How often should Libre 3 (Continuous Glucose Monitoring System) sensors be changed?

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Last updated: December 17, 2025View editorial policy

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FreeStyle Libre 3 Sensor Replacement Schedule

FreeStyle Libre 3 sensors should be changed every 14 days, as this is the maximum approved wear duration for the device. 1, 2, 3

Sensor Wear Duration

  • The FreeStyle Libre 3 is designed as a 14-day continuous glucose monitoring system, meaning each sensor must be replaced after 14 days of wear 3
  • This 14-day replacement schedule is consistent across the FreeStyle Libre product line (including Libre 2 and Libre 3) 4, 1
  • The sensor measures interstitial glucose continuously throughout this entire 14-day period 4, 1

Accuracy Considerations Across Sensor Lifespan

  • The FreeStyle Libre 3 maintains stable accuracy throughout the full 14-day wear period, with an overall mean absolute relative difference (MARD) of 7.8% 3
  • Research on earlier FreeStyle Libre models showed that accuracy was lowest during the first day (MARD 14.5%) and last day (MARD 14.7%) of wear, with best performance during days 5-7 (MARD 7.8%) 5
  • However, the third-generation FreeStyle Libre 3 demonstrates improved and stable performance across all 14 days, with 93.4% of readings within ±20% or ±20 mg/dL of reference values 3

Best Practices for Sensor Changes

  • Insert the new sensor before removing the old one to avoid gaps in continuous glucose monitoring data 1, 2
  • Patients should have uninterrupted access to sensor supplies to minimize gaps in monitoring 4, 1
  • The device should be scanned at minimum once every 8 hours to capture complete 24-hour glucose data 4, 1

Critical Pitfalls to Avoid

  • Do not extend sensor wear beyond 14 days, as this may compromise accuracy and is outside the approved use parameters 2
  • Inconsistent sensor use or allowing gaps between sensors reduces clinical benefit and limits the technology's ability to improve glycemic control 1
  • Assess for skin reactions (irritation or allergy) at insertion sites, as these can interfere with successful long-term device use 4

References

Guideline

Continuous Glucose Monitoring with FreeStyle Libre 3

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Continuous Glucose Monitoring Sensor Replacement Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Accuracy of the Third Generation of a 14-Day Continuous Glucose Monitoring System.

Diabetes therapy : research, treatment and education of diabetes and related disorders, 2023

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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