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The full-text costing study estimated the annual cost of using flash glucose monitoring from the perspective of the UK National Health Service.87 The annual cost of flash glucose monitoring per person was 970.23, where the reader and sensor costs were 910.00 and additional lancet and test strips for self-monitoring of blood glucose were 60.23. Compared with self-monitoring of blood glucose, flash glucose monitoring resulted in annual cost savings of 234.28 if patients tested glucose levels 10 times per day (1,204.50 per year) but in a higher annual cost of 295.71 if patients tested glucose levels five to six times per day (674.52 per year).
We also carefully reviewed the cost utility analysis conducted by Healthcare Improvement Scotland.64 That analysis concluded that flash glucose monitoring was associated with a gain of 2.12 and 1.09 QALYs for type 1 and type 2 diabetes, respectively. In consultation with experts, we decided that there is a high likelihood of these gains being overestimates, because of several limitations in the analysis (e.g., the estimated disutility due to non-severe hypoglycemic events, and the reduced risk of severe hypoglycemic events with flash glucose monitoring compared with self-monitoring of blood glucose).
In Scenarios 7 and 8, the cost of using flash glucose monitoring partially during a year can be considered the weighted cost by time of fully using flash glucose monitoring and fully using self-monitoring of blood glucose.
Pros of [flash glucose monitoring]: the flash sensor can last for 2 weeks (14 days), while [the continuous glucose monitoring] sensor can last for 10 days maximum (sometimes 7 days only). [The continuous glucose monitoring] sensor gives me skin irritation while [the flash] sensor hasn't given me any yet. Hopefully it'll never happen. 1e1e36bf2d