CGM Coverage in Ontario

1. Applicant has type 1 diabetes.
2. Applicant meets one of the following.
   1. Applicant is unable to recognize or communicate symptoms of hypoglycemia, or independently perform fingerstick glucose testing, owing to their developmental stage or a previously diagnosed cognitive or physical impairment.
   2. Applicant had severe hypoglycemia in the past 2 years without an obvious precipitant, despite optimized use of insulin therapy and glucose monitoring (at least 4 times/day) which result in one of the following:
      1. suspension of the applicant’s driving licence;
      2. hospitalization or emergency room or EMS visit; or
      3. iglucagon administration, unconsciousness, or seizure.
         
3. Applicant demonstrates experience with and commitment to managing blood sugar control and an ability to use a rtCGM safely and effectively by ALL of the following.
   1. Applicant demonstrates a commitment to long-term diabetes follow-up through regular assessments by diabetes educators and prescribers at intervals deemed appropriate by the ADP-registered DEP.
   2. Applicant agrees to wear the rtCGM fulltime.
   3. Applicant agrees to share the data components of the Ambulatory Glucose Profile with the diabetes health care providers/team such as:
      1. precent time in target range, percent time above or below target range, precent time in hypoglycemia; and
      2. visual representation of average 24-hour glucose profile for a 2 week period.

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