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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
Good to have. Tried and true. Backup or day to day. Fingersticks required.
The Medtronic Guardian Connect is a continuous glucose monitoring (CGM) system that provides real-time glucose data on a compatible smartphone. The system offers optional low and high blood sugar notifications and can be inserted on the abdomen or back of the upper arm.
MARD of 9.6%
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.
Guardian Connect : Sensor
Sensor is inserted underneath the skin, either on the abdomen or arm. Push buttons applicator allows sensor to be placed on the body in one step.
Guardian Connect : Transmitter
Seashell-shaped with built-in Bluetooth capability that allows it to send glucose data directly to a smartphone every 5 minutes.
Guardian Connect : Receiver
Trends and alerts are viewed directly on a mobile device. Available for both iOS and Android devices.
Device Details
Overview
Good to have. Tried and true. Backup or day to day. Finger-sticks required.
One of the larger sensors, may be cumbersome to wear on some parts of the body under clothes.
Affordability and Access
$$$$
Most accessible. Available over the counter at all Pharmacies. Price range; $0-$200/month depending on insurance coverage.
$$$$
Sometimes covered. The costs vary depending on individual insurance coverage and how insurance classifies CGMs. Price range $0-$600/month.
Data Monitoring Options
Limited Options
Data is available directly on the device. Some meters may be compatible with the Tidepool data management system.
Yes
CGM data can be linked to a CareLink account and shared with the user's health care team.
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.
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.
Duration and Storage
Daily
Meters can last several years with battery changes/charging, they're used daily and work between 65ºF-86°F
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
NO text to speech
NO vibration alerts
A LOT of dexterity needed
YES text to speech
YES vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Must pause activity to check blood sugar.
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.
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.
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.
Comfort
Meter supplies carried and requires visible blood.
More tape is needed for Medtronic sensors.
Easy Insulin Dosing
Limited features. No info on blood sugar trends.
Sensor trends can be used for dose adjustment.
Easy to Use
Large display. Device typically has large display numbers for easier readouts, and it's very simple to operate.
Rechargeable sensor transmitter but has the most steps to change sensor.
Fewer Fingersticks
Frequent fingersticks are unavoidable.
2 daily finger-sticks are needed to calibrate the sensor.
Privacy
No attached device for blood glucose monitoring.
Somewhat discreet. Ability to see sugar on watch or phone. Sensor requires regular meter use.