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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 & 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. 

Sensor & Pump

Freestyle Libre 3 & Tandem

Libre3Tandem

These devices do not connect but they each have their merits. The Freestyle Libre is small and the Tandem is modern with the ability to bolus directly on a compatible smartphone. 

The Freestyle Libre 3 can alert you when you are high and low. You get data only when you want it.

*Libre 3 is the most current model, now the smallest sensor option, and doesn't require scanning. Libre 1 and 2 may still be available to you. Ask your provider.

Priority: Overall

Overall

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

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.

Freestyle Libre 3 & Tandem

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

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

Freestyle 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 Website

Tandem t:slim X2

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

1-877-801-6901 Tandem Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Flat sensor transmitter fits easily under active wear and sports gear
No way to adjust long acting insulin for higher activity on the fly
Flat sensor transmitter fits easily under active wear and sports gear
Optional settings for exercise to adjust treatment ranges for activity with the press of a button
Pump is watertight

Avoiding Highs and Lows Avoiding Highs and Lows

Faster and easier to check your glucose with this sensor versus with a meter
Faster and easier to check your glucose with this sensor versus with a meter
Pumps allow different amounts of basal insulin at different times of day and very precise dosing

Comfort Comfort

Lowest profile sensor
Have to carry inhaler and cartridges
Lowest profile sensor
Smallest tubed pump
Tubed pumps have the most infusion sets to pick from

Easy Insulin Dosing Easy Insulin Dosing

Can use sensor trends for dose adjustment
Inhalers are less precise than injections
Can use sensor trends for dose adjustment
More precise dosing than pens or syringes

Easy to Use Easy to Use

Sensor and transmitter are one piece
Few steps to change sensor
Inhalers are faster and easier to use than injections
Sensor and transmitter are one piece
Few steps to change sensor
Rechargeable pump battery
Pump has touchscreen

Fewer Fingersticks Fewer Fingersticks

Factory-calibrated sensor: fingersticks needed for backup only
Factory-calibrated sensor: fingersticks needed for backup only

Privacy Privacy

Needs scan from phone or controller to get blood sugar
Inhalers are hideable when not in use
No scanning required
Touchscreen of pump looks like normal tech device
Ability to bolus directly on compatible smartphone

Cost & Coverage

Freestyle Libre 2

Freestyle Libre 2

Freestyle Libre 3

Freestyle Libre 3

Glucose Testing Supplies

Sensors

Receiver (1 time purchase)

Sensors

Glucose Testing Cost Estimate

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.

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.

Afrezza

Afrezza

Tandem t:slim X2

Tandem t:slim X2

Insulin Dosing Supplies

Inhaler & Cartridges (Monthly) 

Pump

Charger

Insulin Cartridges

Infusion Sites

Insulin Dosing Cost Estimate

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

Startup $5 to $6,995

Monthly $20 to $200