How Much Does a Continuous Glucose Monitor Cost and Will Insurance Pay For It?
Most health insurance plans will cover some or all of the cost of diabetes equipment and supplies. Additionally, with original Medicare, Medicare Part B covers the cost of different types of self-testing equipment and supplies for people with diabetes. Many Medicare Advantage plans also cover CGMs, as do most state Medicaid programs. This article includes details, as well as resources for further research.
What is a CGM and how do I choose one?
Healthline Diabetes Mine. Updated December 14, 2021. Accessed January 3, 2022. https://www.healthline.com/diabetesmine/
what-is-continuous-glucose-monitor-and-choosing-one
ADCES Playbook Series: Implementing CGM Into Your Practice
Continuous glucose monitoring has become a game changer in the quest to achieve glucose management goals. We have partnered with key healthcare stakeholders to create a series of playbooks that give you a step-by-step approach to leveraging this new technology in your practice.
AAFP: Continuous Glucose Monitoring (CGM)
Continuous Glucose Monitors (CGM) use is on the rise. Primary care practices play an important role in managing the health of patients with diabetes. Achieving glycemic targets is important in preventing short- and long-term complications, yet many patients with diabetes don't achieve recommended targets. CGM can reduce or eliminate the need for fingerstick capillary glucose testing, and provide richer information about average glycemia, hyperglycemia, hypoglycemia, and glucose variability.
The goal of this guide from AAFP is to help primary care physicians navigate prescribing and ordering CGM.
Standards of Medical Care in Diabetes—2024
The American Diabetes Association’s (ADA’s) Standards of Medical Care in Diabetes (the Standards) are developed by the ADA’s multidisciplinary Professional Practice Committee, which comprises expert diabetes health care professionals. The 2024 Standards of Care contains the evidence-based recommendations most pertinent to primary care.
AACE Guide To Continuous Glucose Monitoring (CGM)
Unsure where to begin? Here’s a step-by-step guide to getting started with personal and professional CGM devices in your practice. Includes training and resources on billing, coding, when to refer, and more.
Professional Glucose Monitoring Implementation Handbook. Association of Diabetes Care & Education Specialists and the American Association of Nurse Practitioners
Continuous glucose monitoring has become a game changer in the quest to achieve glucose management goals. We have partnered with key healthcare stakeholders to create a series of playbooks that give you a step-by-step approach to leveraging this new technology in your practice.
Using Continuous Glucose Monitoring in Clinical Practice (Clinical Diabetes)
Continuous glucose monitoring (CGM) systems are more than just glucose monitors. The robust data garnered from CGM can also be used for detection of trends, identification of asymptomatic events, and review of glycemic variability over a range of time. CGM is poised to radically change the treatment of diabetes and patient engagement of those afflicted with this disease.
Continuous Glucose Monitors and Reduced Diabetes-Related Hospitalizations in Patients with T2D and CKD
Diabetes Technology: Standards of Medical Care in Diabetes–2024
Diabetes technology has expanded to include automated insulin delivery (AID) systems, where CGM-informed algorithms modulate insulin delivery, as well as diabetes self-management support software serving as medical devices. Diabetes technology, when coupled with education, follow-up, and support, can improve the lives and health of people with diabetes; however, the complexity and rapid evolution of the diabetes technology landscape can also be a barrier to implementation for both people with diabetes and the health care team.
Applied Policy Helps Define The Path For CGM Expansion
The Centers for Medicare and Medicaid Services (CMS) is considering expanding coverage for continuous glucose monitors (CGMs) which could positively impact the lives of millions of Medicare beneficiaries with diabetes. These proposed modifications to coverage were considered during a virtual public meeting held in November 2022, and a final decision on the expansion is expected in 2023.
Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range
Successful utilization of CGM technology in routine clinical practice remains relatively low. This may be due in part to the lack of clear and agreed-upon glycemic targets that both diabetes teams and people with diabetes can work toward. This article summarizes the ATTD consensus recommendations for relevant aspects of CGM data utilization and reporting among the various diabetes populations.
ADA Standards of Medical Care in Diabetes — 2024: Glycemic Goals and Hypoglycemia
CGM technology has grown rapidly in accuracy, affordability, and accessibility. The data on TIR, hypoglycemia, and hyperglycemia are available to providers and patients via the AGP report (Figure 6.1, below), which offers visual cues and recommendations to assist in data interpretation and treatment decision-making. Click image for larger.
Ambulatory Glucose Profile (AGP) Report in Daily Care of Patients with Diabetes: Practical Tips and Recommendations
The AGP report provides both a visual and a statistical summary of the glucose metrics that, as agreed in the 2019 international consensus for assessing glycemic control, should be analyzed in all people with diabetes who are using CGM systems. The AGP report can be analyzed in a systematic fashion to understand current glycemic control and to monitor, in real time, the impact of adjustments to therapy in both type 1 diabetes and type 2 diabetes.
Full CME Webinar: Case Studies in Continuing Glucose Monitoring
When you have completed the webinar, click HERE to proceed to the post-presentation survey and your CE certificate.
Download a PDF of the deck, "Case Studies in Continuous Glucose Monitoring" (PDF will download to your computer or open in new window, depending on your browser settings)
Manufacturer-provided CGM Resources for Healthcare Professionals from: