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Selection Options

Device Details

Patient Considerations

Glucose Monitoring Devices

Dexcom

Dexcom G7

Overview

Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.

Duration and Storage

10 Days
Sensors last 10 days. They are shipped 3 boxes at a time every 3 months – 9 sensors. Works at 50ºF – 108ºF

Vision / Auditory / Dexterity

YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed

Data View Options

Yes
Users must download the Dexcom G7 and Dexcom Clarity apps to view and share data. Both apps provide multiple data views, sharing options, and access through the clinician portal using a code from the user's device. Caregivers can use the Dexcom Follow app to view data. 

Data Monitoring Options

Yes
Automatically and continuously sends data to the user’s Dexcom Clarity web-based cloud which is accessible by clinicians. 

Affordability and Access

$$$$
No insurance coverage data. Provided by DME and/or Pharmacy. 

Overall

Small sensor can be worn in multiple areas.

Avoiding Highs and Lows

Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels. Trend arrows show the direction glucose is heading, with the rate of change. 

Easy to Use

No scanning required. Readings are sent directly to the mobile app every 5 minutes. 

Comfort

Low profile and low maintenance sensor application.

Easy Insulin Dosing

Real-time data and alerts make dose adjustment easier.

Active Lifestyle

Waterproof when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device.  

Fewer Fingersticks

Factory-calibrated sensor. Finger sticks needed for backup only.

Privacy

Quiet Mode (Vibrate). All system alerts will vibrate when this setting is enabled. Urgent Low Soon and technical alerts will sound if not acknowledged.

See Details

Dexcom

Dexcom G6

Overview

Small sensor can be worn in multiple areas.

Duration and Storage

10 Days
Sensors last 10 days, and transmitters last 90 days. They are shipped 3 boxes at a time every 3 months – 9 sensors and 1 transmitter. Works at 50ºF – 108ºF

Vision / Auditory / Dexterity

YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed

Data View Options

Yes
Users must download the Dexcom G6 and Dexcom Clarity apps to view and share data. Both apps provide multiple data views, sharing options, and access through the clinician portal using a code from the user's device. Caregivers can use the Dexcom Follow app to view data. Glooko and Tidepool can also be used to view data. 

Data Monitoring Options

Yes
Automatically and continuously sends data to the user’s Dexcom Clarity web-based cloud which is accessible by clinicians. Data upload is possible with Glooko and Tidepool data-management systems.

Affordability and Access

$$$$
Widely covered. Provided by DME and/or Pharmacy. Price range; $0-$500/month.

Overall

Small sensor can be worn in multiple places under the clothes. 

Avoiding Highs and Lows

Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels. Trend arrows show the direction glucose is heading, with the rate of change. 

Easy to Use

Flexible pump integration. Can be paired with multiple different types of pumps which gives flexibility for how to use the data.

Comfort

Low profile and low maintenance sensor application.

Easy Insulin Dosing

Real-time data and alerts make dose adjustment easier.

Active Lifestyle

Water-resistant when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device.  

Fewer Fingersticks

Factory-calibrated sensor. Finger sticks needed for backup only.

Privacy

Hypoglycemia safety alarm. Discreet but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.

See Details

Abbott

Freestyle Libre 2

Overview

All-in-one glucose sensor/transmitter with low and high blood glucose alarms can be worn on the upper arm.

Duration and Storage

14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.

Vision / Auditory / Dexterity

YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed

Data View Options

Yes
Freestyle Libre 2 app provides glucose readings and alarms, multiple data views, the ability to share glucose data and real-time alarms with LibreLinkUp, and the ability to connect to a clinician's practice through LibreView. 

Data Monitoring Options

Yes
After each sensor scan with the mobile app or reader, data is automatically sent to the user’s LibreView account which enables sharing with HCPs and caregivers via the LibreLinkUp app. Data upload is possible with Glooko and Tidepool data-management systems.

Affordability and Access

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

Overall

All in one sensor/transmitter can be worn in multiple places under the clothes. Sensor does not communicate continuously with the reader; you have to scan the sensor to get a reading.

Avoiding Highs and Lows

Optional glucose alerts for low and high glucose levels. Trend arrows show the direction glucose is heading, with the rate of change. 

Easy to Use

Requires scanning. Self-application and manual scanning are required. Easy self-application.

Comfort

Low profile sensor and small adhesive.

Easy Insulin Dosing

Scanned sensor trends can be used for dose adjustment.

Active Lifestyle

Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity. The reader must be within 1.5 inches of the sensor to scan it. 

Fewer Fingersticks

Factory-calibrated sensor. Finger-sticks needed for backup only. 

Privacy

Hypoglycemia safety alarm. Discreet size but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on. 

See Details

Abbott

Freestyle Libre 3

Overview

Smallest, thinnest, all-in-one glucose sensor/transmitter with low and high blood glucose alarms can be worn on the upper arm.

Duration and Storage

14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.

Vision / Auditory / Dexterity

NO text to speech
YES vibration alerts
A LOT of dexterity needed

Data View Options

Yes
Freestyle Libre 3 app provides glucose readings and alarms, multiple data views, the ability to share glucose data and real-time alarms with LibreLinkUp, and the ability to connect to a clinician's practice through LibreView. 

Data Monitoring Options

Yes
Sensor automatically sends data to the user’s LibreView account which enables sharing with HCPs and caregivers via the LibreLinkUp app. Data upload is possible with Glooko and Tidepool data-management systems.

Affordability and Access

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

Overall

Smallest, thinnest all-in-one sensor/transmitter can be worn in multiple places under the clothes. Sensor does not communicate continuously with the reader; you have to scan the sensor to get a reading.

Avoiding Highs and Lows

Optional glucose alerts for low and high glucose levels. Trend arrows show the direction glucose is heading, with the rate of change. 

Easy to Use

No scanning required. Minute-by-minute readings are sent directly to the mobile app. 

Comfort

Lowest profile sensor and smallest adhesive (about the size of two stacked U.S pennies). 

Easy Insulin Dosing

Sensor trends can be used for dose adjustment.

