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 & Pump
Medtronic Sensor & Tandem Pump

With a pump and sensor you have a lot of manual control. The Tandem pump allows you to bolus directly from a compatible iOS or Android smartphone.
Sensor & Injections
FreeStyle Libre 2 & Bigfoot Unity

Bigfoot Unity is a smart insulin dosing system comprised of Bigfoot smartpen caps (for short- and long-acting insulin pens), Abbott's FreeStyle Libre 2 CGM, a mobile app, and a blood glucose meter made by AgaMatrix.
Unity provides recommendations for both short- and rapid-acting insulin doses. Both pen caps have screens that display slightly different information, including blood glucose level (you can scan your Libre 2 with the pen cap to see your mg/dl!), timing of last dose, and recommended doses.
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
Medtronic Sensor & Tandem 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.
FreeStyle Libre 2 & Bigfoot Unity
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 do I order supplies?
Participating in the Bigfoot Unity program requires an agreement between Bigfoot Biomedical and your health care provider. Ask your doctor if they are contracted with Bigfoot Unity!
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
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 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 WebsiteFreestyle 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 WebsiteBigfoot Unity
Call Bigfoot Unity and ask them about your coverage. Talk to your Doctor to get a prescription.
551-244-3668 Bigfoot Unity WebsiteAdditional Resources
By Priorities
Active Lifestyle
Avoiding Highs and Lows
Comfort
Easy Insulin Dosing
Easy to Use
Fewer Fingersticks
Privacy
Cost & Coverage
Guardian Connect

Freestyle Libre 2

Glucose Testing Supplies
Sensors
Transmitter
Sensors
Receiver (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.
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.
Tandem t:slim X2

Bigfoot Unity

Insulin Dosing Supplies
Pump
Charger
Insulin Cartridges
Infusion Sites
Pen caps
Needles
Sensors
Test strips
Lancets
Alcohol swabs
Insulin Dosing Cost Estimate
Startup $5 to $6,995
Monthly $20 to $200
Monthly mail-order package includes all the supplies needed, for a regular subscription price or insurance-covered copay with no upfront costs.