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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

Meter & Injections

Meter & Syringe

MeterSyringe v3

Practically fail safe. Supplies for this combo are easy to obtain almost anywhere.

Sensor & Smart Pump

Medtronic 780G Smart System

Medtronic780G v4

The MiniMed™ 780G hybrid closed-loop system adjusts your basal insulin levels based on personalized glucose targets (as low as 100 mg/dL). This system automatically corrects highs if carb counts are miscalculated or bolus is occasionally missed.

  • MiniMed 780G pump + Guardian 4 Sensor with Guardian™ Link 4 transmitter (Guardian™ Sensor 3 with Guardian™ Link 3 transmitter)

Priority: Overall

Overall
Simple. Reliable.

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

Meter & Syringe

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.

Medtronic 780G Smart System

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 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.

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

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

Syringe and Vial

Understand your cost at your local pharmacy.

Insulin Cost Overview

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

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Must pause activity to check blood sugar
No way to adjust long acting insulin for higher activity on the fly
Can increase blood sugar target during activity
System responds to blood sugar changes during activity automatically
Pump is watertight

Avoiding Highs and Lows Avoiding Highs and Lows

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
Automatically adjusts insulin to reach targets you set
Auto bolus feature automatically corrects high blood sugar
Pump delivers correction doses if carb counts entered are not exact

Comfort Comfort

Have to carry supplies
Nothing on your body
Medtronic sensors need more tape than other sensors
No extra device to carry (no RileyLink)
Largest pump
Longest wear infusion set available, up to 7 days

Easy Insulin Dosing Easy Insulin Dosing

You have to do the math to figure out your dose
Automatically adjusts insulin to reach targets you set
Meal detection technology will automatically adjust and correct sugar levels every 5 minutes

Easy to Use Easy to Use

No info on blood sugar trends
Many steps to figure out doses and deliver insulin every single time you need it
Software makes many dosing decisions for you
Requires fewer parts than do-it-yourself systems
Easier to keep automatic insulin dosing features working

Fewer Fingersticks Fewer Fingersticks

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

Privacy Privacy

Hideable when not in use but very visible when in use
Meter requires visible blood
Pump has tubing
Alerts
Ability to see blood sugar on phone and smartwatch

Cost & Coverage

Meter

Meter

Guardian Connect

Guardian Connect

Glucose Testing Supplies

Meter & Fingerpricker (1 time purchase)

Strips & Supplies

Sensors

Transmitter

Glucose Testing Cost Estimate

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.

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.

Syringe and Vial

Syringe and Vial

Medtronic 630G

Medtronic 630G

Insulin Dosing Supplies

Syringe ~$30 (Monthly)

Insulin $5 to $500 (Monthly)

Pump

Insulin Cartridges

Infusion Sets

Insulin Dosing Cost Estimate

The total amount depends hugely on how much insulin you use and what your insurance covers.

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.