Summary

The national criteria are that Flash Glucose Monitoring should be considered in people with diabetes who:

Use intensive insulin therapy - this is multiple (typically 4 or 5) daily injections or insulin pump therapy Undertake the Libre Academy Course – an online training course Attend a locally provided Flash Glucose Monitoring education session - due to Coronavirus these group education sessions have been suspended until further notice and individual access put in place, please read below Agree to scan glucose levels no less than six times per day Agree to share glucose data with their diabetes clinic Have attended a recognised diabetes structured education programme and/or clinical team are satisfied that the person (or carer) has required knowledge/skills to self-manage diabetes.

Please do not contact your GP or the Specialist Diabetes Team/Clinic for enquiries related to starting the Freestyle Libre - please follow this process:

√	Check are you eligible for NHS funded Libre
√	Access the online learning resources
√	Read and print Partnership Agreement
√	Book a Libre pick up slot
√	Download and sign up to the Librelink App

 

1.  Are you eligible for NHS Tayside funded Libre?

Are you on multiple daily injections of insulin (typically 4 or 5 injections per day*) 

or an insulin pump? 

(* Background insulin - Lantus, Levemir or Tresiba; Quick-acting insulin - Novorapid, Humalog, Fiasp or Apidra ).

If the answer is yes, you are highly likely to be eligible for funded Libre use. The full Scottish Diabetes Group eligibility document can be viewed by clicking here. 

If you are on twice daily insulins (e.g. humalog mix 25, humulin m3 & novomix 30) you are not currently eligible.  If you would like to consider changing to multiple daily injections of insulin, this can be discussed at your next clinic appointment.  

 

2.  Undertake the Libre Academy Course

This is a series of interactive tutorials provided free of charge by Abbott (the manufacturer of Libre). 

You MUST complete this before attending a local education session and will be required to evidence this by bringing along the completion certificate to the session.

This can be accessed by clicking the image below (sign up required): https://freestylediabetes.co.uk/freestyle-libre/academy.  This is important as you will be expected to have this information and knowledge when you attend the local education session.

 

3.  Read the Patient Partnership Agreement

Please read this document so you understand the standard of care you can expect from your diabetes team, and also what your team will expect of you if you receive NHS funded Freestyle Libre.   

4.  Book an appointment

Due to Coronavirus the group education sessions had been postponed.  October session is on-line, however, from November they will be group sessions. 

 

To view dates and reserve an appointment for 2022 click below:

 

October    Click here

November    Click here

December    Click here

 

Once you have registered on Eventbrite you will be contacted by a member of the diabetes team via telephone to discuss appropriate distribution of the equipment. 

Eventbrite is not  affiliated with NHS Tayside.  You do not need to sign up to Eventbrite to use this service and their privacy policy can be accessed here. Your booking will not be visible on Eventbrite to other users.

  

Cancellation: If you book an appointment and can no longer attend please cancel your booking as these places are in high demand. You can cancel your booking by going back in via your evenbrite confirmation or email tay.diabetesmcn@nhs.scot

 

 5.  Download the Librelink App on your phone

Before coming to the education event please download the LibreLink App on your phone (click the image below to be taken to Abbott's website for further information) and create an account.  If you don't have an android phone or iPhone 7 or above, please still sign up to LibreView as you can use this with the provided Libre Reader.

IMPORTANT:  The account you create on Librelink is also how you log in to Libreview (the webpage to review your glucose results). 

*iPhone 7 and above only (must have most recent iOS update installed)

 

 

 

6.What Happens Next

Please attend at the exact time of your allocated Libre slot.  Please ensure you adhere to social distancing rules.

 

	Please ensure you bring the following with you :
	Libre Academy Completion Certificate (either printed or on a device e.g phone) Signed copy of Patient Partnership Agreement A copy of your latest insulin repeat prescription to confirm your insulin regimen. Failure to bring these may result in you not being provided with Libre on the day and your commencement on Libre being delayed.

 

After you attend, a letter will be sent to your GP recommending prescription of Libre sensors.

 

7.Now that you've started using Libre?

  How to set up Libreview on a phone and link it to the Tayside Diabetes Clinic.

1. Check if phone is compatible using the link below.

https://freestyleserver.com/Payloads/IFU/2020/q1/ART39109-001_rev-H-Web.pdf

2. If compatible download the LibreLink App and register as a new account.
3. Visit the website https://www.libreview.com and log in using the same user name and password as in the LibreLink App.
4. Once on the page click the 3 bars at the top right of the screen and then click on Account settings, then select my practice then search either “Tayside diabetes clinic” or “07715018” into the practice ID box. Click Add.
5. Your LibreLink results from your phone will now be able to be seen by your health care professional team at times of virtual review.

 

8. Problem Solving

 If you are having technical problems with your Libre (sensors falling off early / inaccurate sensors etc.) please contact Abbott Customer Care:  0800 170 1177 - your GP / Diabetes team/clinic cannot help with these matters.

 

If your problems relate to difficulties using the Libre, understanding the results or for general advice on improving diabetes control, please contact the diabetes nurse specialists (RIE: 0131 242 1470 or 1471). 

 

9. Other Useful Information

Click on the image below to view instructional videos from the manufacturers website - viewing these videos is HIGHLY RECOMMENDED for people who have never used / applied a Libre sensor before.