Health
NICE advocates wider use of artificial pancreas technology if NHS can get better price
People struggling to manage type 1 diabetes may be offered the latest artificial pancreas technology under NICE’s draft guidance, but only if they can agree on a lower price.
Recommendations also apply to people with type 1 diabetes who are pregnant or planning to become pregnant. The panel found that a hybrid closed-loop system was more effective than continuous care in maintaining blood glucose levels within healthy limits.
However, the recommendations will depend on whether the technology companies and NHS England agree on a cost-effective price. NICE stated in a recommendation currently under consultation.
It is estimated that around 105,000 people in England and Wales could be provided with technology under the proposal.
The panel concluded that a hybrid closed-loop system should be recommended as an option for patients with type 1 diabetes who have a mean HbA1c of approximately 64 mmol/mol (8.0%) or greater and whose condition is difficult to manage.
However, continuous subcutaneous insulin infusion, Real-time continuous glucose monitoring Or continuous glucose monitoring with intermittent scans, says NICE.
The panel found that the use of technology can reduce the emotional burden and improve quality of life for people with this condition (or their family members or caregivers).
They also recommended use during pregnancy because blood sugar levels are difficult to manage.
The technology now has an average annual cost of £5,744, which is higher than what NICE considers a cost-effective use of NHS resources.
Mark Chapman, interim director of medical technology at NICE, said: This technology is the best intervention to help control diabetes, even without a cure.
“With the number of people living with diabetes on the rise, we need to focus on what matters most to people using NHS services, balancing best care with cost effectiveness.”
Professor Partha Carr, NHS England Diabetes Specialist Advisor, said:
“We have had excellent results from the real-world trials that have been conducted. We thank NICE for reviewing the evidence and subsequent conclusions. The quality of life this technology affords to those who use it is extremely It’s a big one.
“We look forward to working with our industry colleagues to ensure that this technology is available to those who need it.”
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