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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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Disclaimer: All prices are in USD and are estimates only.

Overview

Meter & Pump

Meter & Omnipod

MeterOmnipod v3

Omnipod is the only tubeless pump option. The Omnipod controller is also a glucose meter.

Sensor & Pump

Freestyle Libre 2 & Tandem

FreestyleTandem

These devices do not connect but they each have their merits. The Freestyle Libre is small and the Tandem is modern with the ability to bolus directly on a compatible smartphone. 

The Freestyle Libre 2 can alert you when you are high and low. You get data only when you want it.

Priority: Overall

Overall
Get rid of the tubing.
Data and dosing when and how you want.

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/resources/getting-treatment/qualify-for-insurance/ for more resources.

Questions for your Doctor

Meter & Omnipod

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.

Freestyle Libre 2 & Tandem

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

Meter

Because there are so many options, and they don't have huge differences - the best thing to do is see what options your insurance companies will cover. The best way to find that out is through your doctor.

Walgreens

Omnipod

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

1-800-591-3455 Omnipod Website

Freestyle Libre 2

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

1-855-632 8658 Freestyle Libre Website

Tandem t:slim X2

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

1-877-801-6901 Tandem Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Must pause activity to check blood sugar
Optional settings for exercise to adjust treatment ranges for activity with the press of a button
Don't need to find a place for pump in active wear
Flat sensor transmitter fits easily under active wear and sports gear
Optional settings for exercise to adjust treatment ranges for activity with the press of a button
Pump is watertight

Avoiding Highs and Lows Avoiding Highs and Lows

Meters don't give as much blood sugar data as sensors do
Pumps allow different amounts of basal insulin at different times of day and very precise dosing
Pods stay on when showering and swimming so there are no gaps in insulin delivery
Faster and easier to check your glucose with this sensor versus with a meter
Pumps allow different amounts of basal insulin at different times of day and very precise dosing

Comfort Comfort

Have to carry meter supplies
No tubing
Pods need more tape than other infusion sets
Lowest profile sensor
Smallest tubed pump
Tubed pumps have the most infusion sets to pick from

Easy Insulin Dosing Easy Insulin Dosing

No interruption in insulin delivery (pods stay on when you shower and swim)
More customizable dosing than pens or syringes
Can use sensor trends for dose adjustment
More precise dosing than pens or syringes

Easy to Use Easy to Use

No info on blood sugar trends
Fewer parts than tubed pumps
Sensor and transmitter are one piece
Few steps to change sensor
Rechargeable pump battery
Pump has touchscreen

Fewer Fingersticks Fewer Fingersticks

Frequent fingersticks are unavoidable
Factory-calibrated sensor: fingersticks needed for backup only

Privacy Privacy

Most hideable pump option
Requires visible controller to bolus
Requires visible blood
Needs scan from phone or controller to get blood sugar
Touchscreen of pump looks like normal tech device
Ability to bolus directly on compatible smartphone

Cost & Coverage

Meter

Meter

Freestyle Libre 2

Freestyle Libre 2

Glucose Testing Supplies

Meter & Fingerpricker (1 time purchase)

Strips & Supplies

Sensors

Receiver (1 time purchase)

Glucose Testing Cost Estimate

Startup $0 to $60

Monthly $100

There are lots of different meters out there. It's worth seeing which are covered by insurance - they will cover some of the cost of the strips. Often your doctor can give you a meter for free, worth asking.

Startup $200 to $404
Monthly $108 to $321
Libre 2 is covered by Medicare and most private insurers. Prices will vary based on coverage. If you don't have any coverage, this is the cheapest sensor.

Omnipod

Omnipod

Tandem t:slim X2

Tandem t:slim X2

Insulin Dosing Supplies

Pods

Reader

Insulin

Pump

Charger

Insulin Cartridges

Infusion Sites

Insulin Dosing Cost Estimate

Startup $5 to $1260 Monthly

Omnipod is now covered by Medicare and Medicaid as well as most private insurers.

Startup $5 to $6,995

Monthly $20 to $200