FreeStyle Libre Flash Glucose Monitoring system for people with type 1 diabetes in the UK: a budget impact analysis.
Blissett, Robert Blissett, Deirdre Levrat-Guillen, Fleur Deshmukh, Harshal Wilmot, Emma G Walton, Chris Sathyapalan, Thozhukat
Blissett, Robert
Blissett, Deirdre
Levrat-Guillen, Fleur
Deshmukh, Harshal
Wilmot, Emma G
Walton, Chris
Sathyapalan, Thozhukat
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Affiliation
MedTech Economics Ltd; Abbott Diabetes Care Ltd; University of Hull; Sandwell and West Birmingham NHS Trust
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Publication date
2022-03
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Abstract
Introduction: This study aims to estimate the budget impact of increased uptake of the FreeStyle Libre Flash Glucose Monitoring system in people with type 1 diabetes mellitus (T1DM) in the UK.
Research design and methods: A budget impact model was developed, applying real-world data collected in the Association of British Clinical Diabetologists (ABCD) FreeStyle Libre Nationwide Audit. Costs of diabetes glucose monitoring in a T1DM population (n=1790) using self-monitoring of blood glucose (SMBG) or the FreeStyle Libre system were compared with a scenario with increased use of the FreeStyle Libre system.
Results: The ABCD audit demonstrates FreeStyle Libre system use reduces diabetes-related resource utilization. The cost analysis found that higher acquisition costs are offset by healthcare costs avoided (difference £168 per patient per year (PPPY)). Total costs were £1116 PPPY with FreeStyle Libre system compared with £948 PPPY with SMBG. In an average-sized UK local health economy, increasing FreeStyle Libre system uptake from 30% to 50% increased costs by 3.4% (£1 787 345-£1 847 618) and when increased to 70% increased by a further 3.3%.
Conclusion: Increased uptake of the FreeStyle Libre system in the T1DM population marginally increases the cost to UK health economies and offers many system benefits.
Citation
Blissett R, Blissett D, Levrat-Guillen F, Deshmukh H, Wilmot EG, Ryder REJ, Walton C, Sathyapalan T. FreeStyle Libre Flash Glucose Monitoring system for people with type 1 diabetes in the UK: a budget impact analysis. BMJ Open Diabetes Res Care. 2022 Mar;10(2):e002580. doi: 10.1136/bmjdrc-2021-002580. PMID: 35346970; PMCID: PMC8961112.
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Article