Active Lifestyle

Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity. 

Fewer Fingersticks

Factory-calibrated sensor. Finger-sticks needed for backup only. 

Privacy

Hypoglycemia safety alarm. Discreet size but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on. 

See Details

Abbott

Freestyle Libre 14 Day

Overview

All-in-one glucose sensor/transmitter can be worn on the upper arm. 

Duration and Storage

14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.

Vision / Auditory / Dexterity

YES text to speech
YES vibration alerts
A LOT of dexterity needed

Data View Options

Yes
Freestyle LibreLink app displays glucose readings directly on the patient's compatible smart device. 

Data Monitoring Options

Yes
Automatic data transfer to LibreView each time Freestyle Libre 2 sensor is scanned. LibreView gives clinicians and users relevant glucose reports. Glooko and Tidepool can also be used to view data. 

Affordability and Access

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

Overall

All-in-one glucose sensor/transmitter can be worn in multiple places under the clothes.

Avoiding Highs and Lows

Alerts are not available. High or low glucose alarms are not available. Trend arrows show the direction glucose is heading, with the rate of change. 

Easy to Use

Requires scanning. Self-application and manual scanning every 8-hours are required. Easy self-application.

Comfort

Lowest profile sensor and smallest adhesive.

Easy Insulin Dosing

Scanned sensor readings can be used for dose adjustment.

Active Lifestyle

Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity. The reader must be within 1.5 inches of the sensor to scan it. 

Fewer Fingersticks

Factory-calibrated sensor. Finger-sticks needed for backup only. 

Privacy

Somewhat discreet. Scanning feature makes it easy to monitor blood glucose levels discreetly. 

See Details

Senseonics

Eversense

Overview

Very small implantable sensor but large transmitter must be worn on top of the skin.

Duration and Storage

180 Days
Sensor lasts 180 days, but a physician must implant it. Transmitter must be charged daily. 

Vision / Auditory / Dexterity

YES text to speech
YES 
vibration alerts
SOME 
dexterity needed

Data View Options

Yes
Eversense mobile app receives and displays data in easy-to-read charts and graphs that can be shared with family and friends through the Eversense NOW app.

Data Monitoring Options

Yes
CGM data can upload automatically to the web-based Eversense data management system (EDMS) from the Eversense mobile app. 

Affordability and Access

$$$$
Sometimes covered. Insertion and removal require a Health Care Provider. Insertion costs $100-$300, and removal costs $100-$400. Sensor and transmitter cost $800-$1400. 

Overall

Tiny sensor is implanted in the upper arm by a health care provider and lasts for 180 days. A transmitter must be worn over the insertion site and charged daily. 

Avoiding Highs and Lows

On-body vibration alerts when blood glucose levels are higher or lower than the set range. Trend arrows show the direction glucose is heading, with the rate of change. 

Easy to Use

Minor procedure. Requires insertion by a physician during a medical visit. 

Comfort

Longest lasting sensor fits comfortably under the skin. Minor procedure is required.

Easy Insulin Dosing

Predictive alerts make insulin dosing easier by tracking high and low trends.

Active Lifestyle

Water-resistant transmitter when submerged in 1 meter of water for up to 30 minutes and must be within 25 feet of the connected smart device.

Fewer Fingersticks

2 daily finger-sticks are needed to calibrate the sensor. 

Privacy

Somewhat discreet. Tiny sensor is implanted under the skin, so the user can be discreet when needed. Ability to see sugar on watch or phone. Sensor not movable on body and requires regular meter use.

See Details

Medtronic

Guardian Connect

Overview

One of the larger sensors, may be cumbersome to wear on some parts of the body under clothes.

Duration and Storage

7 Days
Sensors last 7 days, and transmitter battery needs weekly charging and replacement once a year. Both can be stored between 36°F - 86°F.

Vision / Auditory / Dexterity

YES text to speech
YES 
vibration alerts
A LOT
of dexterity needed

Data View Options

Yes
The Guardian Connect mobile app allows users to view glucose levels, trends, create customizable alerts, and share blood glucose data with family and friends. 

Data Monitoring Options

Yes
CGM data can be linked to a CareLink account and shared with the user's health care team. 

Affordability and Access

$$$$
Sometimes covered. The costs vary depending on individual insurance coverage and how insurance classifies CGMs. Price range $0-$600/month.

Overall

Small sensor can be worn on the upper arm or abdomen for 7 days, and data can be viewed on a smartphone with the Medtronic app as a receiver.

Avoiding Highs and Lows

Measures sensor glucose 24/7 and sends alerts when a high or low is detected. Trend arrows show the direction glucose is heading, with the rate of change. 

Easy to Use

Rechargeable sensor transmitter but has the most steps to change sensor.

Comfort

More tape is needed for Medtronic sensors.

Easy Insulin Dosing

Sensor trends can be used for dose adjustment.

Active Lifestyle

Waterproof transmitter when submerged in up to 2.5 meters of water for 30 minutes and must be within 20 feet of a connected mobile device.  

Fewer Fingersticks

2 daily finger-sticks are needed to calibrate the sensor.

Privacy

Somewhat discreet. Ability to see sugar on watch or phone. Sensor requires regular meter use.

See Details

Meter

Overview

Good to have. Tried and true. Backup or day to day. Finger-sticks required.

Duration and Storage

Daily
Meters can last several years with battery changes/charging, they're used daily and work between 65ºF-86°F

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts
A LOT of dexterity needed

Data View Options

Yes
Data may be viewed directly on the device. Some meters contain a built-in USB connection that allows information to be uploaded to a data management system. 

Data Monitoring Options

Limited Options
Data is available directly on the device. Some meters may be compatible with the Tidepool data management system. 

Affordability and Access

$$$$
Most accessible. Available over the counter at all Pharmacies. Price range; $0-$200/month depending on insurance coverage.

Overall

Standard portable blood glucose meter measures glucose levels using a small sample of blood from the fingertip.

Avoiding Highs and Lows

Less data. Meters don't give as much blood sugar data as sensors do and require a high level of engagement and effort to avoid highs and lows.

