Select Device Freestyle Libre 3 Freestyle Libre 2 Freestyle Libre 14 Day Dexcom G7 Dexcom G6 Guardian Connect Simplera Eversense Generic Meter Omnipod Omnipod Dash Medtronic 780G Medtronic 630G/670G/770G Tandem t:slim X2 Bigfoot Unity Medtronic InPen Pluma de Insulina Afrezza CeQur Simplicity Patch V-Go Patch Omnipod GO Patch Jeringa y Vial Beta Bionics iLet Control IQ with Dexcom Control IQ with Freestyle Libre Medtronic 780G with Smart Guard Omnipod 5 Tandem Mobi Tidepool Loop twiist DIY Loop
Select Device Freestyle Libre 3 Freestyle Libre 2 Freestyle Libre 14 Day Dexcom G7 Dexcom G6 Guardian Connect Simplera Eversense Generic Meter Omnipod Omnipod Dash Medtronic 780G Medtronic 630G/670G/770G Tandem t:slim X2 Bigfoot Unity Medtronic InPen Pluma de Insulina Afrezza CeQur Simplicity Patch V-Go Patch Omnipod GO Patch Jeringa y Vial Beta Bionics iLet Control IQ with Dexcom Control IQ with Freestyle Libre Medtronic 780G with Smart Guard Omnipod 5 Tandem Mobi Tidepool Loop twiist DIY Loop
Resumen
The Medtronic pump 630G/670G/770G is covered by most insurance and has the ability to communicate with a Contour meter.
The Beta Bionics iLet system is the first and only automated insulin delivery system that determines 100% of all insulin doses and requires very little input from the user. The iLet Bionic Pancreas consists of a tubed insulin pump, a Dexcom G6 continuous glucose monitor (CGM), and a connected smartphone or reader. To start, the user is required to enter their weight. The pump's algorithm can automatically make adjustments to insulin dosing after entering glucose targets and details about the meal.
*Recently FDA approved.
Componentes
Medtronic 630G/670G/770G : Pump
Pump connects tubing to a small patch called an infusion set that attaches to the body.
Medtronic 630G/670G/770G : Reservoir
Tubed insulin pumps contain a plastic reservoir or cartridge that is manually filled with insulin and locked into the pump.
Medtronic 630G/780G : Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body. Optional Medtronic Extended™ Infusion set (up to 7-day wear) available.
Beta Bionics iLet : Pump
Pump connects tubing to a small patch called an infusion set that attaches to the body.
Beta Bionics iLet : Sensor
Sensor is inserted underneath the skin, either on the abdomen or arm.
Beta Bionics iLet : Controller
Pump receives CGM readings and automatically adjusts insulin delivery. Data from the pump and CGM viewable on compatible smartphones (iOS and Android)
Beta Bionics iLet : Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body.
Detalles del dispositivo
Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy or DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.
$$$$
Pump coverage is not yet available. Sensor is widely covered and provided by DME and/or Pharmacy. Sensor price range; $0-$500/month.
Data Monitoring Options
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
Yes
iLet Mobile App provides the ability to pull data from an iLet device to share with the Beta Bionics Cloud.
Data View Options
Yes
Data is viewed on the pump's main screen.
Yes
Data is viewed on compatible smart devices through the iLet Mobile App. You can download and view pump or CGM data on Beta Bionics Cloud.
Duration and Storage
3 Days
Infusion site and pump reservoir last up to 72 hours and works between 40ºF - 104ºF.
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 36°F (2°C) to 86°F (30°C).
Vision / Auditory / Dexterity
NO text to speech
YES vibration alerts
A LOT of dexterity needed
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Consideraciones del paciente
Confort
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.
Low profile. Low profile/low maintenance sensor. Small tubed pump with many infusion sets to pick from.
Estilo de Vida Activo
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
No exercise mode. Pump will continue to increase or decrease insulin dosing in response to changing CGM glucose levels as usual. Pump is water resistant for up to 12 feet for 30 minutes.
Evitar los Altibajos
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
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. Bolus correction controller is available to correct high blood sugar.
Fácil de Usar
Battery required. Pump has button navigation and requires AA battery.
Easiest to Use. User weight is the only input required to start using the insulin pump. No carb counting. No correction factor. No insulin to carb ratio. No basal rate.
Fácil Dosificación de Insulina
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.025 increments.
Meal announcement controller. No carb counting required. User is required to “announce” a meal to the system or tell the iLet they are having a meal. Algorithm will then figure out how much insulin is needed and adapt as the system is used more. Maxiumim insulin meal doses are 24 U. 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.
Menos Pinchazos en Los Dedos
Frequent finger-sticks are required.
Factory-calibrated sensor. Fingersticks needed for backup only.
Privacidad
Somewhat discreet. Largest pump with visible tubing. Can be clipped to clothing or placed in a pocket to be discreet when needed.
Discreet. Ability to check blood sugar on phone or watch. Minimal pump interaction is required. 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.