Diabetes Device Choices
Overview
Sensor & Injections
FreeStyle Libre 2 & Bigfoot Unity
Bigfoot Unity is a smart insulin dosing system comprised of Bigfoot smartpen caps (for short- and long-acting insulin pens), Abbott's FreeStyle Libre 2 CGM, a mobile app, and a blood glucose meter made by AgaMatrix.
Unity provides recommendations for both short- and rapid-acting insulin doses. Both pen caps have screens that display slightly different information, including blood glucose level (you can scan your Libre 2 with the pen cap to see your mg/dl!), timing of last dose, and recommended doses.
Sensor & Inhaler
Dexcom G6 & Afrezza
If you don't like having stuff on your body but want glucose data at a glance, the Dexcom G6 comes factory-calibrated and requires no finger stick. Paired with the Afrezza inhaler, this is one of the more discreet combinations.
Priority: Overall
Next Steps
You're going to do great on the devices you choose
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.
Talk to the device companies about the device you want and if your insurance will cover it. They can help with this.
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 & Bigfoot Unity
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 do I order supplies?
Participating in the Bigfoot Unity program requires an agreement between Bigfoot Biomedical and your health care provider. Ask your doctor if they are contracted with Bigfoot Unity!
Dexcom G6 & Afrezza
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.
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 WebsiteBigfoot Unity
Call Bigfoot Unity and ask them about your coverage. Talk to your Doctor to get a prescription.
551-244-3668 Bigfoot Unity WebsiteDexcom G6
Call Dexcom and ask them about your coverage. Talk to your Doctor to get a prescription.
1-888-738 3646 Dexcom WebsiteAfrezza
Call MannKind and ask them about your coverage. Talk to your Doctor to get a prescription.
1-844-323-7399 Afrezza WebsiteAdditional Resources
By Priorities
Active Lifestyle
Avoiding Highs and Lows
Comfort
Easy Insulin Dosing
Easy to Use
Fewer Fingersticks
Privacy
Cost & Coverage
Freestyle Libre 2
Dexcom G6
Glucose Testing Supplies
Sensors
Receiver (1 time purchase)
Sensors
Transmitter
Receiver (1 time purchase)
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 $80 to $239
Monthly $35 to $105
These prices vary by Insurance. Many insurers support the G6 Dexcom. It may be covered under durable medical goods or a pharmacy benefit.
Bigfoot Unity
Afrezza
Insulin Dosing Supplies
Pen caps
Needles
Sensors
Test strips
Lancets
Alcohol swabs
Inhaler & Cartridges (Monthly)
Insulin Dosing Cost Estimate
Monthly mail-order package includes all the supplies needed, for a regular subscription price or insurance-covered copay with no upfront costs.
Widely covered. Price range; 0-$99/month depending on insurance coverage. $35/month for medicare and commercial insurance plans.