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 & Inhaler
Freestyle Libre 2 & Afrezza

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

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
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
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 WebsiteAfrezza
Call MannKind and ask them about your coverage. Talk to your Doctor to get a prescription.
1-844-323-7399 Afrezza 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 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 WebsiteAdditional Resources
By Priorities
Active Lifestyle
Avoiding Highs and Lows
Comfort
Easy Insulin Dosing
Easy to Use
Fewer Fingersticks
Privacy
Cost & Coverage
Freestyle Libre 2

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

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