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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 & Smart Pump

Medtronic 780G Smart Systems

MedtronicMedtronic v4

The Medtronic 780G hybrid closed loop systems adjust your basal insulin levels up and down based on predicted glucose levels

  • 780G: MiniMed 700 series pump + Guardian Sensor 3

Sensor & Pump

Freestyle Libre 14 day & Medtronic Pump

FreestyleMedtronic

These devices do not connect, but they each have their merits. The Freestyle Libre 14 days can be scanned for blood glucose readings with a reader or smartphone. You get data only when you want it. The Medtronic pump is sturdy and efficient.

Priority: Overall

Overall
Reduce risk.

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

Medtronic 780G Smart Systems

How does a smart system work?

Automated insulin delivery systems usually have three parts: a continuous glucose monitor (CGM), an insulin pump, and an algorithm, which is the brain. It makes many dosing decisions for you with less button pushing. The system senses your blood sugar level and adjusts insulin delivery automatically.

Freestyle Libre 14 day & Medtronic Pump

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.

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

Guardian Connect

Call Medtronic and ask them about how much it will cost with your insurance coverage. Talk to your Doctor to get a prescription.

1-800-646 4633 Medtronic Website

Medtronic 630G

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

1-888-350-5440 Medtronic Website

Freestyle Libre 14 Day

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

1-855-632 8658 Freestyle Libre Website

Medtronic 630G

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

1-888-350-5440 Medtronic Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Can increase blood sugar target during activity
System responds to blood sugar changes during activity automatically
Pump is watertight
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

Avoiding Highs and Lows Avoiding Highs and Lows

System automatically increases or decreases insulin delivery to try to meet one of two fixed blood sugar targets
Automatic insulin delivery settings are not adjustable
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
No sensor alerts

Comfort Comfort

Medtronic sensors need more tape than other sensors
No extra device to carry (no RileyLink)
Largest pump
Lowest profile sensor
Largest pump
Tubed pumps have the most infusion sets to pick from

Easy Insulin Dosing Easy Insulin Dosing

Automatically adjusts insulin to reach one of two preset targets
Will automatically revert to manual mode in certain situations
Can use sensor trends for dose adjustment
More precise dosing than pens or syringes

Easy to Use Easy to Use

Software makes many dosing decisions for you
Can be difficult to keep automatic insulin dosing features working
Requires fewer parts than do-it-yourself systems
Sensor and transmitter are one piece
Few steps to change sensor
Supplies for this pump are the most widely available

Fewer Fingersticks Fewer Fingersticks

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

Privacy Privacy

System needs regular meter use
Pump has tubing
Alerts
Needs frequent attention
Needs scan from phone or controller to get blood sugar
Sensor is the smallest
Pump has tubing

Cost & Coverage

Guardian Connect

Guardian Connect

Freestyle Libre 14 Day

Freestyle Libre 14 Day

Glucose Testing Supplies

Sensors

Transmitter

Sensors

Reader (1 time purchase)

Glucose Testing Cost Estimate

Startup $69 to $206

Monthly $32 to $97

These prices vary by Insurance. If you call Medtronic they will start a process to check exactly how much your costs will be. Generally Medtronic pumps and sensors are covered by private insurance and medicare. It may be covered under durable medical goods or a pharmacy benefit.

Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.

Medtronic 630G

Medtronic 630G

Medtronic 630G

Medtronic 630G

Insulin Dosing Supplies

Pump

Insulin Cartridges

Infusion Sets

Pump

Insulin Cartridges

Infusion Sets

Insulin Dosing Cost Estimate

Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy, DME, or directly through Medtronic Diabetes. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.

Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy, DME, or directly through Medtronic Diabetes. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.