Easy to Use

Large display. Device typically has large display numbers for easier readouts, and it's very simple to operate.

Comfort

Meter supplies carried and requires visible blood.

Easy Insulin Dosing

Limited features. No info on blood sugar trends.

Active Lifestyle

Must pause activity to check blood sugar.

Fewer Fingersticks

Frequent fingersticks are unavoidable.

Privacy

No attached device for blood glucose monitoring. 

See Details

Insulin Delivery Devices

Tandem

Tandem t:slim X2

Overview

Smallest tubed pump. Modern interface resembles a smartphone but tubing may be visible. 

Duration and Storage

3 Days
Pump can be worn for up to 72 hours and works between 40°F - 99°F

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT 
of dexterity needed

Data View Options

Yes
Data is viewed on the pump's main screen and/or on a smartphone with the t:connect mobile app (available for both iOS and Android devices).

Data Monitoring Options

Yes
t:connect mobile app wirelessly uploads cloud-based t:connect web application delivering access to recent patient data.

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies and pump provided by DME. Price range; $0-$4000 to start and $0-$300/Month.

Overall

The Tandem t:slim X2 is compatible with the Dexcom G6 and uses Control IQ technology to increase or decreased insulin based on your blood sugar trends.

Avoiding Highs and Lows

Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.

Easy to Use

Rechargeable. Pump has a touch screen display and rechargeable battery. 

Comfort

Smallest tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from. 

Easy Insulin Dosing

Customizable dosing. Bolus calculator available to help figure out doses. Offers smallest increments of basal insulin delivery. Basal in 0.001 increments, bolus in 0.01 increments.

Active Lifestyle

Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof. 

Fewer Fingersticks

Frequent finger-sticks are required. 

Privacy

Discreet. Smallest tubed pump with visible tubing. Ability to bolus directly on a compatible smartphone. Can be clipped to clothing or placed in a pocket to be discreet when needed. Touchscreen of pump looks like normal tech device.

See Details

Insulet

Omnipod

Overview

This is a discreet pump option without tubing but will require a controller to dose. 

Duration and Storage

3 Days
Pod can be worn for up to 72 hours and work from 41ºF – 104ºF.

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts 
A LOT
of dexterity needed

Data View Options

No Options 

Data Monitoring Options

Yes
Pump data can be accessed by clinicians on Diasend by Glooko.

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Pump can be provided by pharmacy or DME. Price range; 0-$200/month.

Overall

The Omnipod Eros is a tubeless pump. It can be worn on the abdomen, upper thigh, lower back, or the back of the upper arm. This pump is one of few that is entirely waterproof.

Avoiding Highs and Lows

Personalized dosing. Pods can deliver personalized doses of rapid-acting insulin based on the rates programmed into the Personal Diabetes Manager (PDM) device. The ability to set zero basal rates is not available. 

Easy to Use

Fewer parts. The PDM has button navigation. Pod has fewer parts than tubed pumps.

Comfort

Free of tubing. Pods do not have tubes like traditional insulin pumps, allowing for more freedom of movement.

Easy Insulin Dosing

Customizable dosing. Basal and Bolus in 0.05 increments. No interruption in insulin delivery (pods stay on during bathing and swimming). 

Active Lifestyle

WaterproofPod is waterproof for up to 25 feet deep for 60 minutes. The PDM is not waterproof and must be charged daily. 

Fewer Fingersticks

Frequent finger-sticks are required. 

Privacy

Somewhat discreet. The pod attaches directly to the body with no tubing, but the pod is bigger than an infusion set. Pod does not have vibrate option.

See Details

Insulet

Omnipod Dash

Overview

This system includes a wearable, tubeless insulin Pod that's controlled by a smartphone-like Personal Diabetes Manager (PDM). 

Duration and Storage

3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pods can be used for up to 72 hrs and work from 41ºF – 104ºF.

Vision / Auditory / Dexterity

NO text to speech
NO vibration alerts
A LOT of dexterity needed

Data View Options

Yes
The Omnipod DISPLAY app displays real-time data for the patient. The Omnipod VIEW app allows family and friends to view data for up to 12 Omnipod users. (iPhone compatible only)

Data Monitoring Options

Yes
Omnipod data can be accessed by clinicians on Diasend by Glooko.

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by Pharmacy and/or DME suppliers. Price range; $5-$1260 to start and 0-$200/month. Touch-screen controller available in the starter kit at no additional cost.

Overall

Omnipod is the only tubeless pump option. This paired with the G6 is a common choice for active people.

Avoiding Highs and Lows

Personalized dosing. Pods can deliver personalized doses of rapid-acting insulin based on the rates programmed into the Personal Diabetes Manager (PDM) device to avoid highs and the ability to set zero basal rates to avoid lows. 

Easy to Use

Fewer components. Pod has fewer components to deal with than other pumps and a touchscreen controller. 

Comfort

Low profile & no tubing. Low profile sensor and Omnipod has no tubing but may require more adhesive on the body than other pumps.

Easy Insulin Dosing

Manually adjusting dosing. Omnipod DASH System allows the user to manually input their blood glucose (BG) readings from any BGM or CGM device of their choice. Basal and bolus in 0.05 increments.

Active Lifestyle

Waterproof. The pod is waterproof, tubeless, and can be worn for most exercises. The PDM is not waterproof and must be charged daily. Data monitoring allows others to track blood sugar remotely. 

Fewer Fingersticks

Frequent finger-sticks are required. 

Privacy

Discreet. Sensor allows for checking blood glucose on phone/smartwatch. The pod is the most discreet pump option but requires a visible controller to bolus.

See Details

Medtronic

Medtronic 630G/770G

Overview

Largest pump on the list, requires tubing which may be visible.

Duration and Storage

3 Days
Infusion site and pump reservoir last up to 72 hours and works between 40ºF - 104ºF.

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT of dexterity needed

Data View Options

Yes
Data is viewed on the pump's main screen.

Data Monitoring Options

Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software. 

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy or DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.

Overall

The Medtronic Minimed 670G is the first pump to offer closed-loop capabilities. It works with the Medtronic Guardian sensor to increase or decrease insulin based on your blood sugar trends.

