All Devices Glucose Monitoring Insulin Delivery Automated Systems (AID) Activity Tracker
Selection Options
Device Details
Patient Considerations
Disclaimer: All prices are in USD and are estimates only.
Glucose Monitoring
Abbott
Freestyle Lingo
Smallest, thinnest, all-in-one glucose sensor/transmitter with low and high blood glucose alarms can be worn on the upper arm.
14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Freestyle Libre Lingo app provides glucose readings and alarms, multiple data views, the ability to share glucose data and real-time alarms with LibreLingo.
Yes
Sensor automatically sends data to the user’s LibreLingo account which enables sharing with HCPs and caregivers via the LibreLink app.
$$$$
Widely covered. Provided by pharmacies. Price range; $49 for one 14-day sensor, $89 for two sensors, or $249 for six sensors. Often, it is the cheapest and easiest-to-access sensor.
Smallest, thinnest, all-in-one glucose sensor/transmitter with low and high blood glucose alarms can be worn on the upper arm.
Optional glucose alerts for low and high glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
No scanning required. Minute-by-minute readings are sent directly to the mobile app.
Lowest profile sensor and smallest adhesive (about the size of two stacked U.S pennies).
Sensor trends can be used for dose adjustment.
Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity.
Factory-calibrated sensor. Finger-sticks needed for backup only.
Hypoglycemia safety alarm. Discreet size but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.
Abbott
Freestyle Libre 3
Smallest, thinnest, all-in-one glucose sensor/transmitter with low and high blood glucose alarms can be worn on the upper arm.
14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Freestyle Libre 3 app or Libre by Abbott provides glucose readings and alarms, multiple data views, the ability to share glucose data and real-time alarms with LibreLinkUp, and the ability to connect to a clinician's practice through LibreView.
Yes
Sensor automatically sends data to the user’s LibreView account which enables sharing with HCPs and caregivers.
$$$$
Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.
Smallest, thinnest all-in-one sensor/transmitter can be worn in multiple places under the clothes. Sensor does not communicate continuously with the reader; you have to scan the sensor to get a reading.
Optional glucose alerts for low and high glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
No scanning required. Minute-by-minute readings are sent directly to the mobile app.
Lowest profile sensor and smallest adhesive (about the size of two stacked U.S pennies).
Sensor trends can be used for dose adjustment.
Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity.
Factory-calibrated sensor. Finger-sticks needed for backup only.
Hypoglycemia safety alarm. Discreet size but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.
Abbott
Freestyle Libre 2
All-in-one glucose sensor/transmitter with low and high blood glucose alarms can be worn on the upper arm.
14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.
YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
Yes
Freestyle Libre 2 app provides glucose readings and alarms, multiple data views, the ability to share glucose data and real-time alarms with LibreLinkUp, and the ability to connect to a clinician's practice through LibreView.
Yes
After each sensor scan with the mobile app or reader, data is automatically sent to the user’s LibreView account which enables sharing with HCPs and caregivers via the LibreLinkUp app. Data upload is possible with Glooko and Tidepool data-management systems.
$$$$
Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.
All in one sensor/transmitter can be worn in multiple places under the clothes. Sensor does not communicate continuously with the reader; you have to scan the sensor to get a reading.
Optional glucose alerts for low and high glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
Requires scanning. Self-application and manual scanning are required. Easy self-application.
Low profile sensor and small adhesive.
Scanned sensor trends can be used for dose adjustment.
Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity. The reader must be within 1.5 inches of the sensor to scan it.
Factory-calibrated sensor. Finger-sticks needed for backup only.
Hypoglycemia safety alarm. Discreet size but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.
Abbott
Freestyle Libre 14 Day
All-in-one glucose sensor/transmitter can be worn on the upper arm.
14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.
YES text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Freestyle LibreLink app displays glucose readings directly on the patient's compatible smart device.
Yes
Automatic data transfer to LibreView each time Freestyle Libre 2 sensor is scanned. LibreView gives clinicians and users relevant glucose reports. Glooko and Tidepool can also be used to view data.
$$$$
Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.
All-in-one glucose sensor/transmitter can be worn in multiple places under the clothes.
Alerts are not available. High or low glucose alarms are not available. Trend arrows show the direction glucose is heading, with the rate of change.
Requires scanning. Self-application and manual scanning every 8-hours are required. Easy self-application.
Lowest profile sensor and smallest adhesive.
Scanned sensor readings can be used for dose adjustment.
Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity. The reader must be within 1.5 inches of the sensor to scan it.
Factory-calibrated sensor. Finger-sticks needed for backup only.
Somewhat discreet. Scanning feature makes it easy to monitor blood glucose levels discreetly.
Dexcom
Dexcom G7
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
10 Days
Sensors last 10 days. They are shipped 3 boxes at a time every 3 months – 9 sensors. Works at 50ºF – 108ºF
YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
Yes
Users must download the Dexcom G7 and Dexcom Clarity apps to view and share data. Both apps provide multiple data views, sharing options, and access through the clinician portal using a code from the user's device. Caregivers can use the Dexcom Follow app to view data.
Yes
Automatically and continuously sends data to the user’s Dexcom Clarity web-based cloud which is accessible by clinicians.
$$$$
No insurance coverage data. Provided by DME and/or Pharmacy.
Small sensor can be worn in multiple areas.
Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
No scanning required. Readings are sent directly to the mobile app every 5 minutes.
Low profile and low maintenance sensor application.
Real-time data and alerts make dose adjustment easier.
Waterproof when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device.
Factory-calibrated sensor. Finger sticks needed for backup only.
Quiet Mode (Vibrate). All system alerts will vibrate when this setting is enabled. Urgent Low Soon and technical alerts will sound if not acknowledged.
Dexcom
Dexcom G6
Small sensor can be worn in multiple areas.
10 Days
Sensors last 10 days, and transmitters last 90 days. They are shipped 3 boxes at a time every 3 months – 9 sensors and 1 transmitter. Works at 50ºF – 108ºF
YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
Yes
Users must download the Dexcom G6 and Dexcom Clarity apps to view and share data. Both apps provide multiple data views, sharing options, and access through the clinician portal using a code from the user's device. Caregivers can use the Dexcom Follow app to view data. Glooko and Tidepool can also be used to view data.
Yes
Automatically and continuously sends data to the user’s Dexcom Clarity web-based cloud which is accessible by clinicians. Data upload is possible with Glooko and Tidepool data-management systems.
$$$$
Widely covered. Provided by DME and/or Pharmacy. Price range; $0-$500/month.
Small sensor can be worn in multiple places under the clothes.
Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
Flexible pump integration. Can be paired with multiple different types of pumps which gives flexibility for how to use the data.
Low profile and low maintenance sensor application.
Real-time data and alerts make dose adjustment easier.
Water-resistant when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device.
Factory-calibrated sensor. Finger sticks needed for backup only.
Hypoglycemia safety alarm. Discreet but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.
Dexcom
Dexcom Stelo
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
15 Days
Sensors last 15 days. They are purchased over the counter. Works at 50ºF – 108ºF
YES text-to-speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
To Be Announced
To Be Announced
$$$$
No insurance coverage data. Pricing is to be announced in summer 2024. Price expected to be low to allow for over the counter distribution.
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
Very limited alerts. This device does not provide alarms and alerts for high, low, and rise/fall rates. This device is intended to track and understand the effects of food on blood sugar for people with type 2 diabetes.
Real-time data and alerts make dose adjustment easier.
