ADA Accommodations and CGM Device Types: A Closer Look

In this episode, 'ADA Accommodations and CGM Device Types: A Closer Look,' the diabetes and managed care experts explore the following questions:

1. What are the accommodations recommended by the American Diabetes Association (ADA) for continuous glucose monitoring (CGM)?
2. What are the different types of CGM devices?

Estay Greene and Victoria Bouhairie examined the ADA's recommendations for supporting CGM use across a range of real-world settings, including schools, workplaces, and hospitals, noting that broader adoption of these devices is becoming increasingly used across these environments. The experts also explored the evolving CGM device landscape, distinguishing between real-time prescription CGMs with alarm capabilities, over-the-counter options at lower price points suited for lifestyle monitoring, and professional CGMs used by clinicians to capture retrospective glucose data and time in range. The discussion also highlighted updates to device classifications between 2025 and 2026, including the consolidation away from intermittent scanning toward real-time CGM, and the important distinctions between pharmacy- and DME-covered devices for insured patients.
Throughout the conversation, the experts provide a comprehensive reflection on the field and the factors that may shape how clinicians approach care moving forward.
The next episode in this series, 'Decoding CGM Options: Real-Time, Over-the-Counter, and Professional Devices,' features the panelists advancing their conversation on diabetes and focusing on the key differences between rtCGM, over-the-counter, and professional CGM devices, and how clinicians use each to inform patient recommendations and treatment decisions.