Avoiding Highs and Lows

Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.

Easy to Use

Battery required. Pump has button navigation and requires AA battery. 

Comfort

Largest tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from. 

Easy Insulin Dosing

Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.025 increments. 

Active Lifestyle

Exercise modeOptional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof. 

Fewer Fingersticks

Frequent finger-sticks are required. 

Privacy

Somewhat discreet. Largest pump with visible tubing. Can be clipped to clothing or placed in a pocket to be discreet when needed.

See Details

Medtronic

Medtronic InPen

Overview

Discreet and modern option for people using multiple daily injections. 

Duration and Storage

12-month pen 7-day sensor 
Sensor lasts for 7 days, insulin pen lasts for up to 12 months with refillable cartridges, transmitter is rechargeable. Sensor can be stored between 36°F - 86°F and pens can be kept at room temperature.

Vision / Auditory / Dexterity

NO text to speech
NO vibration alerts
A LOT of dexterity needed

Data View Options

Yes
Data can be viewed on the InPen mobile app with dosage recommendations, glucose readings, and glucose trends.

Data Monitoring Options

Yes
Data can be easily shared with a healthcare provider or family members directly through the InPen app. 

Affordability and Access

$$$$
Widely covered. InPen is covered by many insurance companies, typically users pay $50-$60 out-of-pocket copays for the one-year device. Prices range from $0- $549. For those without any insurance coverage, the pen's full price is $549.

Overall

Discrete and modern option for people using multiple daily injections. 

Avoiding Highs and Lows

Limited customizability. System integrates the Guardian Connect CGM for high or low alerts but requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day. 

Easy to Use

Simple design. Replaces regular insulin pen. No additional devices to add on. 

Comfort

Many components. Have to carry InPen and pen needles. CGM is attached to the body and requires more tape than other sensors. 

Easy Insulin Dosing

Dosing recommendations. Displays dosing recommendations and reminders for long-acting insulin. 

Active Lifestyle

Light on body. Pens are easy to use and do not remain attached to the body, sensor is waterproof. 

Fewer Fingersticks

2 daily finger-sticks are needed to calibrate the sensor. 

Privacy

Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone. 

See Details

Bigfoot

Bigfoot Unity

Overview

Smart cap used for most disposable insulin pens with CGM integration. 

Duration and Storage

28-day pen 14-day sensor 
Sensor lasts for 14 days, insulin pen lasts for up to 28 days, smart cap is rechargeable. Sensor works between 50ºF - 113ºF and pens can be kept at room temperature for up to 28 days. 

Vision / Auditory / Dexterity

NO text to speech
NO vibration alerts
A LOT of dexterity needed 

Data View Options

Yes
Data can be viewed on the Bigfoot Unity mobile app but dosage recommendations, glucose readings, and glucose trends will display directly on the smart cap.

Data Monitoring Options

Yes
Data from the iCGM and time-of-dose data from the smart caps are automatically uploaded to the cloud.

Affordability and Access

$$$$
Monthly mail-order package includes all the supplies needed, for a regular subscription price or insurance-covered copay with no upfront costs. 

Overall

Discrete option for people using multiple daily injections. White caps are available for bolus (rapid-acting) pens, and black caps are available for basal (long-acting) pens. 

Avoiding Highs and Lows

Limited customizability. System integrates the FreeStyle Libre 2 CGM for high/low alerts but requires manual dose adjustment and limits the ability to adjust basal insulin throughout the day. 

Easy to Use

Simple design. One-button device with easy to read display.

Comfort

Many components. Have to carry pens, smart caps, pen needles, and CGM is attached to the body. 

Easy Insulin Dosing

Dosing recommendations. Displays dosing recommendations and reminders for long-acting insulin. 

Active Lifestyle

Light on body. Pens are easy to use and do not remain attached to the body, senor is light on the body.

Fewer Fingersticks

Factory-calibrated sensor. Finger sticks needed for backup only. 

Privacy

Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. Sensor is the smallest option available. 

See Details

Insulin Pen

Overview

Nothing on the body when not in use. Noticeable when dosing. 

Duration and Storage

28 Days 
Can be kept at room temperature (not above 80º F) when in use for 28 days. Unopened insulin pens should be stored in the refrigerator (36ºF - 46ºF).

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts
A LOT
of dexterity needed

Data View Options

No Options

Data Monitoring Options

No Options

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Price range; 0-$1260/month depending on insurance coverage. 

Overall

Insulin pens make insulin delivery more convenient than traditional vial/syringe options by combining the medication and syringe in one unit.

Avoiding Highs and Lows

Limited customizability. Pens require manual dose adjustment and limit the ability to adjust basal insulin throughout the day. 

Easy to Use

Simple but many steps. Attach a new needle, dial the correct dose, inject, and dispose of needle. 

Comfort

Many components. Have to carry pen and pen needles but nothing attached to the body. 

Easy Insulin Dosing

More precise than syringes. Ability to measure doses using a dial, increasing accuracy. 

Active Lifestyle

No attachments to the body. Insulin pens are easy to use and do not remain attached to the body, allowing for a flexible and active lifestyle. 

Fewer Fingersticks

Frequent finger-sticks are required. 

Privacy

Hideable. Pens can be hidden when not in use but visible when in use. Frequent injections are unavoidable. 

See Details

MannKind

Afrezza

Overview

Nothing on the body when not in use. Visible when dosing. 

Duration and Storage

10 Days
Open cartridges last up to 10 days. Sealed cartridges may be stored in a refrigerator at 36°F - 46°F until the expiration date.

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts
A LOT
of dexterity needed

Data View Options

No Options

Data Monitoring Options

No Options

Affordability and Access

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

Overall

Inhalable regular human insulin. Cartridges come in 4, 8, and 12-unit doses.

Avoiding Highs and Lows

Very short-acting. Absorbs quickly through the lungs to correct high blood sugar but requires attention to prevent lows. 

Easy to Use

Simple design. Whistle-like device for inhaling insulin.

