Table 3: Cost inputs.
Parameter | Costs (2016) | Reference |
---|---|---|
Cost per ambulance callout | £240 | 39 |
Tariff per accident and emergency attendance | £126 | 39 |
Tariff for hypoglycaemia admission | £1,834 | 39 |
Average cost of insulin pump per year | £2,284 | 45 |
Savings due to avoided complications per year | £63* | 40 |
Cost per 50 blood glucose monitoring fingerstick tests | £6.78† | 14 |
Cost per 100 lancets | £4.28 | 41 |
G5 Mobile CGM costs for year one with receiver | £3,740 | 42 |
G5 Mobile CGM costs for year one with no receiver | £3,465 | 42 |
*Baxter et al. 2016 demonstrated cost reductions between £66 and £184 over 5 years from avoided complications if HbA1c was reduced by 0.4% from baseline. Based on this, we assume a median cost-reduction of £125 over 5 years that translates into cost-reduction of £25 per year due to avoided complications. If HbA1c reduction were equal to 1% from baseline (as seen in DIAMOND RCT for CGM), this equates to £63 in cost-reductions every year due to avoided complications. fBack calculated — Costing statement: type 1 diabetes in adults. CGM = continuous glucose monitoring; HbA1c = glycated haemoglobin; RCT = randomised controlled trial.