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Select Device Freestyle Lingo Freestyle Libre 3 Freestyle Libre 2 Freestyle Libre 14 Day Dexcom G7 Dexcom G6 Dexcom Stelo Guardian Connect Medtronic Simplera Eversense Meter Omnipod Omnipod Dash Medtronic 780G Medtronic 630G Tandem t:slim X2 Bigfoot Unity Medtronic InPen Tempo Pen NovoPen 6/NovoPen Echo Insulin Pen Afrezza CeQur Simplicity Patch V-Go Patch Omnipod GO Patch Syringe and Vial Beta Bionics iLet Pancreas Control IQ with Dexcom Control IQ with Freestyle Libre Medtronic 780G with Smart Guard Omnipod 5 Tandem Mobi Tidepool Loop twiist DIY Loop Apple Series 6/7/8/9/10/SE (2nd Generation) Garmin vívosmart 5™ Garmin Venu Sq 2 Garmin Venu 3 Garmin vivoactive 5 Garmin Fenix 8 Garmin vivofit jr 3 Garmin Forerunner 165/265/965 Garmin epix (Gen 2) Garmin Enduro 3 Fitbit Ace LTE Fitbit Charge 6 Fitbit Inspire 3 Fitbit Versa/Versa 2/4/Versa Lite Fitbit Sense 2 Fitbit Luxe Google Pixel 2/3 Samsung Galaxy 4/5 Xiaomi Mi Band 9 Oura Ring Whoop 4.0 Withings ScanWatch 2 Withings ScanWatch Lite Pedometer 3D Pedometer
Summary
This system is the first automated insulin delivery system that combines the Tandem t:slim x2 with the Freestyle Libre 2 Plus continuous glucose monitor (CGM) to automatically adjust insulin delivery in response to glucose trends. It's easy to use and allows bolus dosing directly from a compatible iOS or Android smartphone.
The Omnipod GO is a patch pump that provides a fixed rate of continuous rapid-acting insulin in seven rates ranging from 10 to 40 units per day for up to 72 hours. This device is a standalone tubeless, waterproof pod that provides a convenient alternative to traditional insulin delivery methods.
FDA-approved for people 18 years of age and older with type 2 diabetes who need long-acting insulin injections.
*Omnipod GO is expected to be commercially available in the United States in 2024
Components
Control IQ with Freestyle Libre : Pump
Touch screen pump connects tubing to a small patch called an infusion set that attaches to the body.
Control IQ with Freestyle Libre : Sensor
Automatic applicator inserts sensor just under the surface of the skin and can be applied to many places on the body.
Control IQ with Freestyle Libre : Controller
t:slim pump receives CGM readings to automatically adjust basal insulin delivery via an infusion set. Compatible smartphone can be used to view and control insulin delivery using the t:connect app.
Control IQ with Freestyle Libre : Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body.
Omnipod GO Patch : Patch
Pods come with reservoirs and directions for application. They can be applied anywhere on the body that is comfortable.
Omnipod GO Patch : Reservoir
Fill reservoir is enclosed with the Pod and used to manually fill the Pod with insulin.
Device Details
Overview
This system automatically adjusts insulin levels from the Tandem t:slim X2 pump based on the Libre 2 Plus readings for more time in range.
Convenient, waterproof, and simple to use.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by DME suppliers. Price range; $5-$6,995 to start and $0-$200/month.
$$$$
Widely covered for insulin-dependent 2. Supplies provided by DME or pharmacy. Price range; $33-$46/unit.
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.
No Options
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).
No Options
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.
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
YES vibration alerts
A LOT of dexterity needed
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Exercise Activity. Can manually increase target range to 140-160 mg/dl. Insulin decreases when Control IQ predicts CGM ≤140 mg/dl and increases when ≥ 160 mg/dl within 30 minutes. Autocorrections will still occur. Pump is not waterproof. CGM is waterproof.
Tubeless and waterproof pod. No way to adjust long-acting insulin for higher activity on the fly, but the device is tubeless and waterproof.
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.
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Comfort
Low profile. Low profile/low maintenance sensor. Small tubed pump with the most infusion sets to pick from.
Free of tubing. Patches do not have tubing.
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.
Modifiable. The pod is available in seven different pre-programmed daily rates, ranging between ten and 40 units a day.
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.
Simple with few steps. Patch is replaced every 72-hours with a fixed rate of continuous rapid-acting insulin.
Fewer Fingersticks
Factory-calibrated sensor. Fingersticks needed for backup only.
Frequent finger-sticks are required.
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.
Hideable. Bulkier patch pump, but not as noticeable as injections.