The Andalusian Regional Delegation for Health and Families is implementing the flash glucose monitoring system for people with type 2 diabetes who are being treated with multiple doses of insulin, in residential homes and in the homes of dependent people. This system, which is implanted in the skin of the arm, significantly reduces the frequency of finger pricks, has a direct impact on the quality of life of people with diabetes and provides more complete and continuous information on blood glucose levels throughout the day. The incorporation of the flash glucose monitoring system in these patients will be carried out progressively, prioritising according to clinical need. Thus, during 2022 it will be implemented in institutionalised patients, in a situation of dependency or with functional disability that prevents them from performing capillary blood glucose measurement and/or its interpretation, in addition to patients with a history of severe hypoglycaemia who have required health care or help from third parties for its resolution and women with type 2 diabetes who are pregnant or in a pregnancy programme.
The experience in the implementation in type 1 diabetics in the Andalusian Health System has been very positive and allows us to face this next challenge with guarantees. The Paediatrics and Endocrinology and Nutrition Units of the hospital centres are training patients in the use of these devices in order to prepare them to use the system. Likewise, structured training for primary care professionals is essential and requires network training, which is why the implementation of the Advanced Practice Nurse in Diabetes with these tasks is necessary.