Low profile and low maintenance sensor application.
No options. Stelo is intended for use by people with type 2 diabetes who do not require insulin to manage their blood sugar levels.
Waterproof when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device. This device is intended to help people with non-insulin requiring type 2 diabetes better understand their blood sugar numbers.
Factory-calibrated sensor. Finger sticks needed for backup only.
Small sensor. Discreet and thin sensor that is easy to hide under clothing.
Medtronic
Guardian Connect
One of the larger sensors, may be cumbersome to wear on some parts of the body under clothes.
7 Days
Sensors last 7 days, and transmitter battery needs weekly charging and replacement once a year. Both can be stored between 36°F - 86°F.
YES text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
The Guardian Connect mobile app allows users to view glucose levels, trends, create customizable alerts, and share blood glucose data with family and friends.
Yes
CGM data can be linked to a CareLink account and shared with the user's health care team.
$$$$
Sometimes covered. The costs vary depending on individual insurance coverage and how insurance classifies CGMs. Price range $0-$600/month.
Small sensor can be worn on the upper arm or abdomen for 7 days, and data can be viewed on a smartphone with the Medtronic app as a receiver.
Measures sensor glucose 24/7 and sends alerts when a high or low is detected. Trend arrows show the direction glucose is heading, with the rate of change.
Rechargeable sensor transmitter but has the most steps to change sensor.
More tape is needed for Medtronic sensors.
Sensor trends can be used for dose adjustment.
Waterproof transmitter when submerged in up to 2.5 meters of water for 30 minutes and must be within 20 feet of a connected mobile device.
2 daily finger-sticks are needed to calibrate the sensor.
Somewhat discreet. Ability to see sugar on watch or phone. Sensor requires regular meter use.
Medtronic
Medtronic Simplera
The Simplera is Medtronic's smallest continuous glucose monitor. It's disposable and has a flat, square shape.
7 Days
Sensors last 7 days.
YES text to speech
YES vibration alerts
3 sound sources
SOME dexterity needed
Yes
Users must download the Simplera app to view and share data. Messages via the simplera app or text messages to notify care partners when glucose is high or low.
Yes
Automatically and continuously sends data to the user’s Care Partner web-based cloud which is accessible by clinicians.
$$$$
No insurance coverage data. Provided by DME and/or Pharmacy.
The Simplera is Medtronic's smallest continuous glucose monitor. It's disposable and has a flat, square shape.
Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
No scanning is required. Readings are sent directly to the mobile app every 5 minutes.
Smaller size. The sensor is small and flat, and no overtape is required. Simplera’s adhesive is made from an anti-lint material that prevents sweat and water from reaching the sensor.
Real-time data and alerts make dose adjustment easier. The device can be integrated with the Medtronic InPen, which offers a bolus calculator based on carb ratios, meal estimations, the amount of insulin on board, and fixed dosing regimens
Waterproof when submerged in water and must be within range of the feet of the receiver or mobile device.
Factory-calibrated sensor. Finger sticks needed for backup only.
Discreet. Small, flat shape and ability to see sugar on a watch or phone.
Senseonics
Eversense
Very small implantable sensor but large transmitter must be worn on top of the skin.
180 Days
Sensor lasts 180 days, but a physician must implant it. Transmitter must be charged daily.
YES text to speech
YES vibration alerts
SOME dexterity needed
Yes
Eversense mobile app receives and displays data in easy-to-read charts and graphs that can be shared with family and friends through the Eversense NOW app.
Yes
CGM data can upload automatically to the web-based Eversense data management system (EDMS) from the Eversense mobile app.
$$$$
Sometimes covered. Insertion and removal require a Health Care Provider. Insertion costs $100-$300, and removal costs $100-$400. Sensor and transmitter cost $800-$1400.
Tiny sensor is implanted in the upper arm by a health care provider and lasts for 180 days. A transmitter must be worn over the insertion site and charged daily.
On-body vibration alerts when blood glucose levels are higher or lower than the set range. Trend arrows show the direction glucose is heading, with the rate of change.
Minor procedure. Requires insertion by a physician during a medical visit.
Longest lasting sensor fits comfortably under the skin. Minor procedure is required.
Predictive alerts make insulin dosing easier by tracking high and low trends.
Water-resistant transmitter when submerged in 1 meter of water for up to 30 minutes and must be within 25 feet of the connected smart device.
2 daily finger-sticks are needed to calibrate the sensor.
Somewhat discreet. Tiny sensor is implanted under the skin, so the user can be discreet when needed. Ability to see sugar on watch or phone. Sensor not movable on body and requires regular meter use.
Meter
Good to have. Tried and true. Backup or day to day. Finger-sticks required.
Daily
Meters can last several years with battery changes/charging, they're used daily and work between 65ºF-86°F
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Yes
Data may be viewed directly on the device. Some meters contain a built-in USB connection that allows information to be uploaded to a data management system.
Limited Options
Data is available directly on the device. Some meters may be compatible with the Tidepool data management system.
$$$$
Most accessible. Available over the counter at all Pharmacies. Price range; $0-$200/month depending on insurance coverage.
Standard portable blood glucose meter measures glucose levels using a small sample of blood from the fingertip.
Less data. Meters don't give as much blood sugar data as sensors do and require a high level of engagement and effort to avoid highs and lows.
Large display. Device typically has large display numbers for easier readouts, and it's very simple to operate.
Meter supplies carried and requires visible blood.
Limited features. No info on blood sugar trends.
Must pause activity to check blood sugar.
Frequent fingersticks are unavoidable.
No attached device for blood glucose monitoring.
Insulin Delivery
Insulet
Omnipod
This is a discreet pump option without tubing but will require a controller to dose.
3 Days
Pod can be worn for up to 72 hours and work from 41ºF – 104ºF.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
No Options
Yes
Pump data can be accessed by clinicians on Diasend by Glooko.
$$$$
Widely covered for insulin-dependent type 1 and 2. Pump can be provided by pharmacy or DME. Price range; 0-$200/month.
The Omnipod Eros is a tubeless pump. It can be worn on the abdomen, upper thigh, lower back, or the back of the upper arm. This pump is one of few that is entirely waterproof.
Personalized dosing. Pods can deliver personalized doses of rapid-acting insulin based on the rates programmed into the Personal Diabetes Manager (PDM) device. The ability to set zero basal rates is not available.
Fewer parts. The PDM has button navigation. Pod has fewer parts than tubed pumps.
Free of tubing. Pods do not have tubes like traditional insulin pumps, allowing for more freedom of movement.
Customizable dosing. Basal and Bolus in 0.05 increments. No interruption in insulin delivery (pods stay on during bathing and swimming).
Waterproof. Wear the Pod in the shower, in the pool, or in the ocean. The PDM is not waterproof and must be charged daily.
Frequent finger-sticks are required.
Somewhat discreet. The pod attaches directly to the body with no tubing, but the pod is bigger than an infusion set. Pod does not have vibrate option.
Insulet
Omnipod Dash
This system includes a wearable, tubeless insulin Pod that's controlled by a smartphone-like Personal Diabetes Manager (PDM).
3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pods can be used for up to 72 hrs and work from 41ºF – 104ºF.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Yes
The Omnipod DISPLAY app displays real-time data for the patient. The Omnipod VIEW app allows family and friends to view data for up to 12 Omnipod users. (iPhone compatible only)
Yes
Omnipod data can be accessed by clinicians on Diasend by Glooko.