Comfort

Many components. Have to carry multiple cartridges that can be bulky. 

Easy Insulin Dosing

Less precise. Dosing may be less precise due to inhaled method of dosing but color-coded cartridges make dosing easier. 

Active Lifestyle

Body free of devices. Does not remain attached to the body.

Fewer Fingersticks

Frequent finger-sticks are required. 

Privacy

Hideable. Small, discreet, and portable device that's not as noticeable as injections. 

See Details

CeQur

CeQur Simplicity Patch

Overview

Convenient, discreet, and simple to use. 

Duration and Storage

3 Days
Patch can be worn for up to 72 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts
A LOT 
of dexterity needed

Data View Options

No Options

Data Monitoring Options

No Options

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies provided by DME or pharmacy. Price range; $0-$500/Month. When covered, most patients have a co-pay of $50 or less a month. Insurance plans and pharmacy benefits may vary.

Overall

Convenient, discreet, and simple to use. 

Avoiding Highs and Lows

Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day. 

Easy to Use

Simple with few steps. Patch is replaced every 3 days with insulin administered at the click of a button. 

Comfort

Free of tubing. Patches do not have tubing and they're less bulky than traditional insulin pumps but it must be worn in areas that are easy to reach for insulin dosing. 

Easy Insulin Dosing

Easy to Use. Squeezing the buttons on either side of the device delivers insulin in two-unit increments for dosing insulin for meals and correction. 

Active Lifestyle

Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly, but the device is water resistant. 

Fewer Fingersticks

Frequent finger-sticks are required.

Privacy

Hideable. Thinnest and lightest patch pump that's not as noticeable as injections. 

See Details

MannKind

V-Go Patch

Overview

Convenient, discreet, and simple use. 

Duration and Storage

24-Hours 
Patch can be worn for up to 24 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.

Vision / Auditory / Dexterity

NO text to speech
NO vibration alerts
A LOT of dexterity needed

Data View Options

No Options

Data Monitoring Options

No Options

Affordability and Access

$$$$
Widely covered for insulin-dependent type 2. Supplies provided by DME or pharmacy. Price range; $0-$250/Month.

Overall
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Avoiding Highs and Lows

Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day. 

Easy to Use

Simple with few steps. Patch is replaced every 24-hours with insulin administered at the click of a button. 

Comfort

Free of tubing. Patches do not have tubing, but it must be worn in areas that are easy to reach for insulin dosing. 

Easy Insulin Dosing

Simple with few steps. 24-hour bolus range: up to 36 units per 24 hours, doses in 2-unit increments. Preset basal rate of 20, 30, or 40 units per 24 hours.

Active Lifestyle

Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly, but the device is water-resistant. 

Fewer Fingersticks

Frequent finger-sticks are required.

Privacy

Hideable. Bulkier patch pump, but not as noticeable as injections. Bolus button can be used discreetly through clothing.

See Details

Insulet

Omnipod GO Patch

Overview

Convenient, waterproof, and simple to use.

Duration and Storage

72-Hours 
Patch can be worn for up to 72 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.

Vision / Auditory / Dexterity

NO text to speech
NO vibration alerts
A LOT of dexterity needed

Data View Options

No Options

Data Monitoring Options

No Options

Affordability and Access

$$$$
Widely covered for insulin-dependent 2. Supplies provided by DME or pharmacy. Price range; $33-$46/unit.

Overall
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Avoiding Highs and Lows

Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day. 

Easy to Use

Simple with few steps. Patch is replaced every 72-hours with a fixed rate of continuous rapid-acting insulin. 

Comfort

Free of tubing. Patches do not have tubing.

Easy Insulin Dosing

Modifiable. The pod is available in seven different pre-programmed daily rates, ranging between ten and 40 units a day.

Active Lifestyle

Tubeless and waterproof pod. No way to adjust long-acting insulin for higher activity on the fly, but the device is tubeless and waterproof. 

Fewer Fingersticks

Frequent finger-sticks are required.

Privacy

Hideable. Bulkier patch pump, but not as noticeable as injections. 

See Details

Syringe and Vial

Overview

Nothing on the body when not in use but very visible when dosing. 

Duration and Storage

28 Days 
Open vials can be stored at room temperature (not above 80º F) for up to 28 days. Unopened vials should be stored in the refrigerator (36ºF - 86ºF.) 

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts
A LOT
 dexterity for insertion

Data View Options

No Options

Data Monitoring Options

No Options

Affordability and Access

$$$$
Syringes are available worldwide in pharmacies or DME without prescription. Price Range: $0-$300/month depending on insurance coverage.

Overall

Traditional syringe and needle. The most affordable insulin delivery option. 

Avoiding Highs and Lows

Limited customizability. Requires a high level of engagement and effort to avoid highs and lows but can be paired with a CGM for improved blood sugar control. 

Easy to Use

Many steps. Requires effort to figure out doses and deliver insulin every single time you need it.

Comfort

Many components. Must carry insulin vials and large syringes but nothing attached to the body. 

Easy Insulin Dosing

Requires attention. You have to do the math to figure out your dose. Unable to adjust basal in real-time.

Active Lifestyle

Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly.

Fewer Fingersticks

Frequent finger-sticks are required. 

Privacy

Hideable. Vials and syringes can be hidden when not in use but very visible when in use. Frequent injections are unavoidable.

See Details

Automated Systems (AID) Devices

Medtronic 780G

Medtronic

Medtronic 780G

Medtronic

Guardian 4

Overview

This system is integrated and has a customizable settings. Many providers are familiar with Medtronic products. 

Duration and Storage

7-day pump 7-day sensor
Sensors last 7 days, transmitter needs weekly charging, store between 36 °F - 86 °F. Pump can be used for up to 7 days with the extended infusion set and works between 40ºF - 104ºF. 

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT 
of dexterity needed

Data View Options

Yes
Data is viewed on compatible smart devices through the MiniMed Mobile App. You can download and view pump or CGM data on CareLink.

Data Monitoring Options

Yes
CareLink connect is available for care partners with up to five people who can follow a pump user and receive high and low notifications to help keep everyone in the loop.

