The FreeStyle Libre 2 system: Frequently asked questions

Explore answers to common questions about the FreeStyle Libre 2 system, its apps and software.

Using the FreeStyle Libre 2 system

Who is the FreeStyle Libre 2 system for?

The FreeStyle Libre 2 system is indicated for people aged 4 and older living with diabetes. It includes real-time, optional glucose alarms for those who want or need them, including those with type 2 diabetes. 

What are the differences between the FreeStyle Libre system and the FreeStyle Libre 2 system?

The FreeStyle Libre 2 system has all of the FreeStyle Libre system’s features, with the addition of optional, real-time glucose alarms. There are three optional, real-time glucose alarms that are available through the FreeStyle Libre 2 phone app. There is a Low Glucose Alarm, a High Glucose Alarm and a Signal Loss Alarm.

The FreeStyle Libre 2 system is indicated for pediatric use in children aged 4 and up.

How much does the FreeStyle Libre 2 system cost?

The FreeStyle Libre 2 system is priced the same as the FreeStyle Libre system. 

Is the FreeStyle Libre portfolio covered under any other provincial programs?

Public coverage is currently available for the FreeStyle Libre system in Ontario,* Quebec** and the Yukon†† for eligible patients.

Public coverage is currently available for the FreeStyle Libre 2 system in Ontario,* Manitoba,§ Saskatchewan and Quebec for eligible patients. Abbott is in the process of seeking public and further private reimbursement for the FreeStyle Libre 2 system across Canada.

Will the FreeStyle Libre 2 system be covered by my insurance company?

Most private health insurance companies cover the FreeStyle Libre 2 system. If you have private insurance, please speak to your plan administrator to find out how you may be covered.

If you have tried to fill your prescription at a pharmacy or spoken with your insurer and/or plan administrator and are still having difficulty determining if the FreeStyle Libre 2 system is covered or why you are not covered, please click here to register to receive more information regarding your coverage.  

Is the FreeStyle Libre 2 system compatible with FreeStyle Libre sensors, readers and the FreeStyle LibreLink app?

No, FreeStyle Libre 2 system sensors and the FreeStyle Libre 2 app are NOT compatible with FreeStyle Libre system sensors, readers or the FreeStyle LibreLink app.‡‡ It is critical that you use the matching sensors and app to ensure product functionality. The new FreeStyle Libre 2 app is available through the App Store or Google Play.

Will there be a new app for the FreeStyle Libre 2 system?

Yes, the FreeStyle Libre 2 system has a brand-new app. The FreeStyle Libre 2 app lets users easily share their glucose data with their healthcare providers§§ and caregivers.¶¶ The new FreeStyle Libre 2 app is available through the App Store or Google Play.

How do Low and High Glucose Alarms work?

When in range, the FreeStyle Libre 2 system automatically communicates to give you Low and High Glucose Alarms if they are turned on. The Low Glucose Alarm notifies you if your glucose drops below the level you set. The High Glucose Alarm notifies you if your glucose rises above the level you set. The alarms do not include your glucose reading, so you need to scan your sensor to check your glucose reading.

How do I start my FreeStyle Libre 2 sensor with the FreeStyle Libre 2 app?

To start a FreeStyle Libre 2 sensor with the FreeStyle Libre 2 app, Bluetooth should be turned on. To receive alarms on your phone, your FreeStyle Libre 2 app must be open or running in the background, your phone and sensor must be connected by Bluetooth, and phone Notifications must be enabled.

Does the FreeStyle Libre 2 system have the same accuracy as the original FreeStyle Libre system?

The FreeStyle Libre 2 system offers improved accuracy1 and no routine confirmatory finger pricks required for treatment decisions, even when glucose is low, falling or rapidly changing.*** 

Does the FreeStyle Libre 2 system communicate with an insulin pump?

No, the FreeStyle Libre 2 system does not currently communicate with an insulin pump. However, as with any new technology, Abbott is researching a wide variety of potential applications.  

How can I connect with my doctor remotely?

