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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 & Pump

Medtronic Sensor & Medtronic Pump

MedtronicMedtronic 2

The Medtronic sensor and pump communicate with each other, so there's no need to keep track of a separate sensor receiver.

Sensor & Inhaler

Eversense & Afrezza

afrezza and eversense

The Eversense is implanted under the skin, so you can hide your devices easier. 

*You will need an iPhone to use the Eversense sensor.

Priority: Overall

Overall
A perfect match.

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

Medtronic Sensor & Medtronic Pump

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.

Eversense & Afrezza

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 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

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

Eversense

Either call the phone number here to ask about getting started or fill out the form that is linked here to get started.

1-844-736 7348 Eversense Website

Afrezza

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

1-844-323-7399 Afrezza Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Sensor Connect feature allows someone else to keep an eye on your blood sugar from the sidelines
Optional settings for exercise to adjust treatment ranges for activity with the press of a button
Because the sensor is under your skin, it won't get dislodged if it gets bumped
No way to adjust long acting insulin for higher activity on the fly

Avoiding Highs and Lows Avoiding Highs and Lows

Combo will reduce or suspend insulin to prevent lows
Pumps allow different amounts of basal insulin at different times of day and very precise dosing
Only sensor that vibrates on your skin to alert for high or low blood sugars; alerts work even when smart phone isn't close by
Inhalers are less precise than injections

Comfort Comfort

Medtronic sensors need more tape than other sensors
Largest pump
Tubed pumps have the most infusion sets to pick from
Longest lasting sensor
Sensor needs to be changed by your doctor
Have to carry inhaler and cartridges

Easy Insulin Dosing Easy Insulin Dosing

Can use sensor trends for dose adjustment
Combo will suspend insulin if it predicts you're going to go low
More customizable dosing than pens or syringes
Can use sensor trends for dose adjustment
Inhalers are less precise than injections

Easy to Use Easy to Use

Sensor transmitter is rechargeable
Most steps to change sensor
Supplies for this pump are the most widely available
Sensor transmitter must be recharged every day
Inhalers are faster and easier to use than injections
Sensor changes far less often than other types, but your doctor must do it

Fewer Fingersticks Fewer Fingersticks

Daily fingersticks needed to calibrate sensor
Daily fingersticks needed to calibrate sensor

Privacy Privacy

Sensor requires regular meter use
Pump has tubing
Ability to see blood sugar on phone and smartwatch
Ability to see sugar on watch or phone
Sensor not movable on body
Inhalers are hideable when not in use

Cost & Coverage

Guardian Connect

Guardian Connect

Eversense

Eversense

Glucose Testing Supplies

Sensors

Transmitter

Sensors
Transmitter (1 time purchase & Rechargeable)

Glucose Testing Cost Estimate

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.

Startup Bridge Program $99.

This is a trial program and there are eligibility requirements that should be considered prior.

Eversense is covered by select insurers, including Cigna and Medicare.

Medtronic 630G

Medtronic 630G

Afrezza

Afrezza

Insulin Dosing Supplies

Pump

Insulin Cartridges

Infusion Sets

Inhaler & Cartridges (Monthly) 

Insulin Dosing Cost Estimate

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.

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