Continuous Glucose Monitors:

A New Wave in Diabetes Care

Jordan Clark, PharmD
PGY2 Ambulatory Care Pharmacy Resident

The speaker has no actual or potential conflict of interest to disclose.

Objectives

Review Evaluate
continuous Identify opportunities
glucose diagnostic CGM to optimize
monitoring candidates care with
(CGM) devices diagnostic CGM
 Continuous Glucose Monitors (CGMs)
• Measure interstitial glucose
• Most require confirmatory
SMBG for treatment decisions
• Allow for a more complete
picture of blood glucose trends
• View the effects of foods,
exercise, stress, and
medications on blood glucose

American Diabetes Association Standards of Medical Care in

Diabetes 2018. Diabetes Care. 2018;41(Suppl. 1): S1-S159.
Candidates for Use
Multiple
Difficulty in Discrepancies
hypoglycemic
meeting between SMBG
events with an
HbA1c goals and HbA1c
elevated HbA1c

Unable or
Hypoglycemia Wide fluctuations
unwilling to test
unawareness in blood glucose
SMBG – last resort

Bailey TS, et al. Endocr Pract. 2016;22(2):231-61.

 Professional CGM use in Outpatient
Appointments

Sensor Patient Review

placement & continues results &
Education normal optimize

Appointment
Follow-up
3-14 days
Office visit

routine therapy
 Dexcom G4 Pro

The Dexcom G4® PLATINUM Professional CGM System. Available at: https://provider.dexcom.com/products/professional-cgm. Accessed: 7/30/2018.
Freestyle Libre Pro

FreeStyle Libre Pro System. Available at: https://www.myfreestyle.com/provider/freestyle-

libre-pro-product. Accessed: 7/30/2018..
 Medtronic iPro2 Professional

Medronic iPro®2 Professional CGM. Available at: http://professional.medtronicdiabetes.com/ipro2-professional-cgm. Accessed: 8/3/2018.

Diagnostic CGM Coverage

Billed through insurance and cost varies

Billing codes:
• 95250 = $373
• Placement of sensor, monitor set-up, patient training, removal
of sensor, download and printout of the report
• 95251 = $103
• Interpretation of the report
Key Points

Diagnostic CGM has expanded use of CGM

Opportunity for therapy optimization and

pharmacist revenue

Research needed in diverse populations and settings

Continuous Glucose Monitors: A
New Direction in Diabetes Care
Jordan Clark, PharmD
PGY2 Ambulatory Care Pharmacy Resident
jachenbach@ecommunity.com