Our FreeStyle Libre 2 digital ecosystem provides you with the FreeStyle Libre 2 mobile phone app and LibreView,§§ a secure, cloud-based software that allows both you and your doctor to connect remotely at no cost.

Please visit Apps & Software for FreeStyle Libre 2 to clearly see how to download the FreeStyle Libre 2 app, create a LibreView§§ account and set up data sharing with your doctor.

While LibreView§§ is the best way to connect with your physician, you can also directly connect with your doctor using the FreeStyle Libre 2 app via text or e-mail.

In addition, remember that by using the LibreLinkUp app,¶¶ you can invite your family/caregiver to also access your glucose data remotely, anytime. Visit Apps & Software for FreeStyle Libre 2 to see how to do this.

Ontario public coverage*

Who is eligible to receive public coverage in Ontario for the FreeStyle Libre 2 system?

As of November 30, 2021, the FreeStyle Libre 2 system is reimbursed by the Ontario Drug Benefit (ODB) program for qualifying Ontario residents who manage their diabetes with insulin.  

What is covered by the Ontario Drug Benefit plan?

The coverage will include the FreeStyle Libre 2 system sensors.

How do I know if I qualify for public reimbursement of the FreeStyle Libre 2 system under the Ontario Drug Benefit (ODB) program?

If you qualify for ODB and you manage your diabetes with insulin, you are eligible for public reimbursement of the FreeStyle Libre 2 system. Please speak with your healthcare professional (including your pharmacist) to determine if the FreeStyle Libre 2 system is right for you.  

How do I know if I qualify for the Ontario Drug Benefit (ODB) program?

More information about who is covered by the ODB program is available on the Ontario Drug Benefit website.

Quebec public coverage

Who is eligible to receive public coverage in Quebec for the FreeStyle Libre 2 system?

The FreeStyle Libre 2 flash glucose monitoring system is now reimbursed under the Régie de l’assurance maladie du Québec (RAMQ)††† prescription drug insurance plan for the following people in Quebec:

  • Those under the age of 18 and living with type 1 diabetes
  • Those over the age of 18, living with diabetes and who meet the following criteria:
    • On intensive insulin therapy (insulin pump treatment or ≥3 insulin injections per day)
    • Frequent hypoglycemic events during the last year, despite adherence to a blood sugar management plan

See the RAMQ Continuous and Flash Glucose Monitoring criteria here.
Get a RAMQ Continuous and Flash Glucose Monitoring request form here.

What is covered by the Quebec prescription drug insurance plan?

The coverage will include the FreeStyle Libre 2 flash glucose monitoring system sensor, which can be paired up with the free FreeStyle Libre 2 app.

When does coverage under RAMQ begin?

As of August 17, 2022, the FreeStyle Libre 2 flash glucose monitoring system is now reimbursed under Quebec’s prescription drug insurance plan for the following people in Quebec:

  • Those under the age of 18 and living with type 1 diabetes
  • Those over the age of 18, living with diabetes and who meet the following criteria:
    • On intensive insulin therapy (insulin pump treatment or ≥3 insulin injections per day)
    • Frequent hypoglycemic events during the last year, despite adherence to a blood sugar management plan

Where can I get more information about public reimbursement for the FreeStyle Libre 2 system in Quebec?

Please visit the RAMQ website for more information.

Saskatchewan public coverage

Who is eligible to receive public coverage in Saskatchewan for the FreeStyle Libre 2 system?

As of June 1, 2021, the FreeStyle Libre 2 flash glucose monitoring system is covered under the Saskatchewan government-sponsored drug plan for those between the ages of 4 and 17 who manage their diabetes with insulin or have hyperinsulinism.  

What is covered by the Saskatchewan government-sponsored drug plan?

The coverage will include both the FreeStyle Libre 2 flash glucose monitoring system sensors and the FreeStyle Libre 2 reader.

When does coverage under the Saskatchewan government-sponsored drug plan begin?

As of June 1, 2021, the FreeStyle Libre 2 flash glucose monitoring system is covered under the Saskatchewan government-sponsored drug plan for those between the ages of 4 and 17 who manage their diabetes with insulin or have hyperinsulinism.  

