CGM System Comparisons
CGM Systems: Features in Common
Like insulin pumps, continuous glucose monitoring (CGM) systems all have certain basic properties in common (see below). But each also has unique features that make them better choices for certain individuals.
- System includes a receiver/display, transmitter, and subcutaneous sensor.
- Wireless system; radio signals utilized.
- Waterproof sensors/transmitters (receiver/display not waterproof).
- Require periodic calibration with fingerstick blood glucose readings.
- Customizable alarms for high/low glucose values.
- Multiple on-screen trend graphs.
- Arrows indicate rate & direction of BG change
- Mechanical device used to insert sensors.
- Sensors typically re-usable; sensor life varies from person to person.
- Warmup period at beginning of sensor session.
- Some lag time between blood glucose (fingerstick) and subcutaneous glucose (sensor) values.
- Insurance coverage varies from plan to plan.
- Minimal skin irritation, even with prolonged sensor life.
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CGM Systems: Pros & Cons
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Dexcom Seven
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Medtronic RT

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Freestyle Navigator

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PROS
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- Compact sensor/transmitter with excellent skin adhesion
- Virtually no skin irritation
- Lowest system start-up cost (~ $800)
- Lowest per-day sensor cost (~ $5/day)
- Reasonable accuracy (+/- ~15%)
- Free 1-time replacement of system components (within 1-yr warranty)
- Avg. sensor life 12-14 days
- Flexible calibration times
- Very loud alarm (vibrates prior to alarm)
- Large, well-lit screen
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- Does not require separate monitor (if using compatible insulin pump)
- Compact sensor/transmitter
- FDA-approved for children
- Re-usable sensor insertion device
- Data downloadable to online program; detailed analysis & excellent graphics
- Can scroll through specific data points on trend graphs
- Transmitter "remembers" last 40 minutes of data if out-of-range of receiver
- Predictive alerts (Guardian model)
- Reasonable per-day sensor cost (~ $6)
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- Best overall accuracy (+/- ~14%)
- On-screen data updates every minute; shortest data lag time
- Detailed on-screen analysis w/stats
- Many trend graphs w/ scroll-back feature
- Separate target BG and alarm ranges
- Meter built into display/receiver
- Highly customizable high/low alerts and predictive alerts
- Greatest transmitter signal range
- Nothing to charge; all disposable batteries
- Fewest calibrations required (4 per 5 days)
- Avg. sensor life 7-10 days
- Simplest sensor insertion process
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CONS
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- Must charge receiver every 3-5 days
- Limited options for high/low alarms
- Data spikes w/acetaminophen
- On-screen data update every 5 minutes
- Cannot scroll back in time to specific data points
- Download to PC is time-consuming; low quality graphics
- Very loud alarm
- Sensor insertion requires some practice
- No data collection when out of transmitter range
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- Poorest overall accuracy (+/- ~ 19%)
- Avg. sensor life 4-6 days
- Sensor/transmitter requires tape covering
- Alarms may go unnoticed
- Transmitter requires charging at least every 6 days
- Stops showing data if calibration missed
- Relatively small screen
- Requires sensor change/restart every 3 days
- On-screen data update every 5 minutes
- Requires 2-3 calibrations per day
- Should not use "Link" meter with pump when sensor is in use
- Effective sensor insertion is highly technique-dependent
- May only calibrate when BG stable & within specified range
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- Bulky sensor/transmitter
- Poor Skin adhesion; extra tape often needed
- Perpendicular sensor may cause irritation in lean individuals
- 10-Hour warm-up period with each sensor startup.
- Repeated alarms with high & low glucose levels may be a nuisance.
- On-screen text difficult to read without backlight
- Must go through several menus to get to trend graphs
- Highest start-up cost (~ $1200) and per-day sensor cost (~ $9/day)
- Calibration times require scheduling
- Must use Freestyle strips for calibrating
- May only calibrate when BG stable & within specified range
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©2009, Gary Scheiner MS, CDE, Integrated Diabetes Services
www.integrateddiabetes.com
(877) 735-3648