CGM access for people under 21 years with conditions similar to type 1 diabetes

Eligibility for CGM access

Children and young adults under the age of 21 who live with a condition similar to type 1 diabetes need insulin can access fully subsidised continuous glucose monitoring (CGM) products through the NDSS.

This means they do not need to pay a co-payment.

To be eligible, the person must:

• have been diagnosed with an eligible condition
• meet all the other criteria for their age group.

Talk to an authorised diabetes health professional if you are not sure.

The young person and/or their family or carer must meet ALL of the following criteria:

• the person is expected to benefit clinically from the use of CGM
• the person or their family or carer is willing and capable to use CGM
• the person or their family or carer is committed to actively participating in a diabetes management plan that incorporates CGM.

When the person turns 21, their access to a subsidy for CGM products through the NDSS will stop.

How to apply for CGM access

See an authorised diabetes health professional. They can discuss eligibility criteria and CGM options with you.

Only the specialists listed below can check eligibility and sign the CGM access form:

• diabetologist or endocrinologist
• paediatric endocrinologist
• paediatrician
• physician.

They must be involved in the young person’s care. GPs, credentialled diabetes educators, nurse practitioners and practice nurses cannot sign the form.

If CGM is suitable, the specialist will complete and sign a CGM access form with you.

Last updated: October 2026