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Conditions similar to type 1 diabetes: aged under 21 years

Children and young people aged under 21 years with conditions very similar to type 1 diabetes who require insulin

To be eligible to access fully subsidised continuous glucose monitoring (CGM) and flash glucose monitoring (Flash GM) products through the CGM Initiative as part of the NDSS, the child or young person must have been diagnosed with one of the other conditions listed in this table and meet the criteria in one of the following categories:

Category A – for children 10 years or younger

Children 10 years of age and younger who have been diagnosed with one of the chronic conditions listed in this table will be eligible for subsidised access to CGM and Flash GM if they meet ALL of the following criteria:

  • the child is expected to benefit clinically from the use of CGM or Flash GM; and
  • the family/carer has the willingness and capability to use CGM or Flash GM; and
  • the family/carer has the commitment to actively participate in a diabetes management plan that incorporates CGM or Flash GM.

NOTE: A child who has been accessing CGM and Flash GM products through the CGM Initiative as part of the NDSS will continue to have fully subsidised access after they turn 11. They will not need to be re-assessed under Category B.

Category B – for children and young people aged 11 to less than 21 years

Children and young people who have been diagnosed with one of the chronic conditions listed in this table will be eligible to access fully subsidised CGM and Flash GM products through the CGM Initiative as part of the NDSS if they meet ALL of the following criteria:

  • the person is expected to benefit clinically from the use of CGM or Flash GM; and
  • the person or family/carer has the willingness and capability to use CGM or Flash GM; and
  • the person or family/carer has the commitment to actively participate in a diabetes management plan which incorporates CGM or Flash GM.

AND they meet ONE OR MORE of the following criteria:

  • frequent significant hypoglycaemia—more than one episode a year of significant hypoglycaemia requiring external, third-party assistance; and/or
  • impaired awareness of hypoglycaemia; and/or
  • inability to recognise, or communicate about, symptoms of hypoglycaemia; and/or
  • significant fear of hypoglycaemia for the child/young person or a family member/carer, which is seriously affecting the health and wellbeing of the child or young person or contributing to hyperglycaemia as a reaction to this fear.

For children and young people in either category, fully subsidised access to CGM and Flash CGM products will cease once they reach 21 years of age.

In addition, the child or young person must be insulin requiring and have been diagnosed with one of the chronic conditions listed in this table.

For more information read the Frequently asked questions: Continuous Glucose Monitoring Initiative.

Find the Continuous and Flash Glucose Monitoring Access form for ‘other’ eligible conditions; age under 21 years.