Cost analysis of the flash monitoring system (FreeStyle Libre 2) in adults with type 1 diabetes mellitus.

BMJ Open Diabetes Research & Care
Itziar OyagüezFrancisco Morales-Perez

Abstract

Compare cost of the interstitial liquid glucose flash monitoring (FM) system (FreeStyle Libre 2) versus self-monitoring of blood glucose (SMBG) in adults with type 1 diabetes mellitus (T1DM) in Spain. A model was developed to estimate, with the perspective of the Spanish health system, the annual costs associated with glucose monitoring and hypoglycemic events management in T1DM population, with multiple insulin daily doses (MDI). According to published evidence, rate of severe hypoglycemia (SHE) of 4.90 episodes per patient-year was applied. Reduction of SHE (58.6%) was modeled associated with FM use. Published rates of hospital care (20.2%) and subsequent admission (16%) were assumed for SHE. The daily consumption of strips and lancets was 9 in patients with SMBG (before and after 4 daily intakes and at bedtime) and 0.5 for FM users (according to IMPACT trial findings). Annual consumption of 26 FM sensors was considered (1 every 14 days). Unit costs (in € of 2019, excluding VAT) were obtained from literature and national databases. Sensitivity analyses (SA) were carried out to evaluate the model robustness. The total annual cost/patient was €4437 for SMBG and €2526 for FM. The use of FM would be associated with an annual savi...Continue Reading

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Citations

Nov 7, 2020·International Journal of Molecular Sciences·Ilaria MalandruccoSimona Frontoni
May 6, 2021·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Itziar OyagüezAntonio Pérez
Jun 13, 2021·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·George GrunbergerJeff Unger

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Software Mentioned

FreeStyle Libre Link
FreeStyle LibreLinkUp
LibreView
FreeStyle Libre
FreeStyle
FreeStyle Libre 2
FreeStyle Libre LinkUp
IMPACT

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