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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
Dexcom Stelo is the first over-the-counter low-profile, all-in-one glucose sensor/transmitter. This sensor lasts for up to 15 days and sends real-time glucose readings to a compatible smartphone app. No finger pricks or scanning is needed.
*Recently FDA approved for people 18 years or older with type 2 diabetes. Expected availability is summer 2024.
MARD of 9.2%
Good to have. Tried and true. Backup or day to day. Fingersticks required.
Components
Generic Meter : Lancets
Tiny needle called a lancet is used to poke the skin (on a finger or on your arm) to get a small sample of blood. The lancing device is packaged with the glucometer.
Generic Meter : Test Strips
The strips work with the glucose meters to “read” blood sugar levels. One box of test trips usually contains between 25-50 single use strips.
Meter : Glucometer
The meter measures the amount of sugar in the small sample of blood that is placed on the disposable test strip. Most CGMs require testing blood sugar with a meter to calibrate the CGM device daily.
Device Details
Overview
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
Good to have. Tried and true. Backup or day to day. Finger-sticks required.
Affordability and Access
$$$$
No insurance coverage data. Pricing is to be announced in summer 2024. Price expected to be low to allow for over the counter distribution.
$$$$
Most accessible. Available over the counter at all Pharmacies. Price range; $0-$200/month depending on insurance coverage.
Data Monitoring Options
To Be Announced
Limited Options
Data is available directly on the device. Some meters may be compatible with the Tidepool data management system.
Data View Options
To Be Announced
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.
Duration and Storage
15 Days
Sensors last 15 days. They are purchased over the counter. Works at 50ºF – 108ºF
Daily
Meters can last several years with battery changes/charging, they're used daily and work between 65ºF-86°F
Vision / Auditory / Dexterity
YES text-to-speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Waterproof when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device. This device is intended to help people with non-insulin requiring type 2 diabetes better understand their blood sugar numbers.
Must pause activity to check blood sugar.
Avoiding Highs and Lows
Very limited alerts. This device does not provide alarms and alerts for high, low, and rise/fall rates. This device is intended to track and understand the effects of food on blood sugar for people with type 2 diabetes.
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.
Comfort
Low profile and low maintenance sensor application.
Meter supplies carried and requires visible blood.
Easy Insulin Dosing
No options. Stelo is intended for use by people with type 2 diabetes who do not require insulin to manage their blood sugar levels.
Limited features. No info on blood sugar trends.
Easy to Use
Real-time data and alerts make dose adjustment easier.
Large display. Device typically has large display numbers for easier readouts, and it's very simple to operate.
Fewer Fingersticks
Factory-calibrated sensor. Finger sticks needed for backup only.
Frequent fingersticks are unavoidable.
Privacy
Small sensor. Discreet and thin sensor that is easy to hide under clothing.
No attached device for blood glucose monitoring.