Who can set the indication and who conducts the mandatory evaluation?
The indication for the Freestyle Libre system or mandatory evaluation of the outcome of the FreeStyle Libre system application is carried out by the doctor sub/specialist in endocrinology and/or diabetology from the contracted hospital health institution. The person must be engaged in the treatment of diabetes mellitus, and obliged to explain the reason for setting the indication or continued use of the FreeStyle Libre system.
The evaluation of the outcome of the use of the system will be carried out at least once in the first three months and then after 6 and 12 months after the start of the use of the system and in follow-up once a year.
For each prescription of FreeStyle Libre system it is necessary to provide appropriate medical documentation on the basis of which the doctor from the contract hospital institution gives a recommendation to continue the use of aids, together with evidence of control.
The insured person cannot continue to have prescribed system if the expected outcome of the use of aids has not occurred, which is determined by:
1) after 6 months from the start of the use of the system, there has been no increase in TIR (time in the target range) by 5 % and/or a 1 % decrease in TBR (time below the target range)
2) at each inspection, it is not possible to establish that the patient has performed at least 8 scans per day or that the use of the sensor is not more than 80 % of the time, when glucose monitoring is active for a period of at least three months.