Where can I get more information about public reimbursement for the FreeStyle Libre 2 system in Saskatchewan?

Please visit the Saskatchewan Drug Plan website for more information.

Manitoba public coverage§

Who is eligible to receive public coverage in Manitoba for the FreeStyle Libre 2 system?

FreeStyle Libre 2 sensors are reimbursed under the Manitoba Pharmacare Program for individuals 25 years old and younger who meet eligibility criteria (PDF 488 KB). Eligibility criteria are as follows:

Initial criteria:
For patients with type 1 diabetes who are 25 years of age or under and meet ALL of the following criteria:

  1. Patient is either:
    • Currently approved for the Manitoba Pediatric Insulin Pump Program (MPIP) administered by the Winnipeg Regional Health Authority (WRHA) through the Child Health Program’s Diabetes Education Resource for Children and Adolescents (DER-CA); OR
    • On both basal AND bolus insulin.
  2. Under the care and management of a Manitoba endocrinologist, diabetes specialist, or metabolic physician, and has routine follow-up with their diabetes care team;
  3. Patient and/or caregiver demonstrates the capacity to use the CGM/FGM appropriately;
  4. Patient and/or caregiver demonstrates a reasonable understanding of what the CGM/FGM can do and how it can benefit their care;
  5. Patient and/or caregiver affirms a willingness to use the CGM/FGM properly and to use the data from this technology to make safe and effective diabetes management decisions.
    • Initial Approval Duration: one year

Renewal criteria:
Coverage may be continued if ALL of the following are met:

  1. Patient remains 25 years of age or under;
  2. Patient remains under the care and management of an endocrinologist, diabetes specialist, or metabolic physician, and has routine follow-up with their diabetes care team;
  3. Patient and/or caregiver continues to demonstrate the capacity to use the CGM/FGM appropriately;
  4. Patient and/or caregiver continues to demonstrate a reasonable understanding of what the CGM/FGM can do and how it can benefit their care;
  5. Patient and/or caregiver continues to affirm a willingness to use the CGM/FGM properly and to use the data from this technology to make safe and effective diabetes management decisions.

Note: Coverage may also be discontinued upon notification from the care provider that the CGM/FGM criteria is no longer met by the patient.

  • Renewal Approval Duration: one year  

What is covered by the Manitoba government?

The Manitoba Pharmacare Program will cover the FreeStyle Libre 2 sensors. Eligible Manitobans will be required to pay out-of-pocket for Freestyle Libre 2 sensors until their Pharmacare deductible has been met for the year, as they do for blood glucose test strips coverage.

Is the FreeStyle Libre 2 reader covered by the Manitoba Pharmacare Program? Can I request a Reader?

The Manitoba Pharmacare Program will cover the FreeStyle Libre 2 sensors. For eligible Manitobans who do not have a compatible mobile phone and require a FreeStyle Libre 2 reader, please contact Abbott Customer Care at 1-800-461-8481 (Monday-Friday:  8 AM-9 PM EST, Saturday: 9 AM-5 PM EST, Sunday: 9 AM-2 PM EST).  

When does coverage under the Manitoba Pharmacare Program begin?

Coverage under the Manitoba Pharmacare Program became effective September 28, 2021.  

Where can I get more information about public reimbursement for FreeStyle Libre 2 in Manitoba?

Please visit the Manitoba Drug Benefits and Interchangeability Formulary website. See Pharmacare Information for Health Professionals | Health and Seniors Care | Province of Manitoba (gov.mb.ca) for more information.

Why isn’t the FreeStyle Libre system covered?

FreeStyle Libre 2 Sensors are reimbursed under the Manitoba Pharmacare Program for individuals 25 years old and younger who meet eligibility criteria (PDF 488 KB).

If you are currently using FreeStyle Libre, please speak to your healthcare professional for more information on the FreeStyle Libre 2 flash glucose monitoring system.  

Measuring glucose control

What is A1C?

A1C is a measurement of your average glucose levels over the past three months. It’s used by healthcare professionals to measure how well your diabetes is being managed and is given as a percentage. The goal for most people with type 1 or type 2 diabetes is an A1C below 7%.2-4  

How does the FreeStyle Libre 2 system help lower A1C?