Affordability and Access

$$$$
Coverage information is not yet available. Price range; $0-10,769 to start and $0-$300/Month. Price range varies depending on insurance coverage. 

 

Overall

The Medtronic 780G hybrid closed loop system adjusts basal insulin levels up and down based on predicted glucose levels using the Guardian 4 CGM. 

Avoiding Highs and Lows

Customizable auto-bolus. Auto-correct bolus corrects highs if carb counts are miscalculated or bolus is occasionally missed. The system aims to maintain a target blood glucose level between 100 mg/dL and 120 mg/dL depending on personalized target glucose settings. Auto-bolus is available every 5 minutes to correct blood sugar between 100 mg/dL and 120 mg/dL (12 corrections per hour). Automatic insulin delivery settings are adjustable.

Easy to Use

Easy software. Software makes many dosing decisions. Can be difficult to keep automatic insulin dosing features working. Requires fewer parts than do-it-yourself systems.

Comfort

Somewhat comfortable. Medtronic sensors need more tape than other sensors. Largest pump option. 

Easy Insulin Dosing

Automatically adjusts settings. Automatically adjusts insulin to reach personalized target between 100 mg/dL and 120 mg/dL. Will automatically revert to manual mode in certain situations. Basal and bolus in 0.025 increments. Extended bolus unavailable when using automated insulin delivery mode. 

Active Lifestyle

Exercise mode. Manually increase blood sugar target range to 150 mg/dl during activity. System responds to blood sugar changes during activity automatically. Pump is not waterproof.

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Somewhat discrete. Ability to check blood sugar on phone or watch. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed. 

See Details

Tandem Mobi

Tandem

Tandem Mobi

Dexcom

Dexcom G6

Overview

Tandem Mobi is the smallest insulin delivery system to be fully controlled by a smartphone.

Duration and Storage

3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pump can be used for up to 72 hrs, battery life lasts five days with the use of CGM, and work between 40°F - 99°F. Pump supports wireless charging.

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT 
of dexterity needed

Data View Options

Yes
Data can be viewed directly on the pump screen or on the t:connect mobile app (available for both iOS and Android devices).

Data Monitoring Options

Yes
The t:connect mobile app for the t:slim X2 pump wirelessly uploads pump and CGM data to the cloud-based t:connect web application.

Affordability and Access

$$$$
Pump coverage is not yet available. Sensor is widely covered and provided by DME and/or Pharmacy. Sensor price range; $0-$500/month.

Overall

Tandem Mobi is the smallest insulin delivery system to be fully controlled by a smartphone.

Avoiding Highs and Lows

Auto basal and bolus insulin. Responds to CGM data by increasing or decreasing basal insulin delivery to prevent highs and lows and maintain a set blood glucose target. 

Easy to Use

Easy Dosing. Full control from a smartphone, with the option to manually bolus if needed.

Comfort

Shorter tubing option. A shorter 5-inch tubing option for comfort on body. 

Easy Insulin Dosing

Automatically adjusts dosing. Sensor integration allows the pump to automatically adjust insulin doses. More customizable dosing than pens or syringes. Manual bolus button is available for quick dosing without a phone. 

Active Lifestyle

Waterproof. The pump and CGM are waterproof and can be worn for most exercises.

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Discreet. Ability to check blood sugar on phone or watch. Ability to bolus on a compatible smartphone. Pump has tubing but can be clipped to clothing or attached to local area with an armband or adhesive sleeve to be discreet when needed. Dexcom's built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.

See Details

Beta Bionics iLet

Beta Bionics

iLet

Dexcom

Dexcom G6

Overview

This system does not require carb counting and only requires the user to input weight, glucose targets, and details about the meal.

Duration and Storage

3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pump can be used for up to 72 hrs, battery life lasts five days with the use of CGM, and work between 36°F (2°C) to 86°F (30°C).

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT 
of dexterity needed

Data View Options

Yes
Data is viewed on compatible smart devices through the iLet Mobile App. You can download and view pump or CGM data on Beta Bionics Cloud.

Data Monitoring Options

Yes
iLet
Mobile App provides the ability to pull data from an iLet device to share with the Beta Bionics Cloud.

Affordability and Access

$$$$
Pump coverage is not yet available. Sensor is widely covered and provided by DME and/or Pharmacy. Sensor price range; $0-$500/month.

Overall

This system requires the wearer to only input weight to start and whether their meal was low, medium, or high in carbohydrates. Over time, the algorithm adjusts to the user.

Avoiding Highs and Lows

Auto basal and bolus insulin. Responds to CGM data by increasing or decreasing basal insulin delivery to prevent highs and lows and maintain a target blood glucose. Bolus correction controller is available to correct high blood sugar.

Easy to Use

Easiest to Use. User weight is the only input required to start using the insulin pump. No carb counting. No correction factor. No insulin to carb ratio. No basal rate. 

Comfort

Low profile. Low profile/low maintenance sensor. Small tubed pump with many infusion sets to pick from.

Easy Insulin Dosing

Meal announcement controller. No carb counting required. User is required to “announce” a meal to the system or tell the iLet they are having a meal. Algorithm will then figure out how much insulin is needed and adapt as the system is used more. Maxiumim insulin meal doses are 24 U.

Active Lifestyle

No exercise mode. Pump will continue to increase or decrease insulin dosing in response to changing CGM glucose levels as usual. Pump is water resistant for up to 12 feet for 30 minutes.

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Discreet. Ability to check blood sugar on phone or watch. Minimal pump interaction is required. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed. Dexcom's built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.

See Details

Tidepool Loop

Tidepool

Tidepool

Overview

Tidepool Loop is the first fully interoperable automated insulin dosing app that originated as a patient-led initiative.

Duration and Storage

Pump and CGM information not yet available. 

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts
A LOT 
of dexterity needed

Data View Options

Yes
Data can be viewed on an iPhone. 

Data Monitoring Options

Yes
Compatible with Tidepool - a web-based diabetes data management system. 

Affordability and Access

$$$$
Pump and CGM supply information is not yet available. iPhone is not covered and must be set up independently.

