DexcomG6
afrezza device

Summary

This sensor lasts for 10 days and only needs finger sticks as a backup. Dexcom G6 has 3 parts - sensor, transmitter, and receiver. Data can be viewed on a compatible mobile device or a separate receiver. Optional low and high blood sugar notifications are available for this system. 

 

FDA approved for insertion on the abdomen (indicated for patients age 2 years and older) or the upper buttocks (ages 2-17 years).

 

MARD of 9%

Inhalable regular human insulin. Cartridges come in three doses: 4, 8, and 12-unit doses.

Components

Dexcom G6 : Sensor

Dexcom G6 : 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 G6 : Transmitter

Dexcom G6 : Transmitter

Sends readings from sensor to device, clips into sensor. Can be used for 90 days.

Dexcom G6 : Receiver

Dexcom G6 : Receiver

Receives data automatically from the transmitter. Can be substituted by compatible smartphone and smartwatch. Available for both iOS and Android devices.

Afrezza : Inhaler

Afrezza : Inhaler

Small refillable inhaler contains a compartment for powdered insulin containing cartridges.

Afrezza : Cartridge

Afrezza : Cartridge

Cartridges come in three doses: 4, 8, and 12-unit doses. All color coded.

Device Details

Overview

Small sensor can be worn in multiple areas.

Nothing on the body when not in use. Visible when dosing. 

Affordability and Access

$$$$
Widely covered. Provided by DME and/or Pharmacy. Price range; $0-$500/month.

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

Data Monitoring Options

Yes
Automatically and continuously sends data to the user’s Dexcom Clarity web-based cloud which is accessible by clinicians. Data upload is possible with Glooko and Tidepool data-management systems.

No Options

Data View Options

Yes
Users must download the Dexcom G6 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. Glooko and Tidepool can also be used to view data. 

No Options

Duration and Storage

10 Days
Sensors last 10 days, and transmitters last 90 days. They are shipped 3 boxes at a time every 3 months – 9 sensors and 1 transmitter. Works at 50ºF – 108ºF

10 Days
Open cartridges last up to 10 days. Sealed cartridges may be stored in a refrigerator at 36°F - 46°F until the expiration date.

Vision / Auditory / Dexterity

YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed

NO text to speech
NO 
vibration alerts
LITTLE
 dexterity needed

Patient Considerations

Active Lifestyle

Water-resistant when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device.  

Body free of devices. Does not remain attached to the body.

Avoiding Highs and Lows

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. 

Very short-acting. Absorbs quickly through the lungs to correct high blood sugar but requires attention to prevent lows. 

Comfort

Low profile and low maintenance sensor application.

Many components. Have to carry multiple cartridges that can be bulky. 

Easy Insulin Dosing

Real-time data and alerts make dose adjustment easier.

Less precise but easy dosing. Dosing may be less precise due to the inhaled method of dosing, but color-coded cartridges make dosing easier. Dosing can also be done based on small, medium, or large meals and can be administered 1-2 hours post meals. 

Easy to Use

Flexible pump integration. Can be paired with multiple different types of pumps which gives flexibility for how to use the data.

Simple design. Whistle-like device for inhaling insulin.

Fewer Fingersticks

Factory-calibrated sensor. Finger sticks needed for backup only.

Frequent finger-sticks are required. 

Privacy

Hypoglycemia safety alarm. Discreet but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.

Hideable. Small, discreet, and portable device that's not as noticeable as injections.