The FreeStyle Libre 2 system can give you actionable insights into your glucose trends and patterns. For example, it allows you to see how certain lifestyle factors, like food or exercise, are impacting your glucose levels. The actions you take based on these insights can help you better manage your diabetes and lower your A1C.

Didn’t find the answer you were looking for?

* For people managing diabetes with insulin.

† To be eligible for FreeStyle Libre 2 reimbursement in Quebec, criteria is as follows: under the age of 18 and living with type 1 diabetes; over the age of 18, living with diabetes and meets the following two criteria: is on intensive insulin therapy (insulin pump treatment or ≥3 insulin injections per day), and has frequent hypoglycemic events during the last year, despite adherence to a blood sugar management plan.

‡ The FreeStyle Libre 2 flash glucose monitoring system is covered under the Saskatchewan government-sponsored drug plan for those between the ages of 4 and 17 who manage their diabetes with insulin or have hyperinsulinism.

§ As of September 28, 2021, the FreeStyle Libre 2 flash glucose monitoring system is reimbursed under the Manitoba Pharmacare Program for individuals 25 years old and younger who meet eligibility criteria (PDF 488 KB) including a referral from a specialist.

¶ The FreeStyle Libre 2 app and the FreeStyle Libre 2 reader have similar but not identical features. Finger pricks are required if glucose readings and alarms do not match symptoms or expectations. The FreeStyle Libre 2 sensor communicates with the FreeStyle Libre 2 reader that started it or the FreeStyle Libre 2 app that started it. The FreeStyle Libre 2 app is only compatible with certain mobile devices and operating systems. Please check this website for more information about device compatibility before using the app. Use of FreeStyle Libre 2 requires registration with LibreView.

** For residents of Quebec, the following two criteria must be met: intensive insulin therapy (insulin pump treatment or ≥3 insulin injections per day), and frequent hypoglycemic events during the last year.

†† For people over 18 years of age with type 1 diabetes.

‡‡ The FreeStyle LibreLink app and the FreeStyle Libre reader have similar but not identical features. A finger prick test using a blood glucose meter is required during times of rapidly changing glucose levels when interstitial fluid glucose levels may not accurately reflect blood glucose levels or if hypoglycemia or impending hypoglycemia is reported by the FreeStyle LibreLink app or when symptoms do not match the app readings. The FreeStyle Libre sensor communicates with the FreeStyle Libre reader that started it or the FreeStyle LibreLink app that started it. A sensor started by the FreeStyle Libre reader will also communicate with the FreeStyle LibreLink app. The FreeStyle LibreLink app is only compatible with certain mobile devices and operating systems. Please check this website for more information about device compatibility before using the app. Use of FreeStyle LibreLink requires registration with LibreView.

§§ The LibreView website is only compatible with certain operating systems and browsers. Please check www.libreview.com for additional information.

¶¶ The LibreLinkUp app is only compatible with certain mobile devices and operating systems. Please check www.librelinkup.com for more information about device compatibility before using the app. Use of LibreLinkUp and FreeStyle Libre 2 requires registration with LibreView. The LibreLinkUp mobile app is not intended to be a primary glucose monitor: home users must consult their primary device(s) and consult a healthcare professional before making any medical interpretation and therapy adjustments from the information provided by the app.

*** Finger pricks are required if glucose readings and alarms do not match symptoms or expectations.

††† Official Mark of the Régie de l’assurance maladie du Québec.

 

Reference: 

  1. FreeStyle Libre 2 User Manual.
  2. Mayo Clinic. A1C test. Available at: https://www.mayoclinic.org/tests-procedures/a1c-test/about/pac-20384643. Accessed December 7, 2021.
  3. American Diabetes Association. Understanding A1C. Available at: https://www.diabetes.org/a1c. Accessed December 7, 2021.
  4. Diabetes Canada Clinical Practice Guidelines Expert Committee. 2018 clinical practice guidelines: targets for glycemic control. Can J Diabetes 2018;42:S42-S46.

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