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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.

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Disclaimer: All prices are in USD and are estimates only.

Overview

Sensor & Injections

Eversense & Syringe

EversenseSyringe v2

The Eversense is implanted under the skin, so you can hide your devices easier.

*You will need an iPhone to use the Eversense sensor.

Sensor & Inhaler

Freestyle Libre 2 & Afrezza

afrezza sensor v3

If you don't like having stuff on your body but want glucose data at a glance, the Freestyle Libre is the thinnest sensor option. Paired with the Afrezza inhaler, this is one of the most discreet combinations. 

Priority: Overall

Overall
Simple. Reliable.

Next Steps Next Steps

You're going to do great on the devices you choose

1.
Talk to your provider

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.

2.
Call the device companies

Talk to the device companies about the device you want and if your insurance will cover it. They can help with this.

3.
Call 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.

Visit https://diabeteswise.org/resources/getting-treatment/qualify-for-insurance/ for more resources.

Questions for your Doctor

Eversense & Syringe

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.

Freestyle Libre 2 & Afrezza

Is the Freestyle Libre waterproof?

Sensor is water-resistant in up to 1 metre (3 feet) of water for a maximum of 30 minutes.

How can I get insurance approval for Afrezza?

If you have health insurance: visit Beyond Type 1 for more information on how your provider can send a prescription to the pharmacy that Mannkind works closely with, UBC Pharmacy: 

UBC Pharmacy LLC
4700 N Hanley Rd Ste B
Saint Louis, MO 63134
NPI: 1962978858
Fax: 866-750-9260
Phone: 844-323-7399

Anyone in the United States can use this pharmacy to fill an Afrezza prescription. 

If you don't have health insurance: visit Beyond Type 1 for more information on Mannkind's patient assistance program. 

For more information on cost: visit Mannkind - Paying for Your Afrezza.

More on how to Talk to your Doctor

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.

Get the Guide for Talking to your Insurance

Talk to the device companies

Eversense

Either call the phone number here to ask about getting started or fill out the form that is linked here to get started.

1-844-736 7348 Eversense Website

Syringe and Vial

Understand your cost at your local pharmacy.

Insulin Cost Overview

Freestyle Libre 2

Call Freestyle Libre and ask them about your coverage. Talk to your Doctor to get a prescription.

1-855-632 8658 Freestyle Libre Website

Afrezza

Call MannKind and ask them about your coverage. Talk to your Doctor to get a prescription.

1-844-323-7399 Afrezza Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Because the sensor is under your skin, it won't get dislodged if it gets bumped
No way to adjust long acting insulin for higher activity on the fly
Flat sensor transmitter fits easily under active wear and sports gear
No way to adjust long acting insulin for higher activity on the fly

Avoiding Highs and Lows Avoiding Highs and Lows

Only sensor that vibrates on your skin to alert for high or low blood sugars; alerts work even when smart phone isn't close by
Syringes and pens limit your ability to adjust insulin throughout the day
Faster and easier to check your glucose with this sensor versus with a meter

Comfort Comfort

Longest lasting sensor
Sensor needs to be changed by your doctor
Have to carry syringes and insulin
Lowest profile sensor
Have to carry inhaler and cartridges

Easy Insulin Dosing Easy Insulin Dosing

Can use sensor trends for dose adjustment
You have to do the math to figure out your dose
Can use sensor trends for dose adjustment
Inhalers are less precise than injections

Easy to Use Easy to Use

Sensor transmitter must be recharged every day
Sensor changes far less often than other types, but your doctor must do it
Many steps to figure out doses and deliver insulin every single time you need it
Sensor and transmitter are one piece
Few steps to change sensor
Inhalers are faster and easier to use than injections

Fewer Fingersticks Fewer Fingersticks

Daily fingersticks needed to calibrate sensor
Factory-calibrated sensor: fingersticks needed for backup only

Privacy Privacy

Ability to see sugar on watch or phone
Sensor not movable on body
Syringes are hideable when not in use but very visible when in use
Needs scan from phone or controller to get blood sugar
Inhalers are hideable when not in use

Cost & Coverage

Eversense

Eversense

Freestyle Libre 2

Freestyle Libre 2

Glucose Testing Supplies

Sensors
Transmitter (1 time purchase & Rechargeable)

Sensors

Receiver (1 time purchase)

Glucose Testing Cost Estimate

Startup Bridge Program $99.

This is a trial program and there are eligibility requirements that should be considered prior.

Eversense is covered by select insurers, including Cigna and Medicare.

Startup $200 to $404
Monthly $108 to $321
Libre 2 is covered by Medicare and most private insurers. Prices will vary based on coverage. If you don't have any coverage, this is the cheapest sensor.

Syringe and Vial

Syringe and Vial

Afrezza

Afrezza

Insulin Dosing Supplies

Syringe ~$30 (Monthly)

Insulin $5 to $500 (Monthly)

Inhaler & Cartridges (Monthly) 

Insulin Dosing Cost Estimate

The total amount depends hugely on how much insulin you use and what your insurance covers.

Widely covered. Price range; 0-$99/month depending on insurance coverage. $35/month for medicare and commercial insurance plans.