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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

Sensor & Inhaler

Freestyle Libre 2 & Afrezza

afrezza sensor v3

If you don't like having stuff on your body but want glucose data at a glance, the Freestyle Libre is the thinnest sensor option. Paired with the Afrezza inhaler, this is one of the most discreet combinations. 

Sensor & Smart Pump

Medtronic 780G Smart System

Medtronic780G v4

The MiniMed™ 780G hybrid closed-loop system adjusts your basal insulin levels based on personalized glucose targets (as low as 100 mg/dL). This system automatically corrects highs if carb counts are miscalculated or bolus is occasionally missed.

  • MiniMed 780G pump + Guardian 4 Sensor with Guardian™ Link 4 transmitter (Guardian™ Sensor 3 with Guardian™ Link 3 transmitter)

Priority: Overall

Overall

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://study.diabeteswise.org/resources/getting-treatment/qualify-for-insurance/ for more resources.

Questions for your Doctor

Freestyle Libre 2 & Afrezza

Is the Freestyle Libre waterproof?

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

How can I get insurance approval for Afrezza?

If you have health insurance: visit Beyond Type 1 for more information on how your provider can send a prescription to the pharmacy that Mannkind works closely with, UBC Pharmacy: 

UBC Pharmacy LLC
4700 N Hanley Rd Ste B
Saint Louis, MO 63134
NPI: 1962978858
Fax: 866-750-9260
Phone: 844-323-7399

Anyone in the United States can use this pharmacy to fill an Afrezza prescription. 

If you don't have health insurance: visit Beyond Type 1 for more information on Mannkind's patient assistance program

For more information on cost: visit Mannkind - Paying for Your Afrezza.

Medtronic 780G Smart System

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.

How does a smart system work?

Automated insulin delivery systems usually have three parts: a continuous glucose monitor (CGM), an insulin pump, and an algorithm, which is the brain. It makes many dosing decisions for you with less button pushing. The system senses your blood sugar level and adjusts insulin delivery automatically.

Questions for your insurance

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

Talk to the device companies

Freestyle Libre 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

Afrezza

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

1-844-323-7399 Afrezza Website

Guardian Connect

Call Medtronic and ask them about how much it will cost with your insurance coverage. Talk to your Doctor to get a prescription.

1-800-646 4633 Medtronic Website

Medtronic 630G

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

1-888-350-5440 Medtronic Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Flat sensor transmitter fits easily under active wear and sports gear
No way to adjust long acting insulin for higher activity on the fly
Can increase blood sugar target during activity
System responds to blood sugar changes during activity automatically
Pump is watertight

Avoiding Highs and Lows Avoiding Highs and Lows

Faster and easier to check your glucose with this sensor versus with a meter
Automatically adjusts insulin to reach targets you set
Auto bolus feature automatically corrects high blood sugar
Pump delivers correction doses if carb counts entered are not exact

Comfort Comfort

Lowest profile sensor
Have to carry inhaler and cartridges
Medtronic sensors need more tape than other sensors
No extra device to carry (no RileyLink)
Largest pump
Longest wear infusion set available, up to 7 days

Easy Insulin Dosing Easy Insulin Dosing

Can use sensor trends for dose adjustment
Inhalers are less precise than injections
Automatically adjusts insulin to reach targets you set
Meal detection technology will automatically adjust and correct sugar levels every 5 minutes

Easy to Use Easy to Use

Sensor and transmitter are one piece
Few steps to change sensor
Inhalers are faster and easier to use than injections
Software makes many dosing decisions for you
Requires fewer parts than do-it-yourself systems
Easier to keep automatic insulin dosing features working

Fewer Fingersticks Fewer Fingersticks

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

Privacy Privacy

Needs scan from phone or controller to get blood sugar
Inhalers are hideable when not in use
Pump has tubing
Alerts
Ability to see blood sugar on phone and smartwatch

Cost & Coverage

Freestyle Libre 2

Freestyle Libre 2

Guardian Connect

Guardian Connect

Glucose Testing Supplies

Sensors

Receiver (1 time purchase)

Sensors

Transmitter

Glucose Testing Cost Estimate

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.

Startup $69 to $206

Monthly $32 to $97

These prices vary by Insurance. If you call Medtronic they will start a process to check exactly how much your costs will be. Generally Medtronic pumps and sensors are covered by private insurance and medicare. It may be covered under durable medical goods or a pharmacy benefit.

Afrezza

Afrezza

Medtronic 630G

Medtronic 630G

Insulin Dosing Supplies

Inhaler & Cartridges (Monthly) 

Pump

Insulin Cartridges

Infusion Sets

Insulin Dosing Cost Estimate

Widely covered. Price range; 0-$99/month depending on insurance coverage. $35/month for medicare and commercial insurance plans. 

Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy, DME, or directly through Medtronic Diabetes. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.