Why CGM is a game-changer?

Globally, CGM has been hailed as a revolutionary tool for managing T1D.

Unlike traditional fingerstick tests, CGM uses a small sensor placed under the skin to provide real-time glucose readings throughout the day and night.

This technology allows children and their caregivers to see glucose trends, predict highs or lows, and make timely adjustments to insulin dosages all without the need for constant finger pricks.

It also comes with alarms that alert users to dangerous blood sugar levels, offering peace of mind to families, especially during the night.

Countries like the US, UK, and Australia have already integrated CGM into their public healthcare systems, recognising its benefits for improving health outcomes and quality of life.

Yet in SA, it remains unavailable for children in the public sector, leaving many families reliant on outdated and less effective methods of glucose monitoring.

Barriers to accessing CGM in South Africa

One of the primary barriers to CGM in SA’s public healthcare system is cost. CGM devices are expensive, with sensors needing to be replaced every few weeks. However, research shows that this upfront cost is offset by long-term savings.

A study published by the American Diabetes Association (ADA) found that CGM significantly reduces emergency hospital visits for complications like DKA. By preventing severe health crises and improving day-to-day management, CGM can lower overall healthcare costs over time.

In addition to financial benefits, better diabetes management through CGM can help prevent long-term complications such as:

Kidney disease - a leading cause of dialysis in SA.
Nerve damage - which can lead to amputations.
Vision loss - which affects many people with poorly managed diabetes.

Investing in CGM is not just about saving money it’s about saving lives and ensuring that children with T1D can grow up healthy, active, and able to reach their full potential.

Recognising the urgency of the issue, SA Diabetes Advocacy has joined forces with key organisations such as Diabetes SA Sweet Life, Kids Powered by Insulin, and SEMDSA, to push for change.

Their petition which was launched on February 25, 2025, has already garnered over 2,800 signatures, reflecting widespread public support.

“This is not just about numbers; it’s about children’s lives, says Kirsten de Klerk, chairperson of SA Diabetes Advocacy.

Every child deserves access to the tools they need to manage their diabetes effectively, regardless of their family’s income or access to private healthcare.”

The petition is a rallying cry for equality in healthcare, urging the government to recognise CGM as an essential service for children with T1D. Children who manage their diabetes effectively are better able to:

Participate in school without fear of sudden health crises.
Avoid missed days due to illness or hospital visits.
Thrive socially and emotionally, free from the constant stress of managing their condition.

To learn more about this important initiative and sign the petition, visit https://www.diabetesadvocacy.org.za/cgm-access-petition.

type1 diabetes

New petition calls for urgent action to improve diabetes care for children in South Africa