CeQur Simplicity Patch
Freestyle Libre 14 Day
Summary
Cequr Simplicity is a thin and simple insulin delivery patch for mealtime and correction insulin. The 3-day wearable patch doses two units of insulin with every squeeze of the buttons on either side of the device. Users can fill their CeQur Simplicity patch with 100-200 units of rapid-acting insulin. 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 both type 1 and type 2 diabetes in people 21 years of age and older.
The FreeStyle Libre 14-day is an all-in-one glucose sensor/transmitter that lasts for 14 days and only needs fingersticks as backup. . This sensor is a flash glucose monitor that requires scanning using a compatible smartphone app or a handheld reader.
FDA approved for insertion on the back of the upper arm (ages 4 years and older).
MARD of 9.4%
Components
Applicator
Patch uses a thin, flexible cannula inserted just under the skin to deliver insulin. Push-button applicator allows patch to be placed on the body in one step.
Reservoir
Fill reservoir is enclosed with the Patch and used to manually fill the Patch with insulin.
Patch
Wearable insulin patches come with reservoirs and directions for application. They can be applied on the abdomen.
Sensor
Sensor uses a thin, flexible filament inserted just under the skin to measure glucose levels every minute. Push-button applicator allows sensor to be placed on the body in one step.
Receiver
Conveniently access glucose readings using a reader, smartphone, or both. Available for both iOS and Android devices.
Device Details
Overview
Convenient, discreet, and simple to use.
All-in-one glucose sensor/transmitter can be worn on the upper arm.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies provided by DME or pharmacy. Price range; $0-$500/Month. When covered, most patients have a co-pay of $50 or less a month. Insurance plans and pharmacy benefits may vary.
$$$$
Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.
Data Monitoring Options
No Options
Yes
Automatic data transfer to LibreView each time Freestyle Libre 2 sensor is scanned. LibreView gives clinicians and users relevant glucose reports. Glooko and Tidepool can also be used to view data.
Data View Options
No Options
Yes
Freestyle LibreLink app displays glucose readings directly on the patient's compatible smart device.
Duration and Storage
3 Days
Patch can be worn for up to 72 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.
14 Days
Sensors last 14 days and work between 50ºF - 113ºF. They are shipped in orders of 1-3 months at a time - which is 2-6 boxes at a time.
Vision / Auditory / Dexterity
NO text to speech
NO vibration alerts
A LOT of dexterity needed
YES 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.
Water-resistant for up to 3 feet deep for 30 minutes and light on the body, does not get in the way of activity. The reader must be within 1.5 inches of the sensor to scan it.
Avoiding Highs and Lows
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day. If you need basal (background) insulin, you’ll still need to take it in addition to wearing the CeQur Simplicity.
Alerts are not available. High or low glucose alarms are not available. Trend arrows show the direction glucose is heading, with the rate of change.
Comfort
Free of tubing. Patches do not have tubing and they're less bulky than traditional insulin pumps but it must be worn in areas that are easy to reach for insulin dosing.
Lowest profile sensor and smallest adhesive.
Easy Insulin Dosing
Easy to Use. Squeezing the buttons on either side of the device delivers insulin in two-unit increments for dosing insulin for meals and correction.
Scanned sensor readings can be used for dose adjustment.
Easy to Use
Simple with few steps. Patch is replaced every 3 days with insulin administered at the click of a button.
Requires scanning. Self-application and manual scanning every 8-hours are required. Easy self-application.
Fewer Fingersticks
Frequent finger-sticks are required.
Factory-calibrated sensor. Finger-sticks needed for backup only.
Privacy
Hideable. Thinnest and lightest patch pump that's not as noticeable as injections.
Somewhat discreet. Scanning feature makes it easy to monitor blood glucose levels discreetly.