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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
V-Go is a convenient credit card-size patch pump that adheres to the skin and can be worn for 24 hours. This system is designed to be used with fast-acting insulin for people with type 2 diabetes who require 20, 30, or 40 units of insulin per day. Users can administer two units of insulin with every press of a button on the device. This device is a hybrid between injections and an insulin pump to allow for discreet dosing without the need for programming or multiple injections.
FDA-approved for people 21 years of age and older with type 2 diabetes.
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
V-Go Patch : Patch
Wearable insulin patches come with reservoirs and directions for application. They can be applied on the abdomen.
Tidepool Loop : Controller
Smartphone or smartwatch receives CGM readings and automatically adjusts insulin delivery via insulin pump.
Device Details
Overview
Convenient, discreet, and simple use.
Tidepool Loop is the first fully interoperable automated insulin dosing app that originated as a patient-led initiative.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 2. Supplies provided by DME or pharmacy. Price range; $0-$250/Month.
$$$$
Pump and CGM supply information is not yet available. iPhone is not covered and must be set up independently.
Data Monitoring Options
No Options
Yes
Compatible with Tidepool - a web-based diabetes data management system.
Data View Options
No Options
Yes
Data can be viewed on an iPhone.
Duration and Storage
24-Hours
Patch can be worn for up to 24 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.
Pump and CGM information not yet available.
Vision / Auditory / Dexterity
NO text to speech
NO vibration alerts
A LOT of dexterity needed
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly, but the device is water-resistant.
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
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Automatically adjusts insulin delivery. Increases or decreases insulin delivery to meet glucose targets. Insulin delivery settings can be aggressive or conservative.
Comfort
Free of tubing. Patches do not have tubing, but it must be worn in areas that are easy to reach for insulin dosing.
Low-profile mobile app. Dosing and other adjustments can be done directly on the mobile app.
Easy Insulin Dosing
Simple with few steps. 24-hour bolus range: up to 36 units per 24 hours, doses in 2-unit increments. Preset basal rate of 20, 30, or 40 units per 24 hours.
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
Simple with few steps. Patch is replaced every 24-hours with insulin administered at the click of a button.
Easy dosing. Software makes most dosing decisions easy to do on the fly.
Fewer Fingersticks
Frequent finger-sticks are required.
Factory-calibrated sensor. Fingersticks needed for backup only.
Privacy
Hideable. Bulkier patch pump, but not as noticeable as injections. Bolus button can be used discreetly through clothing.
Discreet. Ability to give insulin via watch or phone. Ability to check sugar on phone or watch. Alerts available.