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by Pharmacy and/or DME suppliers. Price range; $5-$1260 to start and 0-$200/month. Touch-screen controller available in the starter kit at no additional cost.
Omnipod is the only tubeless pump option. This paired with the G6 is a common choice for active people.
Personalized dosing. Pods can deliver personalized doses of rapid-acting insulin based on the rates programmed into the Personal Diabetes Manager (PDM) device to avoid highs and the ability to set zero basal rates to avoid lows.
Fewer components. Pod has fewer components to deal with than other pumps and a touchscreen controller.
Low profile & no tubing. Low profile sensor and Omnipod has no tubing but may require more adhesive on the body than other pumps.
Manually adjusting dosing. Omnipod DASH System allows the user to manually input their blood glucose (BG) readings from any BGM or CGM device of their choice. Basal and bolus in 0.05 increments.
Waterproof. Wear the Pod in the shower, in the pool, or in the ocean. The PDM is not waterproof and must be charged daily. Data monitoring allows others to track your data during physical activity.
Frequent finger-sticks are required.
Discreet. Sensor allows for checking blood glucose on phone/smartwatch. The pod is the most discreet pump option but requires a visible controller to bolus.
Medtronic
Medtronic 780G
Largest pump on the list, requires tubing which may be visible.
3 Days
Infusion site and pump reservoir last up to 72 hours and works between 40ºF - 104ºF.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data is viewed on the pump's main screen.
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
$$$$
Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy or DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.
Largest pump on the list, requires tubing which may be visible.
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Battery required. Pump has button navigation and requires AA battery.
Largest tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.025 increments.
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
Frequent finger-sticks are required.
Somewhat discreet. Largest pump with visible tubing. Can be clipped to clothing or placed in a pocket to be discreet when needed.
Medtronic
Medtronic 630G
Largest pump on the list, requires tubing which may be visible.
3 Days
Infusion site and pump reservoir last up to 72 hours and works between 40ºF - 104ºF.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data is viewed on the pump's main screen.
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
$$$$
Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy or DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.
The Medtronic Minimed 670G is the first pump to offer closed-loop capabilities. It works with the Medtronic Guardian sensor to increase or decrease insulin based on your blood sugar trends.
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Battery required. Pump has button navigation and requires AA battery.
Largest tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from.
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.025 increments.
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
Frequent finger-sticks are required.
Somewhat discreet. Largest pump with visible tubing. Can be clipped to clothing or placed in a pocket to be discreet when needed.
Tandem
Tandem t:slim X2
Smallest tubed pump. Modern interface resembles a smartphone but tubing may be visible.
3 Days
Pump can be worn for up to 72 hours and works between 40°F - 99°F
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data is viewed on the pump's main screen and/or on a smartphone with the Tandem t:slim mobile app (available for both iOS and Android devices).
Yes
Tandem t:slim mobile app wirelessly uploads cloud-based Tandem Source web application delivering access to recent patient data.
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies and pump provided by DME. Price range; $0-$4000 to start and $0-$300/Month.
The Tandem t:slim X2 is compatible with the Dexcom G6 and uses Control IQ technology to increase or decreased insulin based on your blood sugar trends.
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Rechargeable. Pump has a touch screen display and rechargeable battery.
Smallest tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from.
Customizable dosing. Bolus calculator available to help figure out doses. Offers smallest increments of basal insulin delivery. Basal in 0.001 increments, bolus in 0.01 increments.
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
Frequent finger-sticks are required.
Discreet. Smallest tubed pump with visible tubing. Ability to bolus directly on a compatible smartphone. Can be clipped to clothing or placed in a pocket to be discreet when needed. Touchscreen of pump looks like normal tech device.
Bigfoot
Bigfoot Unity
Smart cap used for most disposable insulin pens with CGM integration.
28-day pen 14-day sensor
Sensor lasts for 14 days, insulin pen lasts for up to 28 days, smart cap is rechargeable. Sensor works between 50ºF - 113ºF and pens can be kept at room temperature for up to 28 days.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Yes
Data can be viewed on the Bigfoot Unity mobile app but dosage recommendations, glucose readings, and glucose trends will display directly on the smart cap.
Yes
Data from the iCGM and time-of-dose data from the smart caps are automatically uploaded to the cloud.
$$$$
Monthly mail-order package includes all the supplies needed, for a regular subscription price or insurance-covered copay with no upfront costs.
Discrete option for people using multiple daily injections. White caps are available for bolus (rapid-acting) pens, and black caps are available for basal (long-acting) pens.
Limited customizability. System integrates the FreeStyle Libre 2 CGM for high/low alerts but requires manual dose adjustment and limits the ability to adjust basal insulin throughout the day.
Simple design. One-button device with easy to read display.
Many components. Have to carry pens, smart caps, pen needles, and CGM is attached to the body.
Dosing recommendations. Displays dosing recommendations and reminders for long-acting insulin.
Light on body. Pens are easy to use and do not remain attached to the body, senor is light on the body.
Factory-calibrated sensor. Finger sticks needed for backup only.
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. Sensor is the smallest option available.
Medtronic
Medtronic InPen
Discreet and modern option for people using multiple daily injections.
12-month pen 7-day sensor
Sensor lasts for 7 days, insulin pen lasts for up to 12 months with refillable cartridges, transmitter is rechargeable. Sensor can be stored between 36°F - 86°F and pens can be kept at room temperature.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Yes
Data can be viewed on the InPen mobile app with dosage recommendations, glucose readings, and glucose trends.
Yes
Data can be easily shared with a healthcare provider or family members directly through the InPen app.
$$$$
Widely covered. InPen is covered by many insurance companies, typically users pay $50-$60 out-of-pocket copays for the one-year device. Prices range from $0- $549. For those without any insurance coverage, the pen's full price is $549.
Discrete and modern option for people using multiple daily injections.
Limited customizability. System integrates the Guardian Connect CGM for high or low alerts but requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Simple design. Replaces regular insulin pen. No additional devices to add on.
Many components. Have to carry InPen and pen needles. CGM is attached to the body and requires more tape than other sensors.
Dosing recommendations. Displays dosing recommendations and reminders for long-acting insulin.
Light on body. Pens are easy to use and do not remain attached to the body, sensor is waterproof.
2 daily finger-sticks are needed to calibrate the sensor.
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone.
Lilly
Tempo Pen
Discreet and modern option for people using multiple daily injections.
8-month button 10-day sensor
Sensor lasts for 10 days, pen button lasts for up to 8 months. Sensors can be stored between 36°F - 86°F, and pens can be kept at room temperature.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Yes
Dose-related data can be viewed on the TempoSmart mobile app.
Yes
Data can be easily shared with a healthcare provider through the SMART Visit Report.
$$$$
Sometimes covered. Tempo is covered by some commercial insurance companies; typically, users pay $35 out-of-pocket copays for the eight-month device. Prices range from $35- $165. For those without any insurance coverage, the button's full price is $165.
Discreet and modern option for people using multiple daily injections.
Limited customizability. System integrates the Dexcom G6/G7 CGM for high or low alerts but requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Simple design. Replaces regular insulin pen. No additional devices to add on.
Many components. Have to carry pens and pen needles. CGM is attached to the body.
Dosing recommendations. Displays personalized mealtime dosing recommendations.
Light on body. Pens are easy to use and do not remain attached to the body, senor is light on the body.
Factory-calibrated sensor. Finger sticks needed for backup only.
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone.
NovoNordisk
NovoPen 6/NovoPen Echo
Discreet and modern option for people using multiple daily injections.
