Diabetes Device Choices
This is a personalized report of your diabetes device recommendations and choices. This report is a guide not a clinical recommendation. It's a guide based on your input, the best advice from Standford and the first hand knowledge of the T1 Community at DiabetesWise.org.
Overview
Sensor & Pump
Dexcom G7 & Tandem

These devices do not connect but they each have their merits. The Dexcom G7 sensor alerts you when you are high or low and can be connected to your smartphone. Paired with the Tandem pump, you have the ability to easily dose your insulin as needed.
Sensor & Injections
Freestyle Libre 3 & Pen

If you don't like having stuff on your body but want glucose data at a glance, the Libre 3 is the smallest sensor option. Some pens have the ability to track insulin doses on a smart phone.
*Libre 3 is the most current model, now with alerts. Libre 1 and 2 may still be available to you. Ask your provider.
Priority: Overall
Next Steps
You're going to do great on the devices you choose
Talk to your provider to get a prescription. Advocate for yourself with a list of reasons why you believe it is best for your lifestyle.
Talk to the device companies about the device you want and if your insurance will cover it. They can help with this.
Many insurance companies require documentation of different qualifications before approving diabetes device coverage. every insurance company is different but some common qualifications include checking your blood sugar 4-6 times per day or having frequent low blood sugars. Understanding what qualifications are necessary for device coverage before starting the approval process can make things a lot easier.
Visit https://diabeteswise.org/resources/getting-treatment/qualify-for-insurance/ for more resources.
Questions for your Doctor
Dexcom G7 & Tandem
Freestyle Libre 3 & Pen
Can I try this before I commit to it?
A lot of provider offices have sample devices you can touch and feel to get a sense of how they work. Some offices even have a trial device you can use for week to see how it works for you.
Questions for your insurance
Many insurance companies require documentation of different qualifications before approving diabetes device coverage. Every insurance company is different, but some common qualifications include checking your blood sugar 4-6 times per day or having frequent low blood sugars. Understanding what qualifications are necessary for device coverage before starting the approval process can make things a lot easier.
Talk to the device companies
Dexcom G7
Call Dexcom and ask them about your coverage. Talk to your Doctor to get a prescription.
1-888-738 3646 Dexcom WebsiteTandem t:slim X2
Call Tandem and ask them about your coverage. Talk to your Doctor to get a prescription.
1-877-801-6901 Tandem WebsiteFreestyle Libre 3
Call Freestyle Libre and ask them about your coverage. Talk to your Doctor to get a prescription.
1-855-632 8658 Freestyle Libre WebsiteInsulin Pen
Ask your provider about a insulin pen prescription. Learn which is covered.
Insulin Pen OverviewAdditional Resources
By Priorities
Active Lifestyle
Avoiding Highs and Lows
Comfort
Easy Insulin Dosing
Easy to Use
Fewer Fingersticks
Privacy
Cost & Coverage
Dexcom G7

Freestyle Libre 3

Glucose Testing Supplies
Sensors
Receiver (1-time purchase) - not required
Sensors
Glucose Testing Cost Estimate
Startup $80 to $239
Monthly less than $40
These prices vary by Insurance. It may be covered under durable medical goods or a pharmacy benefit.
Startup $0 to $130
Monthly$0 to $70
Prices will vary based on insurance coverage. If you don't have any coverage this is the cheapest sensor.
Tandem t:slim X2

Insulin Pen

Insulin Dosing Supplies
Pump
Charger
Insulin Cartridges
Infusion Sites
Pen (thats it!)
Insulin Dosing Cost Estimate
Startup $5 to $6,995
Monthly $20 to $200
Monthly $5 to $1260
The total cost depends on the amount of pens you use which is dependent on how much insulin you use.