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Select Device Freestyle Lingo Freestyle Libre 3 Freestyle Libre 2 Freestyle Libre 14 Day Dexcom G7 Dexcom G6 Dexcom Stelo Guardian Connect Medtronic Simplera Eversense Meter Omnipod Omnipod Dash Medtronic 780G Medtronic 630G Tandem t:slim X2 Bigfoot Unity Medtronic InPen Tempo Pen NovoPen 6/NovoPen Echo Insulin Pen Afrezza CeQur Simplicity Patch V-Go Patch Omnipod GO Patch Syringe and Vial Beta Bionics iLet Pancreas Control IQ with Dexcom Control IQ with Freestyle Libre Medtronic 780G with Smart Guard Omnipod 5 Tandem Mobi Tidepool Loop twiist DIY Loop Apple Series 6/7/8/9/10/SE (2nd Generation) Garmin vívosmart 5™ Garmin Venu Sq 2 Garmin Venu 3 Garmin vivoactive 5 Garmin Fenix 8 Garmin vivofit jr 3 Garmin Forerunner 165/265/965 Garmin epix (Gen 2) Garmin Enduro 3 Fitbit Ace LTE Fitbit Charge 6 Fitbit Inspire 3 Fitbit Versa/Versa 2/4/Versa Lite Fitbit Sense 2 Fitbit Luxe Google Pixel 2/3 Samsung Galaxy 4/5 Xiaomi Mi Band 9 Oura Ring Whoop 4.0 Withings ScanWatch 2 Withings ScanWatch Lite Pedometer 3D Pedometer
Summary
This sensor lasts the longest - 180 days. It has to be placed under the skin by a healthcare provider. It has two parts, the implantable sensor and a transmitter that sends data to a mobile device.
MARD: 8.5-9.1%
*Recently FDA approved for use with insulin pumps.
Tidepool Loop is the first fully interoperable automated insulin dosing app that originated as a patient-led initiative.
Background: A diabetes non-profit called Tidepool decided in 2018 to officially support Loop and shepherd it through the FDA process. Tidepool Loop was cleared by the FDA in January 2023 with plans to launch with Dexcom and other alternate controller-enabled (ACE) pump partners (RileyLink will no longer be necessary).
2023 Updates from Tidepool:
- Medtronic and Tidepool have decided to discontinue the development of a Medtronic insulin pump system compatible with Tidepool Loop.
- As Omnipod 5 is now commercially available, Insulet is devoting all available resources to their Omnipod products, including the global launch and further development of Omnipod 5.
- Future ACE Pumps that will be commercially compatible with Tidepool Loop will need to be FDA-cleared for use with third-party interoperable automated glycemic (iAGC) controllers.
Components
Eversense : Sensor
Professionally inserted by a physician during a medical visit. Minor procedure.
Eversense : Transmitter
Transmitter sits outside of the body and is held on by an adhesive. Sends data every 5 minutes to a connected mobile device.
Eversense : Receiver
Real-time glucose measurements sent to a compatible mobile-device or smart watch. No need for a separate receiver. Available for both iOS and Android devices.
Tidepool Loop : Controller
Smartphone or smartwatch receives CGM readings and automatically adjusts insulin delivery via insulin pump.
Device Details
Overview
Very small implantable sensor but large transmitter must be worn on top of the skin.
Tidepool Loop is the first fully interoperable automated insulin dosing app that originated as a patient-led initiative.
Affordability and Access
$$$$
Sometimes covered. Insertion and removal require a Health Care Provider. Insertion costs $100-$300, and removal costs $100-$400. Sensor and transmitter cost $800-$1400.
$$$$
Pump and CGM supply information is not yet available. iPhone is not covered and must be set up independently.
Data Monitoring Options
Data View Options
Yes
Eversense mobile app receives and displays data in easy-to-read charts and graphs that can be shared with family and friends through the Eversense NOW app.
Yes
Data can be viewed on an iPhone.
Duration and Storage
180 Days
Sensor lasts 180 days, but a physician must implant it. Transmitter must be charged daily.
Pump and CGM information not yet available.
Vision / Auditory / Dexterity
YES text to speech
YES vibration alerts
SOME dexterity needed
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Water-resistant transmitter when submerged in 1 meter of water for up to 30 minutes and must be within 25 feet of the connected smart device.
Automatic responses. Can set custom blood sugar targets and insulin and carb sensitivities based on type of activity. App automatically responds to blood sugar changes during activity.
Avoiding Highs and Lows
On-body vibration alerts when blood glucose levels are higher or lower than the set range. Trend arrows show the direction glucose is heading, with the rate of change.
Automatically adjusts insulin delivery. Increases or decreases insulin delivery to meet glucose targets. Insulin delivery settings can be aggressive or conservative.
Comfort
Longest lasting sensor fits comfortably under the skin. Minor procedure is required.
Low-profile mobile app. Dosing and other adjustments can be done directly on the mobile app.
Easy Insulin Dosing
Predictive alerts make insulin dosing easier by tracking high and low trends.
Customizable. Can bolus from phone or smartwatch and all settings are expected to be customizable. More information on modifications to insulin delivery will be available soon.
Easy to Use
Minor procedure. Requires insertion by a physician during a medical visit.
Easy dosing. Software makes most dosing decisions easy to do on the fly.
Fewer Fingersticks
2 daily finger-sticks are needed to calibrate the sensor.
Factory-calibrated sensor. Fingersticks needed for backup only.
Privacy
Somewhat discreet. Tiny sensor is implanted under the skin, so the user can be discreet when needed. Ability to see sugar on watch or phone. Sensor not movable on body and requires regular meter use.
Discreet. Ability to give insulin via watch or phone. Ability to check sugar on phone or watch. Alerts available.