Table 2: Clinical/outcomes inputs.
Value | Source | |
---|---|---|
Average number of severe hypoglycaemic events per year in T1D children | 0.32 | 20–23 |
Average number of severe hypoglycaemic events per year in T1D adults | 1 | 24–31 |
Increased risk for severe hypoglycaemia among patients with hypoglycaemia unawareness | 6-fold | 19, 32 |
Severe hypoglycaemic events requiring ambulance | 86% | 48 |
Severe hypoglycaemic events requiring accident and emergency | 59% | 48 |
Severe hypoglycaemic events requiring hospital admissions | 20% | 48 |
Reduction in severe hypoglycaemic events conferred by CGM | 59% | 33 |
Reduction in HbA1c conferred by CGM versus SMBG | 0.6% | 8 |
SMBG group: Frequency of fingersticks use | *8 | 49 |
CGM intervention group: Frequency of fingersticks use | 2.8 | 38 |
Avoided pump usage every year | 30% | 36, 8 |
*NICE guideline NG18 recommends self-monitoring ≥5 times per day in children, and one study in the report had a 90th percentile frequency of SMBG of 37/week. The target population will have diabetes that is more difficult to manage than average, and many will wish to test more often because of a fear of hypoglycaemia. On this basis, the model assumes a testing frequency of eight per day. CGM = continuous glucose monitoring; HbA1c = glycated haemoglobin; SMBG = self-monitoring of blood glucose; T1D = type 1 diabetes.