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 & Injections
Freestyle Libre 2 & Pen

If you don't like having stuff on your body but want glucose data at a glance, the Freestyle Libre is the thinnest sensor. Some pens have the ability to track insulin doses on a smartphone.
Sensor & Pump
Dexcom G6 & Tandem

The Tandem and Dexcom G6 can be connected, so you have one less thing to carry. Also, Tandem has a program called Control IQ that works with the Dexcom G6 to reduce your basal when it expects a low or increase your basal when it expects a high blood sugar. Control IQ also gives automatic correction doses when needed.
The Tandem pump allows you to bolus directly from a compatible iOS or Android smartphone.
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 & 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.
Dexcom G6 & 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 WebsiteInsulin Pen
Ask your provider about a insulin pen prescription. Learn which is covered.
Insulin Pen OverviewDexcom G6
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 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

Dexcom G6

Glucose Testing Supplies
Sensors
Receiver (1 time purchase)
Sensors
Transmitter
Receiver (1 time purchase)
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 $80 to $239
Monthly $35 to $105
These prices vary by Insurance. Many insurers support the G6 Dexcom. It may be covered under durable medical goods or a pharmacy benefit.
Insulin Pen

Tandem t:slim X2

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