28-day pen (Compatible with 10-day or 14-day sensor)
Sensor lasts for 10-14 days depending on the brand, insulin pen lasts for up to 28 days. Pen has 800-injection dose memory and a five-year battery life. Sensor works between 50ºF - 113ºF and pens can be kept at room temperature for up to 28 days.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Yes
Dose-related data can be viewed on the NovoPen 6 & NovoPen Echo apps.
Yes
Hold the dose memory of the pen straight against the Near Field Communication (NFC) spot on your device. Wait while your injection details are automatically transferred to a compatible app on your device. Compatible with multiple data monitoring platforms, including Glooko, MySugr, and Dose Check.
$$$$
Sometimes covered. NovoPens are covered by some commercial insurance companies; typically, users pay $21 out-of-pocket copays for the eight-month device. Prices range from $0- $78. For those without any insurance coverage, a single pen price is $78.
Discreet and modern option for people using multiple daily injections.
Limited customizability. System integrates the Dexcom G6/G7 or Libre CGM for high or low alerts but requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Simple design. Replaces regular insulin pen. No additional devices to add on.
Many components. Have to carry pens and pen needles. CGM is attached to the body.
NovoPen 6: The maximum dose is 60 units, and doses increase in 1-unit increments. NovoPen Echo Plus: The maximum dose is 30 units, and doses increase in 0.5-unit increments
Light on body. Pens are easy to use and do not remain attached to the body, senor is light on the body.
Factory-calibrated sensor. Finger sticks needed for backup only.
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone.
Insulin Pen
Nothing on the body when not in use. Noticeable when dosing.
28 Days
Can be kept at room temperature (not above 80º F) when in use for 28 days. Unopened insulin pens should be stored in the refrigerator (36ºF - 46ºF).
NO text to speech
NO vibration alerts
A LOT of dexterity needed
No Options
No Options
$$$$
Widely covered for insulin-dependent type 1 and 2. Price range; 0-$1260/month depending on insurance coverage.
Insulin pens make insulin delivery more convenient than traditional vial/syringe options by combining the medication and syringe in one unit.
Limited customizability. Pens require manual dose adjustment and limit the ability to adjust basal insulin throughout the day.
Simple but many steps. Attach a new needle, dial the correct dose, inject, and dispose of needle.
Many components. Have to carry pen and pen needles but nothing attached to the body.
More precise than syringes. Ability to measure doses using a dial, increasing accuracy.
No attachments to the body. Insulin pens are easy to use and do not remain attached to the body, allowing for a flexible and active lifestyle.
Frequent finger-sticks are required.
Hideable. Pens can be hidden when not in use but visible when in use. Frequent injections are unavoidable.
MannKind
Afrezza
Nothing on the body when not in use. Visible when dosing.
10 Days
Open cartridges last up to 10 days. Sealed cartridges may be stored in a refrigerator at 36°F - 46°F until the expiration date.
NO text to speech
NO vibration alerts
LITTLE dexterity needed
No Options
No Options
$$$$
Widely covered. Price range; 0-$99/month, depending on insurance coverage. $35/month for medicare and commercial insurance plans.
Inhalable regular human insulin. Cartridges come in 4, 8, and 12-unit doses.
Very short-acting. Absorbs quickly through the lungs to correct high blood sugar but requires attention to prevent lows.
Simple design. Whistle-like device for inhaling insulin.
Many components. Have to carry multiple cartridges that can be bulky.
Less precise but easy dosing. Dosing may be less precise due to the inhaled method of dosing, but color-coded cartridges make dosing easier. Dosing can also be done based on small, medium, or large meals and can be administered 1-2 hours post meals.
Body free of devices. Does not remain attached to the body.
Frequent finger-sticks are required.
Hideable. Small, discreet, and portable device that's not as noticeable as injections.
CeQur
CeQur Simplicity Patch
Convenient, discreet, and simple to use.
3 Days
Patch can be worn for up to 72 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
No Options
No Options
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies provided by DME or pharmacy. Price range; $0-$500/Month. When covered, most patients have a co-pay of $50 or less a month. Insurance plans and pharmacy benefits may vary.
Convenient, discreet, and simple to use.
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day. If you need basal (background) insulin, you’ll still need to take it in addition to wearing the CeQur Simplicity.
Simple with few steps. Patch is replaced every 3 days with insulin administered at the click of a button.
Free of tubing. Patches do not have tubing and they're less bulky than traditional insulin pumps but it must be worn in areas that are easy to reach for insulin dosing.
Easy to Use. Squeezing the buttons on either side of the device delivers insulin in two-unit increments for dosing insulin for meals and correction.
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly, but the device is water resistant.
Frequent finger-sticks are required.
Hideable. Thinnest and lightest patch pump that's not as noticeable as injections.
MannKind
V-Go Patch
Convenient, discreet, and simple use.
24-Hours
Patch can be worn for up to 24 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
No Options
No Options
$$$$
Widely covered for insulin-dependent type 2. Supplies provided by DME or pharmacy. Price range; $0-$250/Month.
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Simple with few steps. Patch is replaced every 24-hours with insulin administered at the click of a button.
Free of tubing. Patches do not have tubing, but it must be worn in areas that are easy to reach for insulin dosing.
Simple with few steps. 24-hour bolus range: up to 36 units per 24 hours, doses in 2-unit increments. Preset basal rate of 20, 30, or 40 units per 24 hours.
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly, but the device is water-resistant.
Frequent finger-sticks are required.
Hideable. Bulkier patch pump, but not as noticeable as injections. Bolus button can be used discreetly through clothing.
Insulet
Omnipod GO Patch
Convenient, waterproof, and simple to use.
72-Hours
Patch can be worn for up to 72 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.
NO text to speech
NO vibration alerts
A LOT of dexterity needed
No Options
No Options
$$$$
Widely covered for insulin-dependent 2. Supplies provided by DME or pharmacy. Price range; $33-$46/unit.
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Simple with few steps. Patch is replaced every 72-hours with a fixed rate of continuous rapid-acting insulin.
Free of tubing. Patches do not have tubing.
Modifiable. The pod is available in seven different pre-programmed daily rates, ranging between ten and 40 units a day.
Tubeless and waterproof pod. No way to adjust long-acting insulin for higher activity on the fly, but the device is tubeless and waterproof.
Frequent finger-sticks are required.
Hideable. Bulkier patch pump, but not as noticeable as injections.
Syringe and Vial
Nothing on the body when not in use but very visible when dosing.
28 Days
Open vials can be stored at room temperature (not above 80º F) for up to 28 days. Unopened vials should be stored in the refrigerator (36ºF - 86ºF.)
NO text to speech
NO vibration alerts
A LOT dexterity for insertion
No Options
No Options
$$$$
Syringes are available worldwide in pharmacies or DME without prescription. Price Range: $0-$300/month depending on insurance coverage.
Traditional syringe and needle. The most affordable insulin delivery option.
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.
Many steps. Requires effort to figure out doses and deliver insulin every single time you need it.
Many components. Must carry insulin vials and large syringes but nothing attached to the body.
Requires attention. You have to do the math to figure out your dose. Unable to adjust basal in real-time.
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly.
Frequent finger-sticks are required.
Hideable. Vials and syringes can be hidden when not in use but very visible when in use. Frequent injections are unavoidable.
