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Diabetes Device Choices

This is a personalized report of your diabetes device recommendations and choices. This report is a guide not a clinical recommendation. It's a guide based on your input, the best advice from Standford and the first hand knowledge of the T1 Community at DiabetesWise.org.

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Overview

Sensor & Injections

Freestyle Libre 14 day & Syringe

FreestyleSyringe v3

If you don't like having stuff on your body but want glucose data at a glance, the Freestyle Libre is the smallest sensor option. Syringe and vial insulin delivery is the most affordable option.

*The Freestyle Libre 14 day can be manually scanned to get data only when you want it. 

Sensor & Injections

Dexcom G7 & Pen

Dexcom G7+Pen

If you don't like having stuff on your body but want glucose data at a glance, the Dexcom G7 comes factory-calibrated, with a shortened warm-up time, and requires no finger stick. Some pens have the ability to track insulin doses on a smartphone.

Priority: Overall

Overall
Continuous numbers, less gear.

Next Steps Next Steps

You're going to do great on the devices you choose

1.
Talk to your provider

Talk to your provider to get a prescription. Advocate for yourself with a list of reasons why you believe it is best for your lifestyle.

2.
Call the device companies

Talk to the device companies about the device you want and if your insurance will cover it. They can help with this.

3.
Call your insurance

Many insurance companies require documentation of different qualifications before approving diabetes device coverage. every insurance company is different but some common qualifications include checking your blood sugar 4-6 times per day or having frequent low blood sugars. Understanding what qualifications are necessary for device coverage before starting the approval process can make things a lot easier.

Visit https://diabeteswise.org/en/resources/getting-treatment/qualify-for-insurance/ for more resources.

Questions for your Doctor

Freestyle Libre 14 day & Syringe

Can I try this before I commit to it?

A lot of provider offices have sample devices you can touch and feel to get a sense of how they work. Some offices even have a trial device you can use for week to see how it works for you.

Is the Freestyle Libre waterproof?

Sensor is water-resistant in up to 1 metre (3 feet) of water for a maximum of 30 minutes.

Dexcom G7 & Pen

Can I try this before I commit to it?

A lot of provider offices have sample devices you can touch and feel to get a sense of how they work. Some offices even have a trial device you can use for week to see how it works for you.

Questions for your insurance

Many insurance companies require documentation of different qualifications before approving diabetes device coverage. Every insurance company is different, but some common qualifications include checking your blood sugar 4-6 times per day or having frequent low blood sugars. Understanding what qualifications are necessary for device coverage before starting the approval process can make things a lot easier.

Talk to the device companies

Freestyle Libre 14 Day

Call Freestyle Libre and ask them about your coverage. Talk to your Doctor to get a prescription.

1-855-632 8658 Freestyle Libre Website

Syringe and Vial

Understand your cost at your local pharmacy.

Insulin Cost Overview

Dexcom G7

Call Dexcom and ask them about your coverage. Talk to your Doctor to get a prescription.

1-888-738 3646 Dexcom Website

Insulin Pen

Ask your provider about a insulin pen prescription. Learn which is covered.

Insulin Pen Overview

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Flat sensor transmitter fits easily under active wear and sports gear
No way to adjust long acting insulin for higher activity on the fly
Sensor Share feature allows someone else to keep an eye on your blood sugar from the sidelines
Can use sensor trends for dose adjustment

Avoiding Highs and Lows Avoiding Highs and Lows

Faster and easier to check your glucose with this sensor versus with a meter
Syringes and pens limit your ability to adjust insulin throughout the day
No sensor alerts
Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels
Syringes and pens limit your ability to adjust insulin throughout the day

Comfort Comfort

Lowest profile sensor
Have to carry syringes and insulin
Low profile/low maintenance sensor
Have to carry pens and pen needles

Easy Insulin Dosing Easy Insulin Dosing

Can use sensor trends for dose adjustment
You have to do the math to figure out your dose
Can use sensor trends for dose adjustment
More precise dosing than syringes

Easy to Use Easy to Use

Sensor and transmitter are one piece
Few steps to change sensor
Many steps to figure out doses and deliver insulin every single time you need it
Pens are faster and easier to use than syringes
Shortest sensor warm-up time
Sensor and transmitter are one piece
12-hour grace period allows you to swap sensors when convenient for you

Fewer Fingersticks Fewer Fingersticks

Factory-calibrated sensor: fingersticks needed for backup only
Factory-calibrated sensor: fingersticks needed for backup only

Privacy Privacy

Needs scan from phone or controller to get blood sugar
Sensor is the smallest
Syringes are hideable when not in use but very visible when in use
Ability to check sugar on phone or watch
Pens are low profile
Alerts
Small sensor

Cost & Coverage

Freestyle Libre 14 Day

Freestyle Libre 14 Day

Dexcom G7

Dexcom G7

Glucose Testing Supplies

Sensors

Reader (1 time purchase)

Sensors

Receiver (1-time purchase) - not required 

Glucose Testing Cost Estimate

Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.

Startup $80 to $239

Monthly less than $40

These prices vary by Insurance. It may be covered under durable medical goods or a pharmacy benefit.

Syringe and Vial

Syringe and Vial

Insulin Pen

Insulin Pen

Insulin Dosing Supplies

Syringe ~$30 (Monthly)

Insulin $5 to $500 (Monthly)

Pen (thats it!)

Insulin Dosing Cost Estimate

The total amount depends hugely on how much insulin you use and what your insurance covers.

Monthly $5 to $1260

The total cost depends on the amount of pens you use which is dependent on how much insulin you use.