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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
The Tandem t:slim X2 is rechargeable, has a touch screen, and can be updated on a home computer.
*Control IQ+ Technology now available for ages 2+
Dexcom G7 is a low-profile, all-in-one glucose sensor/transmitter and warms up faster than other CGMs on the market. This sensor lasts for 10 days and sends real-time glucose readings to a compatible smartphone app or directly on an Apple Watch. No finger pricks or scanning is needed. Optional low and high-blood sugar notifications are available for this system.
FDA-approved for wear on the back of the upper arm for ages 2 years and older or the upper buttocks for ages 2-17.
MARD of 8.2%
Components
Tandem t:slim X2 : Pump
Touch screen pump connects tubing to a small patch called an infusion set that attaches to the body.
Tandem t:slim X2 : Cartridge
Tubed insulin pumps contain a plastic reservoir that is manually filled with insulin and locked into the pump.
Tandem t:slim X2 : Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body.
Tandem t:slim X2 : Controller
Compatible smartphone can be used to view and control insulin delivery using the t:connect app.
Dexcom G7 : Sensor
Sensor uses a thin, flexible filament inserted just under the skin to measure glucose levels every 5-minutes. Push-button applicator allows sensor to be placed on the body in one step.
Dexcom G7 : Receiver
Conveniently access glucose readings using a reader, smartphone, or directly on an Apple Watch. Phone app available for both iOS and Android devices.
Device Details
Overview
Smallest tubed pump. Modern interface resembles a smartphone but tubing may be visible.
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies and pump provided by DME. Price range; $0-$4000 to start and $0-$300/Month.
$$$$
No insurance coverage data. Provided by DME and/or Pharmacy.
Data Monitoring Options
Yes
Tandem t:slim mobile app wirelessly uploads cloud-based Tandem Source web application delivering access to recent patient data.
Yes
Automatically and continuously sends data to the user’s Dexcom Clarity web-based cloud which is accessible by clinicians.
Data View Options
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
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.
Duration and Storage
3 Days
Pump can be worn for up to 72 hours and works between 40°F - 99°F
10 Days
Sensors last 10 days. They are shipped 3 boxes at a time every 3 months – 9 sensors. Works at 50ºF – 108ºF
Vision / Auditory / Dexterity
NO text to speech
YES vibration alerts
A LOT of dexterity needed
YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
Waterproof when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device.
Avoiding Highs and Lows
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
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.
Comfort
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.
Low profile and low maintenance sensor application.
Easy Insulin Dosing
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.
Real-time data and alerts make dose adjustment easier.
Easy to Use
Rechargeable. Pump has a touch screen display and rechargeable battery.
No scanning required. Readings are sent directly to the mobile app every 5 minutes.
Fewer Fingersticks
Frequent finger-sticks are required.
Factory-calibrated sensor. Finger sticks needed for backup only.
Privacy
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.
Quiet Mode (Vibrate). All system alerts will vibrate when this setting is enabled. Urgent Low Soon and technical alerts will sound if not acknowledged.