Automated Systems (AID) Devices
Beta Bionics iLet Pancreas
Beta Bionics
iLet
Dexcom
Dexcom G6/G7
This system requires very little input from the physician or user. It only requires the user to input their weight to get started (glucose targets can be adjusted). Instead of carb counting,* the iLet just needs an estimate of the carbs in your meal – Usual for me, More or Less. The iLet is paired with either a Dexcom CGM or the FreeStyle Libre 3 Plus sensor.
*User must be carb aware.
3-day pump up to 15 day sensor
Sensors last 10 or 15 days and transmitters last 90 and work at 50ºF – 108ºF. Pump can be used for up to 72 hrs, fully charged iLet will last for 4-5 days, and work between 36°F (2°C) to 86°F (30°C).
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Users can view their iLet data directly on the pump or by using the iLet Mobile App. iLet users can share their data with friends, family, and caregivers through the Bionic Circle App.
Yes
iLet Mobile App provides the ability to pull data from an iLet device to share with the Beta Bionics Cloud.
$$$$
iLet and sensors are widely covered and provided by DME and pharmacy. Sensor price range $0-$550/month. iLet cost dependant on your insurance for DME or Pharmacy.
This system only requires the wearer to input their weight to start and whether their meal contained an amount of carbs that is "Usual for me", "More, or "Less." The iLet is compatible with a Dexcom CGM or the FreeStyle Libre 3 Plus sensor.
Auto basal and bolus insulin. The iLet makes the corrections for you. If you’re trending high, it will automatically give you more insulin to bring you back in range. If you’re trending low, it will reduce your current insulin dosage.
Easiest to Use. User weight is the only input required to start using the insulin pump. No carb counting *, correction factors, carb ratios, or pre-set basal rates required.
*User must be carb aware.
Somewhat comfortable. Low maintenance sensor. Larger pump option.
Meal announcement controller. User must be carb aware. The iLet calculates and doses 100% of the insulin throughout the day and night, allowing the user to focus on other things in their lives. Please note: even when you use the "Meal Announcement." your blood glucose levels could rise above 250 mg/dL for a few hours. You'll need to be comfortable letting the iLet regulate your blood glucose.
No exercise mode. Pump will continue to increase or decrease insulin dosing in response to changing CGM glucose levels as usual. However, insulin can be stopped at user's discretion. Pump is water resistant for up to 12 feet for 30 minutes.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. Ability to check blood sugar on phone. Minimal pump interaction is required. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed.
Control IQ with Dexcom
Tandem
Tandem t:slim X2
Dexcom
Dexcom G6/G7
The system automatically adjusts insulin levels from the Tandem t:slim X2 pump based on the Dexcom G6 or G7 readings for more time in range.
3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pump can be used for up to 72 hrs, battery life lasts five days with the use of CGM, and work between 40°F - 99°F.
*CGM transmitter is only required for the Dexcom G6 model.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data can be viewed directly on the pump screen or on the t:connect mobile app (available for both iOS and Android devices).
Yes
The t:connect mobile app for the t:slim X2 pump wirelessly uploads pump and CGM data to the cloud-based t:connect web application.
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by DME suppliers. Price range; $5-$6,995 to start and $0-$200/month.
The Tandem and Dexcom G6 can be connected, so you have one less thing to carry. Also, Tandem has a program called Control IQ that works with the Dexcom G6 to reduce your basal when it expects a low or increase your basal when it expects a high blood sugar. Control IQ also gives automatic correction doses when needed.
Auto basal and bolus insulin. Responds to CGM data by increasing or decreasing basal insulin delivery to prevent highs and lows and maintain a target blood glucose of 110 mg/dl. Auto-bolus is available once per hour to correct blood sugar above 180 mg/dl.
Modern & flexible. Rechargeable and touchscreen pump. Sensor integrated with multiple devices in case you change up what you're using.
Low profile. Low profile/low maintenance sensor. Small tubed pump with the most infusion sets to pick from.
Automatically adjusts dosing. Sensor integration allows for the pump to automatically adjust insulin doses. More customizable dosing than pens or syringes. Basal in 0.001 increments, bolus in 0.01 increments. Extended bolus available.
Exercise Activity. Can manually increase target range to 140-160 mg/dl. Insulin decreases when Control IQ predicts CGM ≤140 mg/dl and increases when ≥ 160 mg/dl within 30 minutes. Autocorrections will still occur. Pump is not waterproof. CGM is waterproof.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. Ability to check blood sugar on phone or watch. Ability to bolus on a compatible smartphone. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed. Dexcom's built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.
Control IQ with Freestyle Libre
Tandem
Tandem t:slim X2
Abbott
Libre 2 Plus
This system automatically adjusts insulin levels from the Tandem t:slim X2 pump based on the Libre 2 Plus readings for more time in range.
3-day pump 15-day sensor
Sensors last 14 days, and transmitters last 90 and work at 50ºF - 113ºF. Pump can be used for up to 72 hrs, battery life lasts five days with the use of CGM, and work between 40°F - 99°F.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data can be viewed directly on the pump screen or on the t:connect mobile app (available for both iOS and Android devices).
Yes
The t:connect mobile app for the t:slim X2 pump wirelessly uploads pump and CGM data to the cloud-based t:connect web application.
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by DME suppliers. Price range; $5-$6,995 to start and $0-$200/month.
This system automatically adjusts insulin levels from the Tandem t:slim X2 pump based on the Libre 2 Plus readings for more time in range.
Auto basal and bolus insulin. Responds to CGM data by increasing or decreasing basal insulin delivery to prevent highs and lows and maintain a target blood glucose of 110 mg/dl. Auto-bolus is available once per hour to correct blood sugar above 180 mg/dl.
Modern & no scanning required. Rechargeable and touchscreen pump. Sensor does not require scanning and sends minute-by-minute readings directly to the pump.
Low profile. Low profile/low maintenance sensor. Small tubed pump with the most infusion sets to pick from.
Automatically adjusts dosing. Sensor integration allows for the pump to automatically adjust insulin doses. More customizable dosing than pens or syringes. Basal in 0.001 increments, bolus in 0.01 increments. Extended bolus available.
Exercise Activity. Can manually increase target range to 140-160 mg/dl. Insulin decreases when Control IQ predicts CGM ≤140 mg/dl and increases when ≥ 160 mg/dl within 30 minutes. Autocorrections will still occur. Pump is not waterproof. CGM is waterproof.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. Ability to check blood sugar on phone or watch. Ability to bolus on a compatible smartphone. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed. CGM has a built-in hypoglycemia safety alarm that alerts users when glucose is below 55 mg/dl and is always on.
Medtronic 780G with Smart Guard
Medtronic
Medtronic 780G
Medtronic
Guardian 4
This system is integrated and has a customizable settings. Many providers are familiar with Medtronic products.
7-day pump 7-day sensor
Sensors last 7 days, transmitter needs weekly charging, store between 36 °F - 86 °F. Pump can be used for up to 7 days with the extended infusion set and works between 40ºF - 104ºF.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data is viewed on compatible smart devices through the MiniMed Mobile App. You can download and view pump or CGM data on CareLink.
Yes
CareLink connect is available for care partners with up to five people who can follow a pump user and receive high and low notifications to help keep everyone in the loop.
$$$$
Coverage information is not yet available. Price range; $0-10,769 to start and $0-$300/Month. Price range varies depending on insurance coverage.
The Medtronic 780G hybrid closed loop system adjusts basal insulin levels up and down based on predicted glucose levels using the Guardian 4 CGM.
