTGUARD. PROVIDES PREDICTIVE PROTECTION 1,2 MINIMED 640G WITH SMARTGUARD HAVE YOU CONSIDERED THE REAL IMPACT HYPOGLYCAEMIA HAS ON YOUR LIFE?
More informationPaolo Di Bartolo U.O di Diabetologia Dip. Malattie Digestive & Metaboliche AULS Prov. di Ravenna. Ipoglicemie e Monitoraggio Glicemico
Paolo Di Bartolo U.O di Diabetologia Dip. Malattie Digestive & Metaboliche AULS Prov. di Ravenna Ipoglicemie e Monitoraggio Glicemico Management of Hypoglycaemia.if hypoglycemia is a problem, the principles
More informationPREVENTION OF NOCTURNAL HYPOGLYCEMIA USING PREDICTIVE LOW GLUCOSE SUSPEND (PLGS)
PREVENTION OF NOCTURNAL HYPOGLYCEMIA USING PREDICTIVE LOW GLUCOSE SUSPEND (PLGS) Pathways for Future Treatment and Management of Diabetes H. Peter Chase, MD Carousel of Hope Symposium Beverly Hilton, Beverly
More informationMaking the Most of Continuous Glucose Monitoring
Making the Most of Continuous Glucose Monitoring Gary Scheiner MS, CDE Owner & Clinical Director Integrated Diabetes Services LLC Wynnewood, PA AADE 2014 Diabetes Educator of the Year gary@integrateddiabetes.com
More informationMEDICAL POLICY SUBJECT: CONTINUOUS GLUCOSE MONITORING SYSTEMS/ EXTERNAL INSULIN PUMP THERAPY FOR DIABETES EFFECTIVE DATE: 08/17/17, 08/16/18
MEDICAL POLICY SUBJECT: CONTINUOUS GLUCOSE MONITORING PAGE: 1 OF: 12 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including
More informationIn keeping with the Scottish Diabetes Group criteria, use should be restricted to those who:
Advice Statement 009-18 July 2018 Advice Statement What is the clinical and cost effectiveness of Freestyle Libre flash glucose monitoring for patients with diabetes mellitus treated with intensive insulin
More informationPatrick J. Sullivan, President & CEO March 7, 2016 Raymond James 37 th Annual Institutional Conference
Patrick J. Sullivan, President & CEO March 7, 2016 Raymond James 37 th Annual Institutional Conference Forward Looking Statement This presentation may contain forward-looking statements concerning Insulet's
More informationJames J. Chamberlain, MD 1, Dana Dopita, RN, MSN, CDE 1, Emily Gilgen, RD, CD, CDE 1, and Annie Neuman, MPA, PA-C 1.
604633DSTXXX10.1177/1932296815604633Journal of Diabetes Science and TechnologyChamberlain et al research-article2015 Original Article Impact of Frequent and Persistent Use of Continuous Glucose Monitoring
More informationINSULIN INITIATION AND INTENSIFICATION WITH A FOCUS ON HYPOGLYCEMIA REDUCTION
INSULIN INITIATION AND INTENSIFICATION WITH A FOCUS ON HYPOGLYCEMIA REDUCTION Jaiwant Rangi, MD, FACE Nov 10 th 2018 DISCLOSURES Speaker Novo Nordisk Sanofi-Aventis Boheringer Ingleheim Merck Abbvie Abbott
More informationProtocol. Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
Continuous or Intermittent Monitoring of Glucose in Interstitial (10120) Medical Benefit Effective Date: 01/01/18 Next Review Date: 05/19 Preauthorization Yes Review Dates: 07/07, 07/08, 07/09, 01/10,
More informationMEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps
POLICY: PG0177 ORIGINAL EFFECTIVE: 12/01/08 LAST REVIEW: 05/24/18 MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps GUIDELINES This policy does not certify benefits or authorization
More informationNDSS Helpline
Continuous GLUCOSE MONITORING A guide to using CGM for children and young people with type 1 diabetes NDSS Helpline 1300 136 588 ndss.com.au The National Diabetes Services Scheme is an initiative of the
More informationCommissioning Policy
Commissioning Policy Abbott FreeStyle Libre Flash Glucose Monitoring System Individual Funding Request Date Adopted: 09 September 2018 Version: 1819.1.02 Title of document: Authors job title(s): Document
More information78 TH SCIENTIFIC SESSIONS PRODUCT THEATER SCHEDULE SATURDAY, JUNE 23, 2018
78 TH SCIENTIFIC SESSIONS PRODUCT THEATER SCHEDULE Product Theaters, located within the Exhibit Hall, offer informative sessions focusing on products or a single facet of diabetes. Product Theater sessions
