What change was crucial for CGMs to shift from prescription-only use toward over-the-counter (OTC) availability?

Answer

Proving accuracy without the user needing to perform frequent fingerstick calibrations.

A major evolutionary step toward over-the-counter access involved manufacturers successfully demonstrating to regulatory bodies that their CGM devices could maintain accuracy consistently without relying on frequent calibration checks using fingerstick blood glucose meters. This requirement necessitated a higher intrinsic sensor stability built into the hardware and superior factory calibration procedures performed during manufacturing. Once this stability was achieved, devices could receive FDA clearance for direct-to-consumer use, opening continuous data access to a wider population not solely dependent on intensive insulin management.

What change was crucial for CGMs to shift from prescription-only use toward over-the-counter (OTC) availability?
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