Customizable auto-bolus. Auto-correct bolus corrects highs if carb counts are miscalculated or bolus is occasionally missed. The system aims to maintain a target blood glucose level between 100 mg/dL and 120 mg/dL depending on personalized target glucose settings. Auto-bolus is available every 5 minutes to correct blood sugar between 100 mg/dL and 120 mg/dL (12 corrections per hour). Automatic insulin delivery settings are adjustable.
Easy software. Software makes many dosing decisions. Can be difficult to keep automatic insulin dosing features working. Requires fewer parts than do-it-yourself systems.
Somewhat comfortable. Medtronic sensors need more tape than other sensors. Largest pump option.
Automatically adjusts settings. Automatically adjusts insulin to reach personalized target between 100 mg/dL and 120 mg/dL. Will automatically revert to manual mode in certain situations. Basal and bolus in 0.025 increments. Extended bolus unavailable when using automated insulin delivery mode.
Temp Target. Manually increase blood sugar target range to 150 mg/dl during activity. Temp target can run 30 minutes to 24 hours in 30-minute increments. Auto corrections are disabled. The pump is not waterproof.
Factory-calibrated sensor. Fingersticks needed for backup only.
Somewhat discrete. Ability to check blood sugar on phone or watch. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed.
Omnipod 5
Insulet
Omnipod 5
Dexcom
Dexcom G6/G7
This system includes a wearable, tubeless insulin Pod controlled by the Omnipod App on a compatible smartphone or a smartphone-like Insulet-provided Controller.
3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Under normal circumstances, your body temperature keeps the Pod within a range of 73°F and 98.6°F
NO text to speech
YES vibration alerts
SOME dexterity needed
Yes
Dexcom sensors permit remote monitoring. Wireless data uploads directly into Glooko® to support both in-person and remote patient care
Yes
Insulet Provided Glooko® is a data management platform that provides clear, actionable insights. Wireless data uploads directly into Glooko® to support both in-person and remote patient care.
Widely covered for insulin-dependent type 1 and 2. Supplies for Pump and Sensor provided by Pharmacy and/or DME suppliers. Projected price range; $5-$1260 to start and 0-$200/month.
Discrete and modern option for people using multiple daily injections.
Automated Mode uses insulin delivery history and sensor glucose value and trend to automatically increase, decrease, and pause insulin delivery based on current and predicted glucose values using a customizable glucose target.
Smartphone Integration. Pod has fewer components to deal with than other pumps and can be fully controlled using a compatible smartphone.
Low profile & no tubing. Low profile sensor and Omnipod has no tubing but may require more adhesive on the body than other pumps.
Automatically adjusts dosing. Sensor trends feed into Pods' customizable dose adjustments and there are no interruptions in insulin delivery. You can set a target between 110 mg/dL – 150 mg/dL in 10 mg/dL increments. Basal and bolus in 0.05 increments. Extended bolus unavailable when using automated insulin delivery mode.
Activity. Target glucose is set to 150 mg/dl. Automated insulin delivery is decreased ~50%. The maximum insulin delivery is deceased. Activity mode can be run for 1-24 hours. Wear the Pod in the shower, in the pool, or in the ocean. The Controller is not waterproof and must be charged daily.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. Sensor allows for checking blood glucose on phone/smartwatch. Most discreet pump option with no visible controller required if using an Android smartphone.
Tandem Mobi
Tandem
Tandem Mobi
Dexcom
Dexcom G6/G7
Tandem Mobi is the smallest insulin delivery system to be fully controlled by a smartphone.
3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90 and work at 50ºF – 108ºF. Pump can be used for up to 72 hrs, battery life lasts five days with the use of CGM, and work between 40°F - 99°F. Pump supports wireless charging.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data can be viewed directly on the pump screen or on the t:connect mobile app (available for both iOS and Android devices).
Yes
The t:connect mobile app for the t:slim X2 pump wirelessly uploads pump and CGM data to the cloud-based t:connect web application.
$$$$
Pump coverage is not yet available. Sensor is widely covered and provided by DME and/or Pharmacy. Sensor price range; $0-$500/month.
Tandem Mobi is the smallest insulin delivery system to be fully controlled by a smartphone.
Auto basal and bolus insulin. Responds to CGM data by increasing or decreasing basal insulin delivery to prevent highs and lows and maintain a set blood glucose target.
Easy Dosing. Full control from a smartphone, with the option to manually bolus if needed.
Shorter tubing option. A shorter 5-inch tubing option for comfort on body.
Automatically adjusts dosing. Sensor integration allows the pump to automatically adjust insulin doses. More customizable dosing than pens or syringes. Manual bolus button is available for quick dosing without a phone.
Waterproof. The pump and CGM are waterproof and can be worn for most exercises.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. Ability to check blood sugar on phone or watch. Ability to bolus on a compatible smartphone. Pump has tubing but can be clipped to clothing or attached to local area with an armband or adhesive sleeve to be discreet when needed. Dexcom's built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.
Tidepool Loop
Tidepool
Tidepool
Tidepool Loop is the first fully interoperable automated insulin dosing app that originated as a patient-led initiative.
Pump and CGM information not yet available.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data can be viewed on an iPhone.
Yes
Compatible with Tidepool - a web-based diabetes data management system.
$$$$
Pump and CGM supply information is not yet available. iPhone is not covered and must be set up independently.
Tidepool Loop is the first fully interoperable automated insulin dosing app that originated as a patient-led initiative.
Automatically adjusts insulin delivery. Increases or decreases insulin delivery to meet glucose targets. Insulin delivery settings can be aggressive or conservative.
Easy dosing. Software makes most dosing decisions easy to do on the fly.
Low-profile mobile app. Dosing and other adjustments can be done directly on the mobile app.
Customizable. Can bolus from phone or smartwatch and all settings are expected to be customizable. More information on modifications to insulin delivery will be available soon.
Automatic responses. Can set custom blood sugar targets and insulin and carb sensitivities based on type of activity. App automatically responds to blood sugar changes during activity.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. Ability to give insulin via watch or phone. Ability to check sugar on phone or watch. Alerts available.
twiist
Sequel
twiist
This system automatically adjusts insulin delivery according to continuous glucose monitor (CGM) readings and predicted blood sugar levels. It is the first FDA-approved AID system with Apple Watch compatibility.
3-day pump 10-day sensor
Sensors last 10 days, and transmitters last 90 and work at 50ºF – 108ºF. The reservoir holds 300 units and is disposable, and the pump can be used for up to 3 years.
YES text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data is stored and can be viewed directly from the twiist app on the mobile device (iPhone), and can be linked to an Apple Watch for viewing data as well.
Yes
Compatible with Tidepool - a web-based diabetes data management system.
$$$$
No insurance coverage data. Anticipated to be provided through Pharmacy.
This system automatically adjusts insulin delivery according to continuous glucose monitor (CGM) readings and predicted blood sugar levels. It is the first FDA-approved AID system with Apple Watch compatibility.
Automatically adjusts insulin delivery. Increases or decreases insulin delivery to meet glucose targets. Insulin delivery settings can be aggressive or conservative.
Watch compatible. The twiist AID system is the first FDA-approved AID system that can be directly controlled from an Apple Watch.
Low-profile. Low profile with an adhesive design that prevents the pump from catching on other objects.
