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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

Freestyle Libre 2 & Pen

FreestylePen

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.

Meter & Inhaler

Meter & Afrezza

afrezza meter

This combo is simple and incognito.

Priority: Overall

Overall
Small and mighty.

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 & 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.

Meter & Afrezza

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.

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.

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

Insulin Pen

Ask your provider about a insulin pen prescription. Learn which is covered.

Insulin Pen Overview

Meter

Because there are so many options, and they don't have huge differences - the best thing to do is see what options your insurance companies will cover. The best way to find that out is through your doctor.

Walgreens

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

Flat sensor transmitter fits easily under active wear and sports gear
No way to adjust long acting insulin for higher activity on the fly
Must pause activity to check blood sugar
No way to adjust long acting insulin for higher activity on the fly

Avoiding Highs and Lows Avoiding Highs and Lows

Faster and easier to check your glucose with this sensor versus with a meter
Syringes and pens limit your ability to adjust insulin throughout the day
Meters don't give as much blood sugar data as sensors do
This combo requires a high level of engagement and effort to avoid highs and lows
Inhalers are less precise than injections

Comfort Comfort

Lowest profile sensor
Have to carry pens and pen needles
Have to carry supplies
Nothing on your body

Easy Insulin Dosing Easy Insulin Dosing

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

Easy to Use Easy to Use

Sensor and transmitter are one piece
Few steps to change sensor
Pens are faster and easier to use than syringes
No info on blood sugar trends
Inhalers are faster and easier to use than injections

Fewer Fingersticks Fewer Fingersticks

Factory-calibrated sensor: fingersticks needed for backup only
Frequent fingersticks are unavoidable

Privacy Privacy

Needs scan from phone or controller to get blood sugar
Pens are low profile
Inhalers and meters are hideable when not in use but visible when in use
Meter requires visible blood

Cost & Coverage

Freestyle Libre 2

Freestyle Libre 2

Meter

Meter

Glucose Testing Supplies

Sensors

Receiver (1 time purchase)

Meter & Fingerpricker (1 time purchase)

Strips & Supplies

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 $60

Monthly $100

There are lots of different meters out there. It's worth seeing which are covered by insurance - they will cover some of the cost of the strips. Often your doctor can give you a meter for free, worth asking.

Insulin Pen

Insulin Pen

Afrezza

Afrezza

Insulin Dosing Supplies

Pen (thats it!)

Inhaler & Cartridges (Monthly) 

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.

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