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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

Medtronic Sensor & Afrezza

afrezza and medtronic

Alerts to minimize lows and highs with the option to link to a pump later.

Sensor & Pump

Freestyle Libre 3 & Medtronic Pump

Libre3Medtronic

These devices do not connect but they each have their merits. The Freestyle Libre 3 is the smallest sensor, and thinnest sensor on the market and can alert you when you are high and low. You get data only when you want it. The Medtronic pump is a sturdy and efficient pump.

*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

Medtronic Sensor & 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.

Freestyle Libre 3 & 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

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

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

Sensor Connect feature allows someone else to keep an eye on your blood sugar from the sidelines
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

Avoiding Highs and Lows Avoiding Highs and Lows

Sensor can alert you to a low before it happens
Inhalers are less precise than injections
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

Medtronic sensors need more tape than other sensors
Have to carry inhaler and cartridges
Lowest profile sensor
Largest pump
Tubed pumps have the most infusion sets to pick from

Easy Insulin Dosing Easy Insulin Dosing

Can use sensor trends for dose adjustment
You have to do the math to figure out your dose
Can use sensor trends for dose adjustment
More precise dosing than pens or syringes

Easy to Use Easy to Use

Sensor transmitter is rechargeable
Most steps to change sensor
Many steps to figure out doses and deliver insulin every single time you need it
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

Sensor requires regular meter use
Ability to see blood sugar on phone
Inhalers are hideable when not in use
Pump has tubing
No scanning required
Sensor is the smallest
Requires visible controller to bolus

Cost & Coverage

Guardian Connect

Guardian Connect

Freestyle Libre 3

Freestyle Libre 3

Glucose Testing Supplies

Sensors

Transmitter

Sensors

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.

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

Medtronic 630G

Medtronic 630G

Insulin Dosing Supplies

Inhaler & Cartridges (Monthly) 

Pump

Insulin Cartridges

Infusion Sets

Insulin Dosing Cost Estimate

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

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.