More informationClinical Value and Evidence of Continuous Glucose Monitoring
Clinical Value and Evidence of Continuous Glucose Monitoring 9402313-012 Objective To review the clinical value and the recent clinical evidence for Professional and Personal CGM Key Points CGM reveals
More informationBetter Diagnostics for Life
NASDAQ: NMRD Better Diagnostics for Life Interim Clinical Presentation sugarbeat 12 th September 2018 A Prospective Single Centre Evaluation of the Accuracy and safety of the sugarbeat Non-invasive Continuous
More informationCorporate Medical Policy
Corporate Medical Policy Continuous Monitoring of Glucose in the Interstitial Fluid File Name: Origination: Last CAP Review: Next CAP Review: Last Review: continuous_monitoring_of_glucose_in_the_interstitial_fluid
More information10/9/2017 OBJECTIVES DIABETES REVIEW
OBJECTIVES MECHANICAL MADNESS: TECHNOLOGY, DIABETES AND PREGNANCY ALYSON BLUM, PHARMD, CDE CLINICAL PHARMACIST IN OBSTETRICS SACRED HEART MEDICAL CENTER, CENTER FOR MATERNAL FETAL MEDICINE WASHINGTON STATE
More informationFAQs for HCP segment New Instructions for Dexcom G5 Mobile Continuous Glucose Monitoring (CGM) System Non-Adjunctive Indication
FAQs for HCP segment New Instructions for Dexcom G5 Mobile Continuous Glucose Monitoring (CGM) System Non-Adjunctive Indication Q1. The Dexcom G5 Mobile System is the first CGM System to receive FDA approval
More informationDiabetes Management: Current High Tech Innovations
Diabetes Management: Current High Tech Innovations How Far We ve Come in the Last 40 Years William V. Tamborlane, MD Department of Pediatrics Yale School of Medicine Disclosures I am a consultant for:
More information1 Dexcom G4 Platinum User Guide May 2012
1 Dexcom G4 Platinum User Guide May 2012 Page 1. Dexcom G4 PLATINUM Continuous Glucose Monitoring System. CE marked for use in 1Dexcom G4 User Guide, May 2012. LBL-011277 Rev04. color display. Dexcom G4
More informationWhat is a CGM? (Continuous Glucose Monitor) The Bionic Pancreas Is Coming
The Bionic Pancreas Is Coming Montana Diabetes Professional Conference October 23, 2014 H. Peter Chase, MD Professor of Pediatrics University of Colorado Barbara Davis Center Stanford: Bruce Buckingham,
More informationMEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps
POLICY: PG0177 ORIGINAL EFFECTIVE: 12/01/08 LAST REVIEW: 07/10/18 MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps GUIDELINES This policy does not certify benefits or authorization
More informationNon-Invasive Glucose Monitoring. Kevin Walls April 12, :30 PM-7:30 PM.
Non-Invasive Glucose Monitoring Kevin Walls April 12, 2018 6:30 PM-7:30 PM. Technology is evolving Technology is evolving at such a rapid rate it s hard to keep up. Imagine living a healthier life without
More informationPolicy for Continuous Glucose Monitoring for Type 1 Diabetic Paediatric Patients (<18 years of age)
Policy for Continuous Glucose Monitoring for Type 1 Diabetic Paediatric Patients (
More informationDr Sander Zwart MD, FACP, ECNU Arizona-AACE 2016 Annual Meeting
Dr Sander Zwart MD, FACP, ECNU Arizona-AACE 2016 Annual Meeting Disclaimers None Except products and software discussed are all proprietary, so if I mention a brand product it is because there is no other
More informationThe artificial pancreas: the next step in connectivity and digital treatment of type 1 diabetes
The artificial pancreas: the next step in connectivity and digital treatment of type 1 diabetes Roman Hovorka PhD FMedSci University of Cambridge, UK Duality of interest declaration Advisory Panel: Research
More informationNorbert Hermanns, PhD 1,2, Beatrix Schumann, MD 2, Bernhard Kulzer, PhD 1,2, and Thomas Haak, MD 1,2. Original Article
524105DSTXXX10.1177/1932296814524105Journal of Diabetes Science and TechnologyHermanns et al research-article2014 Original Article The Impact of Continuous Glucose Monitoring on Low Interstitial Glucose
More information