Screen Shot 2021 12 15 at 3.47.47 PM
afrezza device

Summary

The OmniPod is the only tubeless pump option. A Personal Diabetes Manager (PDM) is used to give insulin doses to the pod, which remains attached to the body. This pump is one of few that is completely waterproof. 

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

Components

Omnipod : Pump

Omnipod : Pump

Pods come with reservoirs and directions for application. They can be applied anywhere on the body that is comfortable.

Omnipod : Reservoir

Omnipod : Reservoir

Fill reservoir is enclosed with the Pod and used to manually fill the Pod with insulin.

Omnipod : Controller

Omnipod : Controller

Personal Diabetes Manager (PDM) is used to give insulin doses to the pod.

Afrezza : Inhaler

Afrezza : Inhaler

Small refillable inhaler contains a compartment for powdered insulin containing cartridges.

Afrezza : Cartridge

Afrezza : Cartridge

Cartridges come in three doses: 4, 8, and 12-unit doses. All color coded.

Device Details

Overview

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

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

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.

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

Data Monitoring Options

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

No Options

Data View Options

No Options 

No Options

Duration and Storage

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

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

NO text to speech
NO 
vibration alerts
LITTLE
 dexterity needed

Patient Considerations

Active Lifestyle

Waterproof. Wear the Pod in the shower, in the pool, or in the ocean. The PDM is not waterproof and must be charged daily. 

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

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. 

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

Comfort

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

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

Easy Insulin Dosing

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

Less precise but easy dosing. Dosing may be less precise due to the inhaled method of dosing, but color-coded cartridges make dosing easier. Dosing can also be done based on small, medium, or large meals and can be administered 1-2 hours post meals. 

Easy to Use

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

Simple design. Whistle-like device for inhaling insulin.

Fewer Fingersticks

Frequent finger-sticks are required. 

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.

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