Customizable. Can bolus from phone, smartwatch, or directly from the device without needing to be attached to your phone. The device also directly measures the volume (amount) and flow (speed) of insulin delivered with every micro-dose
Waterproof. The pump, when connected to the cassette, has a rating of IP28, indicating protection from continuous immersion in water. The pump can tolerate immersion to depths of up to 12 feet (3.7 m) for 1 hour.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. The pump is in two pieces - the top (algorithm and battery) and the bottom (insulin chamber and AVS technology)
DIY Loop
Insulet
Omnipod
Dexcom
Dexcom G6
This is a DIY (do-it-yourself) system that needs significant setup. It has the most flexibility in settings and device options. It also depends on a third device called a "Riley Link" to communicate between sensor, phone, and pump.
3-day pump 10-day sensor
Sensors last 10 days and transmitters last 90, and work at 50ºF – 108ºF. Pods or pump reservoirs last for up to 72 hrs and work from 40ºF – 104ºF.
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Yes
Data can be viewed on an iPhone.
Yes
Compatible with Tidepool - a web-based diabetes data management system.
$$$$
Supplies can be covered for Omnipod or Medtronic pumps and Dexcom. Price range; $0-$8,574 to start and 0-$300/month. iPhone, app, and Riley link are not covered and must be set up independently. Riley link price range; $135-$165.
Loop is a DIY (do-it-yourself) system. It takes some work to set up but allows patients to think about diabetes less by automating basal insulin delivery based on predicted glucose levels.
Automatically adjusts insulin delivery. Increases or decreases insulin delivery to meet glucose targets. Insulin delivery settings can be aggressive or conservative.
Difficult set-up but easy to use. Software makes most dosing decisions. Requires many parts. Can be difficult to set up.
Low-profile but extra device. Low profile/low maintenance sensor. The RileyLink is an extra device that must be carried.
All settings are completely customizable. Can bolus from phone or smartwatch. Can operate “open-loop” where the user must enact insulin delivery based on recommendations or “closed-loop” where modifications to insulin delivery are automatically delivered.
Automatic responses. Can set custom blood sugar targets and insulin and carb sensitivities based on type of activity. App automatically responds to blood sugar changes during activity. *Medtronic option is not waterproof. Omnipod option is fully waterproof.
Factory-calibrated sensor. Fingersticks needed for backup only.
Discreet. Ability to give insulin via watch or phone. Ability to check sugar on phone or watch. Alerts available. *Medtronic pump has tubing. Omnipod is most hideable pump option (no tubes or separate controller needed).
Activity Tracker
Apple Series 6/7/8/9/10/SE (2nd Generation)
Apple
Price:$169-$749
Battery:
Up to 18 hours
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre 2 and 3
Apple
Series 6/7/8/9/10/SE (2nd Generation)
$169-$749
N/A
Yes
Up to 18 hours
No
Dexcom (G6 or G7)
Freestyle Libre 2 and 3
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep, GPS, blood oxygen, fall detection. Supports a variety of workouts like running, cycling, yoga and swimming.
Temperature Sensor: Added on Series 8 and 9
Notifications: Displays notifications from your phone.
Water Resistant: Yes
Garmin vívosmart 5™
Garmin
Price:$149.99
Battery:Up to 7 days
Continuous Glucose Monitoring (CGM) Compatible:No
Garmin
vívosmart 5
$149.99
13+ years
Yes
Up to 7 days
Possibly with Letter of Medical Necessity (LMN)
No
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration, and women’s health. Tracks activities like walking, running, cycling, and cardio.
Notifications: Displays notifications from your phone. Receives both Dexcom and Libre smart push notifications where the glucose reading mirrors the smartphone device.
Water resistant: Yes
Garmin Venu Sq 2
Garmin
Price:From $249.99
Battery:Up to 11 days
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Garmin
Venu Sq 2
From $249.99
13+ years
Yes
Up to 11 days
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration, and women’s health. Tracks running, cycling, swimming, yoga, and more. Also, has sports apps for workouts modes and guided exercises.
Water resistant: Yes
Garmin Venu 3
Garmin
Price:$449.99
Battery:Up to 14 days
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Garmin
Venu 3
$449.99
13+ years
Yes
Up to 14 days
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration, and women’s health. Tracks running, cycling, swimming, yoga, and more. Also has sports apps for workout modes and guided exercises.
Water resistant: Yes
Garmin vivoactive 5
Garmin
Price:$299.99
Battery:Up to 11 days of battery life
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Garmin
vivoactive 5
$299.99
13+ years
Yes
Up to 11 days of battery life
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration, and women’s health. Tracks running, cycling, swimming, yoga, and more. Also has sports apps for workouts modes and guided exercises. Libre smart push notifications where the glucose reading mirrors the smartphone device
Water resistant: Yes
Garmin Fenix 8
Garmin
Price:From $1,000.00
Battery:Up to 10 days
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Garmin
Fenix 8
From $1,000.00
13+ years or 22+ years for ECG app (only available in some regions)
Yes
Up to 10 days
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration and women’s health. Tracks running, cycling, swimming, yoga, and more. Also has sports apps for workouts modes and guided exercises.
Performance metrics: Provides VO2 max, training effect, and recovery time.
Maps: Preloaded topographical maps for navigation.
Water resistant: Yes
Garmin vivofit jr 3
Garmin
Price:$89.99
Battery:Up to 1 year
Continuous Glucose Monitoring (CGM) Compatible:No
Garmin
vivofit jr 3
$89.99
4+ years
Yes
Up to 1 year
Possibly with Letter of Medical Necessity (LMN)
No
Activity Tracking: Monitors steps, active minutes and sleep, and offers games and challenges Sends activity and chore reminders.
Water resistant: No
Garmin Forerunner 165/265/965
Garmin
Price:From $249.99
Battery:Up to 11 days
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Garmin
Forerunner 165/265/965
From $249.99
13+ years
Yes
Up to 11 days
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration and women’s health. Tracks running, cycling, swimming, yoga, and more. Supports multi-sport tracking. Customizable plans for workouts.
Performance metrics: Provides VO2 max, training effect, and recovery time.
Maps: Preloaded topographical maps for navigation.
Notifications: Receives phone alerts.
Music controls: Manage music playback.
Water resistant: Yes
Garmin epix (Gen 2)
Garmin
Price:From $899.99
Battery:Up to 16 days
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Garmin
epix (Gen 2)
From $899.99
13+ years
Yes
Up to 16 days
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration and women’s health. Tracks running, cycling, swimming, yoga, and more. Also has sports apps for workouts modes and guided exercises. Allows creating and customizing workouts.
Performance metrics: Provides VO2 max, training effect, and recovery time.
Maps: Includes preloaded topographic maps.
Notifications: Displays notifications from your phone.
Water resistant: Yes
Garmin Enduro 3
Garmin
Price:$899.99
Battery:Up to 320 hours of battery life in GPS mode due to solar power
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7
Freestyle Libre
Garmin
Enduro 3
$899.99
13+ years
Yes
Up to 320 hours of battery life in GPS mode due to solar power
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7
Freestyle Libre
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration and women’s health. Tracks running, cycling, swimming, yoga, and other multi-sport tracking. Also has sports apps for workouts modes and guided exercises. Allows creating and customizing workouts. Assesses readiness for workouts.
Performance metrics: Provides VO2 max, training effect, and recovery time.
Maps: Includes preloaded topographic maps.
Smart notifications: Displays notifications from your phone.