Overall

Tidepool Loop is the first fully interoperable automated insulin dosing app that originated as a patient-led initiative.

Avoiding Highs and Lows

Automatically adjusts insulin delivery. Increases or decreases insulin delivery to meet glucose targets. Insulin delivery settings can be aggressive or conservative.

Easy to Use

Easy dosing. Software makes most dosing decisions easy to do on the fly.

Comfort

Low-profile mobile app. Dosing and other adjustments can be done directly on the mobile app. 

Easy Insulin Dosing

Customizable. Can bolus from phone or smartwatch and all settings are expected to be customizable. More information on modifications to insulin delivery will be available soon. 

Active Lifestyle

Automatic responses. Can set custom blood sugar targets and insulin and carb sensitivities based on type of activity. App automatically responds to blood sugar changes during activity.

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Discreet. Ability to give insulin via watch or phone. Ability to check sugar on phone or watch. Alerts available.

See Details

Control IQ with Freestyle Libre

Tandem

Tandem t:slim X2

Abbott

Libre 2 Plus

Overview

The system automatically adjusts insulin levels from the Tandem t:slim X2 pump based on the Libre 2 Plus readings for more time in range.

Duration and Storage

3-day pump 15-day sensor
Sensors last 14 days, and transmitters last 90 and work at 50ºF - 113ºF. Pump can be used for up to 72 hrs, battery life lasts five days with the use of CGM, and work between 40°F - 99°F. 

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT
of dexterity needed

Data View Options

Yes
Data can be viewed directly on the pump screen or on the t:connect mobile app (available for both iOS and Android devices).

Data Monitoring Options

Yes
The t:connect mobile app for the t:slim X2 pump wirelessly uploads pump and CGM data to the cloud-based t:connect web application.

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by DME suppliers. Price range; $5-$6,995 to start and $0-$200/month.

Overall

The system automatically adjusts insulin levels from the Tandem t:slim X2 pump based on the Libre 2 Plus readings for more time in range.

Avoiding Highs and Lows

Auto basal and bolus insulin. Responds to CGM data by increasing or decreasing basal insulin delivery to prevent highs and lows and maintain a target blood glucose of 110 mg/dl. Auto-bolus is available once per hour to correct blood sugar above 180 mg/dl.

Easy to Use

Modern & no scanning required. Rechargeable and touchscreen pump. Sensor does not require scanning and sends minute-by-minute readings directly to the pump.

Comfort

Low profile. Low profile/low maintenance sensor. Small tubed pump with the most infusion sets to pick from.

Easy Insulin Dosing

Automatically adjusts dosing. Sensor integration allows for the pump to automatically adjust insulin doses. More customizable dosing than pens or syringes. Basal in 0.001 increments, bolus in 0.01 increments. Extended bolus available.

Active Lifestyle

Exercise mode. Can manually increase target range to 140-160 mg/dl. Pump is not waterproof. CGM is waterproof. 

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Discreet. Ability to check blood sugar on phone or watch. Ability to bolus on a compatible smartphone. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed. CGM has a built-in hypoglycemia safety alarm that alerts users when glucose is below 55 mg/dl and is always on. 

See Details

Control IQ with Dexcom

Tandem

Tandem t:slim X2

Dexcom

Dexcom G6/G7

Overview

The system automatically adjusts insulin levels from the Tandem t:slim X2 pump based on the Dexcom G6 or G7 readings for more time in range. 

Duration and Storage

3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pump can be used for up to 72 hrs, battery life lasts five days with the use of CGM, and work between 40°F - 99°F. 

*CGM transmitter is only required for the Dexcom G6 model. 

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT
of dexterity needed

Data View Options

Yes
Data can be viewed directly on the pump screen or on the t:connect mobile app (available for both iOS and Android devices).

Data Monitoring Options

Yes
The t:connect mobile app for the t:slim X2 pump wirelessly uploads pump and CGM data to the cloud-based t:connect web application.

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by DME suppliers. Price range; $5-$6,995 to start and $0-$200/month.

Overall

The Tandem and Dexcom G6 can be connected, so you have one less thing to carry. Also, Tandem has a program called Control IQ that works with the Dexcom G6 to reduce your basal when it expects a low or increase your basal when it expects a high blood sugar. Control IQ also gives automatic correction doses when needed.

Avoiding Highs and Lows

Auto basal and bolus insulin. Responds to CGM data by increasing or decreasing basal insulin delivery to prevent highs and lows and maintain a target blood glucose of 110 mg/dl. Auto-bolus is available once per hour to correct blood sugar above 180 mg/dl.

Easy to Use

Modern & flexible. Rechargeable and touchscreen pump. Sensor integrated with multiple devices in case you change up what you're using. 

Comfort

Low profile. Low profile/low maintenance sensor. Small tubed pump with the most infusion sets to pick from.

Easy Insulin Dosing

Automatically adjusts dosing. Sensor integration allows for the pump to automatically adjust insulin doses. More customizable dosing than pens or syringes. Basal in 0.001 increments, bolus in 0.01 increments. Extended bolus available.

Active Lifestyle

Exercise mode. Can manually increase target range to 140-160 mg/dl. Pump is not waterproof. CGM is waterproof. 

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Discreet. Ability to check blood sugar on phone or watch. Ability to bolus on a compatible smartphone. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed. Dexcom's built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.

See Details

Omnipod 5

Insulet

Omnipod 5

Dexcom

Dexcom G6

Overview

This system includes a wearable, tubeless insulin Pod controlled by the Omnipod App on a compatible smartphone or a smartphone-like Personal Diabetes Manager (PDM).

Duration and Storage

3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pods can be used for up to 72 hrs and work from 41ºF – 104ºF.

Vision / Auditory / Dexterity

NO text to speech
YES vibration alerts
A LOT of dexterity needed

Data View Options

Yes
Dexcom sensors permit remote monitoring. The Omnipod DISPLAY app displays real-time data for the patient. The Omnipod VIEW app allows family and friends to view data for up to 12 Omnipod users. (iPhone compatible only).

