Thousands of Kiwi kids with diabetes missing out on life-changing technology
Diabetes New Zealand is calling on the government to fund continuous glucose monitors (CGMs) for people with type 1
November is Diabetes Action Month and this year’s theme is Act Now To Live Well. Diabetes NZ is urging the government to
take action to ensure that 25,000 Kiwis living with type 1 diabetes, many of them children and teenagers, can live well.
People with type 1 diabetes produce no insulin and require multiple daily insulin injections and intensive glucose
monitoring to maintain life.
This new technology means an end to finger prick testing and better control of glucose levels. The devices have been
heralded as life-changing by people with type 1 diabetes around the world and have only been available in New Zealand
since September last year. In March, they were approved for use by children aged 4 – 17 years.
Type 1 diabetes is commonly diagnosed in children, which means parents have to test their children’s blood glucose
levels every three hours, day and night using a painful pin prick test to draw blood.
The dangers of untreated low blood glucose levels include hypoglycaemia, coma and even death.
Diabetes NZ is advocating for the government to fully subsidise all CGMs, one of which is the Freestyle Libre glucose
monitoring system. Freestyle Libre uses a sensor that is applied to the skin and an electronic reader which records
glucose levels at least every 15 minutes for up to 8 hours at a time.
This would relieve the need for New Zealanders with type 1 diabetes to have up to 15 painful finger pricks per day to
draw blood for them to check their blood glucose levels. Because it disrupts the flow of daily life, many people with
type 1 diabetes do not test their blood glucose levels as often as they should, leading to less effective management of
their condition and subsequent remedial medical costs.
“We call it the three-hour disease,” says Ruby McGill, Director of Youth at Diabetes New Zealand and mother of two, who
has been living with type 1 diabetes since she was 14.
“Constantly stopping what you’re doing to test your blood sugar levels is exhausting. But if it’s not checked every
three hours it could be life-threatening. The Freestyle Libre has been a game changer by giving me the freedom to get on
with living my life. It really redefines how Kiwis manage their diabetes, but as it’s not currently funded, the
life-changing benefits are only available to those that can afford the $2,400 a year in running costs.” Ruby says.
“Having to constantly check your blood sugar levels can be mentally exhausting. But it’s essential if we want to live
well with diabetes. Using a CGM and seeing what my blood sugars are doing has given me the confidence to get on with
living my life. This technology redefines how Kiwis manage their diabetes, improving the health and wellbeing of the
entire whanau. But because CGMs are not funded the majority of people living with or caring for someone with Type 1
diabetes will never experience these life-changing, life-saving benefits. And that’s not good enough!”
The effect of funding continuous glucose monitors will reach further than just people with diabetes. Families of people
with type 1 diabetes can also experience distress, exhaustion and anxiety due to constant blood sugar monitoring.
That’s the experience of the Wiggins family from Auckland who have two young children with type 1 diabetes.
“We pay for the Freestyle Libre for both our children, so they don’t have to go through the pain of finger pricking a
minimum of six times a day. The system gives us information that finger pricking doesn’t, including their blood glucose
trends. We can see a graph of their levels throughout the day and night,” says Mum Lisa Wiggins.
“We have had multiple hospital admissions and sometimes hospital staff request blood glucose checks every two hours but
having the Freestyle Libre means we don’t have to finger-prick. It’s been a godsend,” she says.
The Wiggins family are paying $400 a month to use Freestyle Libre continuous glucose monitors for both their young
children with type 1 diabetes and are calling on the government to fund the life-changing devices.
“In Australia, young people under 21 have continuous glucose monitors fully funded, so why is New Zealand so far
behind? So many families here are struggling to get quality equipment and affordable meds and meters,” says Lisa
The UK, France, Germany and Japan are among the 17 countries that already offer full or partial subsidies for the
Freestyle Libre system. In Australia, people under 21 years old are eligible for two fully subsidised brands of
continuous glucose monitors.
While not the only product of its type, the annual cost of using the Freestyle Libre is about half that of other
Research shows that continuous glucose monitoring systems offer a psychological reprieve from having to finger prick
test, while increasing daily diagnostic results from six tests to at least 96. CGMs involve the needle insertion of a
small device once every 6 to 14 days that transmit to either an insulin pump or smart phone.
The systems reduce the risk of complications and ultimately save on national health costs due to reduced hospital
admissions from hypoglycaemia episodes and other long-term diabetes related complications.
As Diabetes Action Month draws to a close, Diabetes NZ board chairperson, Catherine Taylor says, “Diabetes New Zealand
would like to see continuous glucose monitors (CGMs) fully funded for everyone with type 1 diabetes. For so many people
that need this technology to live, this would be life-changing.”