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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 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 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 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.

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.

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

Health professionals authorised to certify eligibility

Health professionals authorised to assess eligibility and certify (sign) Continuous and Flash Glucose Monitoring Access forms must be actively involved in the management and care of children and young people with conditions similar to type 1 diabetes, or ‘other’ eligible conditions. These authorised health professionals are registered to practice as a:

  • diabetologist/endocrinologist
  • paediatric endocrinologist
  • paediatrician
  • physician

General practitioners, credentialled diabetes educators, nurse practitioners and practice nurses are not authorised to certify Continuous and Flash Glucose Monitoring forms for children and young people with ‘other’ eligible conditions.

Diabetes Australia acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Owners and Custodians of this Country. We recognise their connection to land, waters, winds and culture. We pay the upmost respect to them, their cultures and to their Elders, past and present. We are committed to improving health outcomes for all Aboriginal and Torres Strait Islander people affected by diabetes and those at risk.

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