For people living with diabetes, medical imaging procedures like X-rays, CT scans, and MRIs can become all too familiar. These appointments often involve removing clothing, staying still, and, if wearing one, removing and discarding a continuous glucose monitoring (CGM) sensor.
CGM systems provide continuous, real-time readings of glucose levels throughout the day and night. This real-time visibility provides crucial information, empowering people with diabetes to make informed decisions about food, exercise, and medication. FreeStyle Libre CGM systems do this with the help of a small sensor attached to the back of the upper arm and can be worn for up to 15 days.*
Given the critical role CGMs play in daily diabetes management, maintaining uninterrupted access is essential. The American Diabetes Association (ADA) Standards of Care emphasize the necessity of uninterrupted access to CGM to prevent data gaps and allow for optimal diabetes management.¹ Research by Aleppo et al. demonstrated that discontinuation of CGM in patients with type 2 diabetes resulted in partial reversal of A1C reduction and time in range (TIR) improvements.²
“Taking off your CGM sensor for imaging scans causes a disruption to diabetes management,” said Megan O’Neill, Senior Manager of Medical Engagement for Abbott’s Diabetes Care Business. “In that case, you don’t have the information you rely on to make the decisions you need to make. You must figure out how to get another sensor, contact your healthcare team, and deal with insurance. This simple ask to remove the sensor can really escalate these pain points.”†
In an effort to help people stay connected to their health, Abbott has rigorously tested its FreeStyle Libre portfolio‡ to ensure the sensors remain safe and effective after radiological procedures.§ As a result, the U.S. Food and Drug Administration (FDA) has cleared the removal of previous contraindications‡—without any changes to the sensor itself.3,4
This means FreeStyle Libre CGMs can now be worn during:
MRIs§
CT scans
X-rays, including mammograms
This makes Abbott’s FreeStyle Libre systems the first and only patient-applied CGM sensors cleared for such screenings.
The FDA’s clearance to update FreeStyle Libre systems’ labeling reflects the collaboration between medical innovation and regulatory oversight to improve patient care. It removes a real-world barrier to consistent CGM use, reducing the burden on patients, providers, and payors alike. Most importantly, it ensures uninterrupted access to CGM technology—even during essential and often unpredictable imaging procedures—without compromising safety.³
ADC-84988 v1.0
Disclaimers and References
*FreeStyle Libre 2 and 3 Plus sensors can be worn up to 15 days.
†The views expressed should not be used for medical diagnosis or treatment or as a substitute for professional medical advice. Individual symptoms, situations, and circumstances may vary.
‡Sensors tested and cleared for removal of contraindication included FreeStyle Libre 2 sensor, FreeStyle Libre 3 sensor, FreeStyle Libre 2 Plus sensor, and FreeStyle Libre 3 Plus sensor.
§MRI Safety Conditions: Sensor readings may be compromised during the MRI, but System function returns fully back to normal after 1 hour. Scanning between the pelvis and sternum (3T scanners) should be limited to 12 minutes maximum with a cooling period of 2 minutes in between scans. All other areas (1.5T scanners) can scan for up to 1 hour continuously without a cooling period.
American Diabetes Association Professional Practice Committee, et al. “7. Diabetes Technology: Standards of Care in Diabetes—2025.” Diabetes Care, vol. 48, no. Supplement_1, 9 Dec. 2024, pp. S146–S166, diabetesjournals.org/care/article/48/Supplement_1/S146/157557/7-Diabetes-Technology-Standards-of-Care-in, https://doi.org/10.2337/dc25-s007.
Aleppo, Grazia, et al. “The Effect of Discontinuing Continuous Glucose Monitoring in Adults With Type 2 Diabetes Treated With Basal Insulin.” Diabetes Care, vol. 44, no. 12, Dec. 2021, pp. 2729-2737, https://doi:10.2337/dc21-1304.
Saad, Nicholas, et al. “Addressing Factors to Reduce Interruption of Continuous Glucose Monitor Use During Radiologic Procedures.” Diabetes Technology & Therapeutics, vol. 27, no. 4, 2 April 2025, pp. 334-335, https://doi.org/10.1089/dia.2024.0550.
U.S. Food and Drug Administration. 510(K) Substantial Equivalence Determination Decision Summary Assay and Instrument. https://www.accessdata.fda.gov/cdrh_docs/reviews/K233537.pdf
Important safety information
Product for prescription only; for Important Safety Information, please visit FreeStyleLibre.us.
Disclaimer:
The posting of information and content on this page should not be considered an AAFP endorsement or recommendation of the partner or sponsor organization’s products, services, policies or procedures. The information and opinions expressed are those of partners and paid sponsors and do not necessarily reflect the views of the AAFP. The AAFP is not responsible for the content of third-party websites linked from this page. Any links on this page to third-party websites where goods and services are advertised are not endorsements or recommendations by the AAFP of the third-party sites, goods or services.