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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%
Traditional syringe and needle. The most affordable insulin delivery option.
Components
Syringe and Vial : Bolus Insulin
Bolus (fast-acting) insulin vial for meal time or high blood sugar correction.
Syringe and Vial : Basal Insulin
Basal (long-acting) insulin vial for steady release of insulin that helps control blood sugar between meals, and overnight.
Syringe and Vial : Needles
Classic syringes with plunger used to fill insulin for injection
Device Details
Overview
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
Nothing on the body when not in use but very visible when dosing.
Affordability and Access
$$$$
No insurance coverage data. Pricing is to be announced in summer 2024. Price expected to be low to allow for over the counter distribution.
$$$$
Syringes are available worldwide in pharmacies or DME without prescription. Price Range: $0-$300/month depending on insurance coverage.
Data Monitoring Options
To Be Announced
No Options
Data View Options
To Be Announced
No Options
Duration and Storage
15 Days
Sensors last 15 days. They are purchased over the counter. Works at 50ºF – 108ºF
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
YES text-to-speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
NO text to speech
NO vibration alerts
A LOT dexterity for insertion
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.
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly.
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.
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.
Comfort
Low profile and low maintenance sensor application.
Many components. Must carry insulin vials and large syringes but nothing attached to the body.
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.
Requires attention. You have to do the math to figure out your dose. Unable to adjust basal in real-time.
Easy to Use
Real-time data and alerts make dose adjustment easier.
Many steps. Requires effort to figure out doses and deliver insulin every single time you need it.
Fewer Fingersticks
Factory-calibrated sensor. Finger sticks needed for backup only.
Frequent finger-sticks are required.
Privacy
Small sensor. Discreet and thin sensor that is easy to hide under clothing.
Hideable. Vials and syringes can be hidden when not in use but very visible when in use. Frequent injections are unavoidable.