Continuous Glucose Monitoring

Education for Managed Care, Pharmacy, and Payer Professionals

New CME/CNE/CPE Case Study:

The Value of Real-time CGM in Reducing Hospitalizations Among Plan Beneficiaries of Advanced Age

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New Free On-Demand CME/CNE/CPE Activity:

The Value of Real-Time CGM to Reduce Diabetes Costs

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CME/CNE/CPE Case Study:

Best Practices in Diabetes Care: Pharmacy Benefit Coverage for Real-Time CGM with Member Outreach Intervention

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CME/CNE/CPE Case Study:

Best Practices in CGM Benefit Design: Payer Experience Moving CGM Coverage from the Medical to the Pharmacy Benefit

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Latest Expert Interview

CGM Quick Facts

  • There are more than 30 million Americans with diabetes at an estimated cost of >$327 billion per year
  • The cost to treat the complications of diabetes alone total $44.1 billion per year
  • Patients with type 1 diabetes (T1D) report an average of up to 3 episodes of severe hypoglycemia per year (episodes requiring the assistance of another person).
  • Studies using continuous glucose monitoring (CGM) show much more frequent episodes of clinically important hypoglycemia (<54 mg/dL), ranging from every 2-4 days to every 6 days.
  • Based on previous cost estimates for hypoglycemia, nearly 100,000 ED visits and 30,000 hospitalizations annually, more than $600 million was spent on drug-related hypoglycemia during a 5-year period (2007-2011).
  • CGM represents a new paradigm of care in diabetes, allowing for more precise and accurate management, with demonstrated reductions in A1C and time spent in hypoglycemia
  • CGM is recommended by the American Diabetes Association (ADA) and other endocrinology-related professional societies in appropriate clinical scenarios for both type 1 and type 2 diabetes but is vastly underutilized

CGM Quick Facts References:

2018 Drug Trend Report. Express Scripts website:

Standards of medical care in diabetes—2013. Diabetes Care. 2013;36 Suppl 1:S11-66.

Pedersen-Bjergaard U, Thorsteinsson B. Reporting Severe Hypoglycemia in Type 1 Diabetes: Facts and Pitfalls. Curr Diab Rep. 2017; 17:131.

Geller KI,  Shehab N, Lovegrove MC, Kegler SR, Weidenbach KN, Ryan GJ, & Budnitz DS. (2014). National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. JAMA Intern Med, 174(5):678-686.

Riddlesworth T, Price D, Cohen N, Beck RW. Hypoglycemic Event Frequency and the Effect of Continuous Glucose Monitoring in Adults with Type 1 Diabetes Using Multiple Daily Insulin Injections. Diabetes Ther. 2017; 8:947.

ADA Standards of Medical Care in Diabetes- 2019.

Latest Expert Interview

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Q1: What best describes your primary role?

Q2: Approximately how many patients with diabetes are being managed in your organization or practice setting?

Q3: How familiar are you with the benefits of real-time continuous glucose monitoring (rtCGM) in the management of patients with diabetes?

Not Familiar Very Familiar

Q4: In your organization, how is rtCGM covered?

Q5: Which of the below topics do you most need further information on?

Advisory Board

Joseph Albright, PharmD

Manager, Clinical Pharmacy Services
BlueCross BlueShield North Carolina
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Daniel DeSalvo, MD

Assistant Professor of Pediatrics
Director of Strategic Collaboration
Diabetes Clinic CPT Co-Director
Section of Pediatric Diabetes & Endocrinology
Baylor College of Medicine/Texas Children's Hospital
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Jeffrey D. Dunn, PharmD, MBA

(Formerly) Vice President, Clinical Strategy and Programs and Industry Relations
MagellanRx Management
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Vanita Pindolia, PharmD, BCPS, MBA

Vice President, Ambulatory Clinical Pharmacy Programs_PCM
Henry Ford Health System/Health Alliance Plan of Michigan