Type 1 diabetes: pregnancy/post-pregnancy
Women with type 1 diabetes who are actively planning pregnancy, pregnant, or immediately post-pregnancy
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 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.
In addition, the person must meet the criteria in one of the following categories:
Category A – Pre-pregnancy
The person with type 1 diabetes is considered as actively planning pregnancy and should be having regular engagement with pre-conception care services such as an endocrinologist, diabetologist and/or specialist physician, ideally at least every 6-8 weeks and more frequently if there is sub-optimal glycaemic control. An authorised health professional may certify eligibility for an initial 6-month period on the basis of the person seeking active pre-pregnancy care and committing to regular engagement with the pre-conception care service provider.
If at the end of the initial 6-month period the pre-conception care is continuing, an authorised health professional may certify eligibility for a further 6-month period. A maximum of two, 6-month access periods (up to a maximum period of 12 months) may be authorised.
After an initial 12 months eligibility—supporting documentation is required for an extension of access
There may be exceptional circumstances for an extension of this timeframe that will be considered on a case-by-case basis, noting these will be:
- considered by an appropriately constituted expert panel established by Diabetes Australia that will provide a recommendation to the Department of Health; and
- the Department of Health will be the deciding body for all of these cases.
Any extension to the pre-pregnancy period will be considered on a case-by-case basis and require documented evidence of exceptional circumstances—such as that the person has been referred to fertility services for assessment.
Your application for an extension of access to CGM and Flash GM products after the initial 12 months requires supporting documentation (on letterhead):
- from both your diabetes health professional (authorised to certify CGM Initiative applications) and your fertility specialist, obstetrician / gynaecologist, confirming that you are continuing to plan pregnancy;
- with your first name, last name and date of birth;
- with the date you were referred to or first attended fertility specialist services;
- including confirmation of your ongoing fertility assessment or management.
Your applications for an extension of access to CGM and Flash GM products for a further six-month period, are considered on a case-by-case basis. At the end of this six-month period, further six-month extensions may be granted subject to the same documentation being provided.
To learn more about submitting an application for an extension to access to CGM and Flash GM products, please contact the NDSS Helpline on 1800 637 700.
Category B – Pregnant/Post-Pregnancy
The person with type 1 diabetes has a confirmed pregnancy and is regularly engaging with a health professional such as an endocrinologist, diabetologist and/or specialist physician. An authorised health professional may certify eligibility that will continue until 3 months after the expected date of birth of the baby.
Category A: Pre-pregnancy
Up to 12 months (initial period of 6 months with a subsequent period of an additional 6 months on confirmation that pre-pregnancy care is continuing).
Category B: Pregnancy/Post-pregnancy
From when the pregnancy is confirmed, until 3 months after the expected date of birth of the baby.
In the event of a pregnancy loss, the currently approved period of CGM and Flash GM access will continue unchanged. In this event, the person may reapply for pre-pregnancy status at any time.
At least 1 month prior to the completion of either the ‘pre-pregnancy’ or ‘post–pregnancy’ periods, the person will receive a notification via SMS or email, advising them that their access period is ending soon and that they should consult their authorised health professional in relation to future access, or transitioning to alternative arrangements for finger prick blood glucose checks.
For more information read the Frequently asked questions: Continuous Glucose Monitoring Initiative.
Find the Continuous and flash glucose monitoring eligibility assessment form for type 1 diabetes; pregnancy planning, pregnancy or immediately post pregnancy.