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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

Omnipod 5 Smart System

illo AID OmnipodDash v2

The Omnipod 5 closed-loop system adjusts your basal insulin levels up and down based on predicted glucose levels. 

  • Omnipod + Dexcom Sensor 

Sensor & Smart Pump

Tandem Control-IQ System

illo AID tConnect FitMaxWzkzMCwzMzZd

Control-IQ technology is an advanced hybrid closed-loop system that automatically adjusts insulin in response to predicted glucose levels to help increase time in the target range (70-180 mg/dL).

  • t:slim X2™ insulin pump with Control-IQ™ technology + Dexcom G6 & G7

The Tandem pump allows you to bolus directly from a compatible iOS or Android smartphone.

 

Sensor & Smart Pump

Beta Bionics iLet

iLet

The Beta Bionics iLet system determines 100% of all insulin doses and requires very little input from the user.

  • iLet Pump + Dexcom Sensor 

Priority: Overall

Overall
Keeps low blood sugar levels at bay.

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

Omnipod 5 Smart System

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.

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.

Where can I find information about financial assistance for Omnipod 5?

The Omnipod Financial Assistance Program was created to help cover your Omnipod costs during financial challenges. More information is available on: https://www.omnipod.com/is-omnipod-right-for-me/coverage/financial-assistance. As a general reference: • The majority of Omnipod 5 customers pay $50 or less per month • Over 70% of Omnipod 5 customers pay $50 or less per month • More than a third of Omnipod 5 Customers pay $0 per month • More than half of Omnipod 5 customers pay $1 or less per day • Over 38% of Omnipod 5 customers pay $1 or less per Pod • More than a third of Omnipod 5 customers pay $1 or less per Pod

Tandem Control-IQ 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.

Beta Bionics iLet

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

Dexcom G6

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

1-888-738 3646 Dexcom Website

Omnipod

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

1-800-591-3455 Omnipod Website

Dexcom G6

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

1-888-738 3646 Dexcom Website

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

Dexcom G6

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

1-888-738 3646 Dexcom 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
Don't need to find a place for pump in active wear
Sensor Share feature allows someone else to keep an eye on your blood sugar from the sidelines
Continuous numbers, less gear.
Pump is watertight
Sensor Share feature allows someone else to keep an eye on your blood sugar from the sidelines
Optional settings for exercise to adjust treatment ranges for activity with the press of a button
Unable to suspend insulin
Tubed pumps have the most infusion sets to pick from
Pump is watertight

Avoiding Highs and Lows Avoiding Highs and Lows

Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels
Pumps allow different amounts of basal insulin at different times of day and very precise dosing
Pods stay on when showering and swimming so there are no gaps in insulin delivery
Combo will reduce or suspend insulin to prevent lows
Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels
Combo will increase insulin delivery to prevent high blood sugars
Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels
You cannot give a correction dose of insulin
You cannot give additional insulin boluses when your blood glucose levels are high
Your blood glucose levels could rise above 250 mg/dl after Meal Announcement

Comfort Comfort

Low profile/low maintenance sensor
No tubing
Tubed pumps have the most infusion sets to pick from
Low profile/low maintenance sensor
Smallest tubed pump
Have to carry supplies
Requires fewer parts than do-it-yourself systems

Easy Insulin Dosing Easy Insulin Dosing

Automatically adjusts insulin to reach targets you set
Will automatically revert to manual mode in certain situations
Combo will suspend insulin if it predicts you're going to go low
Can use sensor trends for dose adjustment
More customizable dosing than pens or syringes
No carb counting required
Software makes most dosing decisions for you
You cannot program any insulin settings (no basal rates, correction factors or carb ratios)
You cannot enter carbohydrates into a bolus calculator or determine the amount of insulin to give for a meal.

Easy to Use Easy to Use

Fewer parts than tubed pumps
Pods need more tape than other infusion sets
Sensor integrated with multiple devices in case you change up what you're using
Rechargeable pump battery
Pump has touchscreen
Very little info required for set up
You cannot change how the iLet is automating insulin delivery.

Fewer Fingersticks Fewer Fingersticks

Factory-calibrated sensor: fingersticks needed for backup only
Factory-calibrated sensor: fingersticks needed for backup only
Factory-calibrated sensor: fingersticks needed for backup only

Privacy Privacy

Alerts
Ability to see blood sugar on phone
Most hideable pump option
Ability to check sugar on phone or watch
Alerts
Touchscreen of pump looks like normal tech device
Ability to bolus directly on compatible smartphone
Lowest profile sensor
Ability to check sugar on phone or watch
Touchscreen of pump looks like normal tech device

Cost & Coverage

Dexcom G6

Dexcom G6

Dexcom G6

Dexcom G6

Dexcom G6

Dexcom G6

Glucose Testing Supplies

Sensors

Transmitter

Receiver (1 time purchase)

Sensors

Transmitter

Receiver (1 time purchase)

Sensors

Transmitter

Receiver (1 time purchase)

Glucose Testing Cost Estimate

Startup $80 to $239

Monthly $35 to $105

These prices vary by Insurance. Many insurers support the G6 Dexcom. It may be covered under durable medical goods or a pharmacy benefit.

Startup $80 to $239

Monthly $35 to $105

These prices vary by Insurance. Many insurers support the G6 Dexcom. It may be covered under durable medical goods or a pharmacy benefit.

Startup $80 to $239

Monthly $35 to $105

These prices vary by Insurance. Many insurers support the G6 Dexcom. It may be covered under durable medical goods or a pharmacy benefit.

Omnipod

Omnipod

Tandem t:slim X2

Tandem t:slim X2

Insulin Dosing Supplies

Pods

Reader

Insulin

Pump

Charger

Insulin Cartridges

Infusion Sites

Insulin Dosing Cost Estimate

Startup $5 to $1260 Monthly

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

Startup $5 to $6,995

Monthly $20 to $200