Data Monitoring Options

Yes
Dexcom Clarity provides multiple data views and access through the CLARITY Clinician Portal Omnipod data can be accessed by clinicians on Diasend by Glooko.

Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by Pharmacy and/or DME suppliers. Projected price range; $5-$1260 to start and 0-$200/month.
Overall

Discrete and modern option for people using multiple daily injections. 

Avoiding Highs and Lows

Auto-basal feature adjusts insulin delivery every 5-minutes based on Dexcom CGM trends to maintain a target blood glucose between 110 mg/dl and 150 mg/dl. This system does not give auto-bolus correction. 

Easy to Use

Fewer components. Pod has fewer components to deal with than other pumps.

Comfort

Low profile & no tubing. Low profile sensor and Omnipod has no tubing but may require more adhesive on the body than other pumps.

Easy Insulin Dosing

Automatically adjusts dosing. Sensor trends feed into Pods' customizable dose adjustments and there are no interruptions in insulin delivery. Basal and bolus in 0.05 increments. Extended bolus unavailable when using automated insulin delivery mode. 

Active Lifestyle

Exercise mode and waterproof. Can manually increase target to 150 mg/dl and suspend insulin delivery during exercise. Fully waterproof, tubeless, and can be worn for most exercises. 

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Discreet. Sensor allows for checking blood glucose on phone/smartwatch. Most discreet pump option with no visible controller required if using an Android smartphone.

See Details

Medtronic 770G

Medtronic

Medtronic 770G

Medtronic

Guardian 3

Overview

This system is integrated and has a few different settings. Many providers are familiar with Medtronic products. 

Duration and Storage

3-day pump 7-day sensor
Sensors last 7 days, transmitter needs weekly charging, store between 36 °F - 86 °F. Pump can be used for up to 72 hours and works between 40ºF - 104ºF.

Vision / Auditory / Dexterity

NO text to speech
YES 
vibration alerts
A LOT 
of dexterity needed

Data View Options

Yes
Guardian sensor data is viewed on the pump's main screen. You can download and view pump or CGM data on CareLink.

Data Monitoring Options

Yes
CareLink connect is available for care partners with up to five people who can follow a pump user and receive high and low notifications to help keep everyone in the loop.

Affordability and Access

$$$$
Widely covered for insulin-dependent type 1 and 2. Sensor and pump provided by DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.

Overall

The Medtronic 770G hybrid closed loop system adjusts basal insulin levels up and down based on predicted glucose levels using the Guardian 3 CGM.

Avoiding Highs and Lows

Limited auto-basal. Auto-basal only responds to hyperglycemia to maintain a target blood glucose level between 100 mg/dl and 120 mg/dl. Auto-basal is available every 5-minutes to correct blood sugar above 120 mg/dl (12 corrections per hour). Automatic insulin delivery settings are not adjustable. Auto-bolus is not available. 

Easy to Use

Easy software. Software makes many dosing decisions. Can be difficult to keep automatic insulin dosing features working. Requires fewer parts than do-it-yourself systems.

Comfort

Somewhat comfortable. Medtronic sensors need more tape than other sensors. Largest pump option. 

Easy Insulin Dosing

Automatically adjusts settings. Automatically adjusts insulin to reach one of two preset targets. Will automatically revert to manual mode in certain situations. Basal and bolus in 0.025 increments. Extended bolus unavailable when using automated insulin delivery mode. 

Active Lifestyle

Exercise mode. Manually increase blood sugar target range to 150 mg/dl during activity. System responds to blood sugar changes during activity automatically. Pump is not waterproof.

Fewer Fingersticks

2 daily fingersticks are needed to calibrate the sensor.

Privacy

Somewhat discrete. Ability to check blood sugar on phone or watch. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed. 

See Details

DIY Loop

Insulet

Omnipod

Dexcom

Dexcom G6

Overview

This is a DIY (do-it-yourself) system that needs significant setup. It has the most flexibility in settings and device options. It also depends on a third device called a "Riley Link" to communicate between sensor, phone, and pump. 

Duration and Storage

3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90, and work at 50ºF – 108ºF. Pods or pump reservoirs last for up to 72 hrs and work from 40ºF – 104ºF.

Vision / Auditory / Dexterity

NO text to speech
NO 
vibration alerts
A LOT
of dexterity needed

Data View Options

Yes
Data can be viewed on an iPhone. 

Data Monitoring Options

Yes
Compatible with Tidepool - a web-based diabetes data management system. 

Affordability and Access

$$$$
Supplies can be covered for Omnipod or Medtronic pumps and Dexcom. Price range; $0-$8,574 to start and 0-$300/month. iPhone, app, and Riley link are not covered and must be set up independently. Riley link price range; $135-$165.

Overall

Loop is a DIY (do-it-yourself) system. It takes some work to set up but allows patients to think about diabetes less by automating basal insulin delivery based on predicted glucose levels.

Avoiding Highs and Lows

Automatically adjusts insulin delivery. Increases or decreases insulin delivery to meet glucose targets. Insulin delivery settings can be aggressive or conservative.

Easy to Use

Difficult set-up but easy to use. Software makes most dosing decisions. Requires many parts. Can be difficult to set up. 

Comfort

Low-profile but extra device. Low profile/low maintenance sensor. The RileyLink is an extra device that must be carried.

Easy Insulin Dosing

All settings are completely customizable. Can bolus from phone or smartwatch. Can operate “open-loop” where the user must enact insulin delivery based on recommendations or “closed-loop” where modifications to insulin delivery are automatically delivered.

Active Lifestyle

Automatic responses. Can set custom blood sugar targets and insulin and carb sensitivities based on type of activity. App automatically responds to blood sugar changes during activity. *Medtronic option is not waterproof. Omnipod option is fully waterproof. 

Fewer Fingersticks

Factory-calibrated sensor. Fingersticks needed for backup only.

Privacy

Discreet. Ability to give insulin via watch or phone. Ability to check sugar on phone or watch. Alerts available. *Medtronic pump has tubing. Omnipod is most hideable pump option (no tubes or separate controller needed).

See Details