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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 & Pump

Meter & Tandem

MeterTandem

The Tandem pump allows you to bolus directly from a compatible iOS or Android smartphone, is rechargeable, has a touch screen, and can be updated on your home computer.

Sensor & Pump

Freestyle Libre 14 day & Omnipod

FreestyleOmnipod v3

The Freestyle Libre 14 day can be manually scanned to get data only when you want it. This combo is great for active people because it's waterproof and tubeless.

Priority: Overall

Overall
Updates without waiting.

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 & Tandem

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 14 day & Omnipod

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.

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

Tandem t:slim X2

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

1-877-801-6901 Tandem 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

Omnipod

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

1-800-591-3455 Omnipod Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Must pause activity to check blood sugar
Optional settings for exercise to adjust treatment ranges for activity with the press of a button
Flat sensor transmitter fits easily under active wear and sports gear
Don't need to find a place for pump in active wear

Avoiding Highs and Lows Avoiding Highs and Lows

Meters don't give as much blood sugar data as sensors do
Pumps allow different amounts of basal insulin at different times of day and very precise dosing
Faster and easier to check your glucose with this sensor versus with a meter
Pods stay on when showering and swimming so there are no gaps in insulin delivery
Pumps allow different amounts of basal insulin at different times of day and very precise dosing
No sensor alerts

Comfort Comfort

Have to carry meter supplies
Smallest tubed pump
Tubed pumps have the most infusion sets to pick from
Lowest profile sensor
No tubing
Pods need more tape than other infusion sets

Easy Insulin Dosing Easy Insulin Dosing

Bolus calculator available to help figure out doses
Offers smallest increments of basal insulin delivery
More customizable dosing than pens or syringes
Can use sensor trends for dose adjustment
No interruption in insulin delivery (pods stay on when you shower and swim)
More customizable dosing than pens or syringes

Easy to Use Easy to Use

No info on blood sugar trends
Rechargeable pump battery
Pump has touchscreen
Sensor and transmitter are one piece
Few steps to change sensor
Fewer parts than tubed pumps

Fewer Fingersticks Fewer Fingersticks

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

Privacy Privacy

Requires visible blood
Pump has tubing
Touchscreen of pump looks like normal tech device
Ability to bolus directly on compatible smartphone
Needs scan from phone or controller to get blood sugar
Sensor is the smallest
Most hideable pump option
Requires visible controller to bolus

Cost & Coverage

Meter

Meter

Freestyle Libre 14 Day

Freestyle Libre 14 Day

Glucose Testing Supplies

Meter & Fingerpricker (1 time purchase)

Strips & Supplies

Sensors

Reader (1 time purchase)

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.

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

Tandem t:slim X2

Tandem t:slim X2

Omnipod

Omnipod

Insulin Dosing Supplies

Pump

Charger

Insulin Cartridges

Infusion Sites

Pods

Reader

Insulin

Insulin Dosing Cost Estimate

Startup $5 to $6,995

Monthly $20 to $200

Startup $5 to $1260 Monthly

Omnipod is now covered by Medicare and Medicaid as well as most private insurers.