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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
Traditional syringe and needle. The most affordable insulin delivery option.
This sensor lasts the longest - 365 days. It has to be placed under the skin by a healthcare provider. It has two parts, the implantable sensor and a transmitter that sends data to a mobile device.
MARD: 8.5-9.1%
*Recently FDA approved for use with insulin pumps.
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
Eversense : Sensor
Professionally inserted by a physician during a medical visit. Minor procedure.
Eversense : Transmitter
Transmitter sits outside of the body and is held on by an adhesive. Sends data every 5 minutes to a connected mobile device.
Eversense : Receiver
Real-time glucose measurements sent to a compatible mobile-device or smart watch. No need for a separate receiver. Available for both iOS and Android devices.
Device Details
Overview
Nothing on the body when not in use but very visible when dosing.
Very small implantable sensor but large transmitter must be worn on top of the skin.
Affordability and Access
$$$$
Syringes are available worldwide in pharmacies or DME without prescription. Price Range: $0-$300/month depending on insurance coverage.
$$$$
Sometimes covered. Insertion and removal require a Health Care Provider. Insertion costs $100-$300, and removal costs $100-$400. Sensor and transmitter cost $800-$1400.
Data Monitoring Options
No Options
Yes
CGM data can upload automatically to the web-based Eversense data management system (EDMS) from the Eversense mobile app.
Data View Options
No Options
Yes
Eversense mobile app receives and displays data in easy-to-read charts and graphs that can be shared with family and friends through the Eversense NOW app.
Duration and Storage
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.)
365 Days
Sensor lasts 365 days, but a physician must implant it. Transmitter must be charged daily.
Vision / Auditory / Dexterity
NO text to speech
NO vibration alerts
A LOT dexterity for insertion
YES text to speech
YES vibration alerts
SOME dexterity needed
Patient Considerations
Active Lifestyle
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly.
Water-resistant transmitter when submerged in 1 meter of water for up to 30 minutes and must be within 25 feet of the connected smart device.
Avoiding Highs and Lows
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.
On-body vibration alerts when blood glucose levels are higher or lower than the set range. Trend arrows show the direction glucose is heading, with the rate of change.
Comfort
Many components. Must carry insulin vials and large syringes but nothing attached to the body.
Longest-lasting sensor fits comfortably under the skin. Minor procedure is required. Least likely to have compression lows.
Easy Insulin Dosing
Requires attention. You have to do the math to figure out your dose. Unable to adjust basal in real-time.
Predictive alerts make insulin dosing easier by tracking high and low trends.
Easy to Use
Many steps. Requires effort to figure out doses and deliver insulin every single time you need it.
Minor procedure. Requires insertion by a physician during a medical visit.
Fewer Fingersticks
Frequent finger-sticks are required.
2 daily finger-sticks are needed to calibrate the sensor.
Privacy
Hideable. Vials and syringes can be hidden when not in use but very visible when in use. Frequent injections are unavoidable.
Somewhat discreet. Tiny sensor is implanted under the skin, so the user can be discreet when needed. Ability to see sugar on watch or phone. Sensor not movable on body and requires regular meter use.