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. 2017 Aug 22;13(2):81–85. doi: 10.17925/EE.2017.13.02.81

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.