Water resistant: Yes
Fitbit Ace LTE
Fitbit
Price:$229.95
Battery:Up to 16+ hours
Continuous Glucose Monitoring (CGM) Compatible:No
Fitbit
Ace LTE
$229.95
7+ years
Yes
Up to 16+ hours
Possibly with Letter of Medical Necessity (LMN) or a health reimbursement arrangement (HRA)
No
Activity Tracking: Monitors steps, active minutes, sleep and distance. Tracks activities like running, biking, and sports. Has goal setting where kids can set daily step and activity goals. Movement reminder to encourage kids to stay active.
Family account: Parents can manage and view their child's activity.
Water resistant: Yes
Fitbit Charge 6
Fitbit
Price:$159.95
Battery:Up to 7 days
Continuous Glucose Monitoring (CGM) Compatible:No
Fitbit
Charge 6
$159.95
13+ years
Yes
Up to 7 days
Possibly with Letter of Medical Necessity (LMN) or a health reimbursement arrangement (HRA)
No
Activity Tracking: Monitors steps, calories, distance, heart rate, sleep tracking, blood oxygen, stress tracking, GPS, energy levels, hydration and women’s health, body battery, readiness for workouts Tracks running, cycling, swimming, yoga, and other multi-sport tracking. Also has sports apps for workouts modes and guided exercises. Allows creating and customizing workouts.
Performance metrics: Provides VO2 max, training effect, and recovery time.
Maps: Includes preloaded topographic maps.
Notifications Displays notifications from your phone.
Water resistant: Yes
Fitbit Inspire 3
Fitbit
Price:$99.95
Battery:Up to 10 days
Continuous Glucose Monitoring (CGM) Compatible:No
Fitbit
Inspire 3
$99.95
13+ years
Yes
Up to 10 days
Possibly with Letter of Medical Necessity (LMN) or a health reimbursement arrangement (HRA)
No
Activity Tracking: Steps, active minutes, different types of exercises, calories burned, heart rate, sleep tracking
Notifications: Displays notifications from your phone.
Water resistant: Yes
Fitbit Versa/Versa 2/4/Versa Lite
Fitbit
Price:From $199.95
Battery:Up to 6+ days
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Fitbit
Versa/Versa 2/4/Versa Lite
From $199.95
13+ years
Yes
Up to 6+ days
Possibly with Letter of Medical Necessity (LMN) or a health reimbursement arrangement (HRA)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Steps, heart rate, active minutes, workout modes, sleep and calories, GPS (Versa 4)
Music Control: Control music playback (Versa 2 and 4).
Notifications: Displays notifications from your phone.
Water resistant: Yes
Fitbit Sense 2
Fitbit
Price:$199.95
Battery:Up to 6 days
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Fitbit
Sense 2
$199.95
13+ years
Yes
Up to 6 days
Possibly with Letter of Medical Necessity (LMN) or a health reimbursement arrangement (HRA)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Steps, heart rate, active minutes, workout modes, sleep and calories, GPS, stress, skin temperature
Music Control: Manage music playback.
Notifications: Displays notifications from your phone.
Water resistant: Yes
Fitbit Luxe
Fitbit
Price:$149.95
Battery:Up to 5 days
Continuous Glucose Monitoring (CGM) Compatible:No
Fitbit
Luxe
$149.95
13+ years
Yes
Up to 5 days
Possibly with Letter of Medical Necessity (LMN) or a health reimbursement arrangement (HRA)
No
Activity Tracking: Steps, heart rate, active minutes, workout modes, sleep, menstrual cycle.
Notifications: Displays notifications from your phone.
Water resistant: Yes
Google Pixel 2/3
$249.99
Battery:Up to 72 hours (Pixel 2)
Up to 25 hours (Pixel 3)
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 or G7)
Freestyle Libre
Pixel 2/3
$249.99
N/A
Yes
Up to 72 hours (Pixel 2)
Up to 25 hours (Pixel 3)
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 or G7)
Freestyle Libre
Activity Tracking: Steps, heart rate, active minutes, workout modes, sleep, calories burned, fitness goals, GPS
Notifications: Displays notifications from your phone.
Water resistant: Yes
Samsung Galaxy 4/5
Samsung
Price:From $199.99
Battery:Up to 40 hours (Galaxy 4)
Up to 80 hours (Galaxy 5)
Continuous Glucose Monitoring (CGM) Compatible:Dexcom (G6 and G7)
Samsung
Galaxy 4/5
From $199.99
N/A
Yes
Up to 40 hours (Galaxy 4)
Up to 80 hours (Galaxy 5)
Possibly with Letter of Medical Necessity (LMN)
Dexcom (G6 and G7)
Activity Tracking: Steps, heart rate, active minutes, workout modes, sleep, body composition, calories tracking, stress, GPS
Notifications: Displays notifications from your phone.
Water resistant: Yes
Xiaomi Mi Band 9
Xiaomi
Price:$60.00
Battery:Up to 21 days
Continuous Glucose Monitoring (CGM) Compatible:No
Xiaomi
Mi Band 9
$60.00
14+ years
Yes
Up to 21 days
Possibly with Letter of Medical Necessity (LMN)
No
Activity Tracking: Steps, heart rate, active minutes, workout modes, sleep, body composition, calories tracking, stress, GPS. Alerts you to move if inactive.
Notifications: Displays calls and messages.
Water resistant: Yes
Oura Ring
Oura
Price:$349
Battery:Up to 7 days
Continuous Glucose Monitoring (CGM) Compatible:Yes
Oura
Ring
$349
18+ years
Yes
Up to 7 days
Yes
Yes
Activity Tracking: Steps, heart rate, activity score, sleep, body composition, calories tracking, readiness score, temperature, movement
Notifications: Alerts for calls and messages (with a paired device)
Water resistant: Yes
Whoop 4.0
Whoop
Price:$239
Battery:Up to 5 days
Continuous Glucose Monitoring (CGM) Compatible:No
Whoop
4.0
$239
13+ years
Yes
Up to 5 days
Yes
No
Activity Tracking: Recovery score, strain score, heart rate, active minutes, workout modes, calories, temperature, hydration, workouts. Alerts you to move if inactive.
Notifications: Displays calls and messages.
Water resistant: Yes
Withings ScanWatch 2
Withings
Price:$349.95
Battery:Up to 30 days
Continuous Glucose Monitoring (CGM) Compatible:No
Withings
ScanWatch 2
$349.95
N/A
Yes
Up to 30 days
Yes
No
Activity Tracking: Steps, heart rate, calories, sleep, fitness modes. Provides health data and trends through the Withings app.
ECG Functionality: Measures electrocardiograms to assess heart health.
Water resistant: Yes
Withings ScanWatch Lite
Withings
Price:$199
Battery:Up to 30 days
Continuous Glucose Monitoring (CGM) Compatible:No
Withings
ScanWatch Lite
$199
N/A
Yes
Up to 30 days
Yes
No
Activity Tracking: Calories, heart rate, sleep, fitness modes. Provides insights on health metrics through the Withings app.
Water resistant: Yes
Pedometer 3D Pedometer
Pedometer
Price:$19.99
Battery:Up to 1 year
Continuous Glucose Monitoring (CGM) Compatible:No
Pedometer
3D Pedometer
$19.99
N/A
No
Up to 1 year
Possibly with Letter of Medical Necessity (LMN)
No
Activity Tracking: Steps, distance measurement, Calorie Burn Estimation, Active Time Tracking, History of walk summary
Goal Setting: Allows you to set daily step goals and track your progress.
Data Display: Shows real-time stats like steps, distance, and calories.
Sedentary Alerts: Reminds you to move if you've been inactive for a while.
Battery Life Indicator: Displays how much battery is left.
Water resistant: Yes