all other continuous glucose monitors, sensors and transmitters — United Healthcare

diabetes

Initial criteria

Diagnosis of diabetes
Patient is motivated and knowledgeable about use of continuous glucose monitoring
Patient is adherent to diabetic treatment plan
Patient participates in ongoing education and support
Patient is on an intensive insulin regimen (3 or more insulin injections per day or uses continuous subcutaneous insulin infusion pump) OR Patient has a history of a level 3 hypoglycemic event OR Patient has a history of more than one level 2 hypoglycemia events that persist despite multiple attempts to adjust medication(s) or modify diabetes treatment plan
Patient regularly monitors blood glucose 4 or more times per day

12 months