CeQur Simplicity Patch
Medtronic InPen
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 InPen system enhances management with multiple daily injections because it tracks data in real-time and offers personalized dosing recommendations. This system combines the Guardian Connect CGM with smart insulin pens for more time in range.
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.
Controller
Inpen connects to a mobile app and displays dosage information directly on a smart mobile device.
Cartridge
InPen is compatible with Humalog, Novolog, and Fiasp U-100 3.0 mL insulin cartridges.
Sensor
Sensor is inserted underneath the skin, either on the abdomen or arm. InPen is compatible with the Medtronic Guardian Connect sensor (left) or the Dexcom G6 sensor (right).
Device Details
Overview
Convenient, discreet, and simple to use.
Discreet and modern option for people using multiple daily injections.
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. InPen is covered by many insurance companies, typically users pay $50-$60 out-of-pocket copays for the one-year device. Prices range from $0- $549. For those without any insurance coverage, the pen's full price is $549.
Data Monitoring Options
No Options
Yes
Data can be easily shared with a healthcare provider or family members directly through the InPen app.
Data View Options
No Options
Yes
Data can be viewed on the InPen mobile app with dosage recommendations, glucose readings, and glucose trends.
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.
12-month pen 7-day sensor
Sensor lasts for 7 days, insulin pen lasts for up to 12 months with refillable cartridges, transmitter is rechargeable. Sensor can be stored between 36°F - 86°F and pens can be kept at room temperature.
Vision / Auditory / Dexterity
NO text to speech
NO vibration alerts
A LOT of dexterity needed
NO text to speech
NO 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.
Light on body. Pens are easy to use and do not remain attached to the body, sensor is waterproof.
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.
Limited customizability. System integrates the Guardian Connect CGM for high or low alerts but requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
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.
Many components. Have to carry InPen and pen needles. CGM is attached to the body and requires more tape than other sensors.
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.
Dosing recommendations. Displays dosing recommendations and reminders for long-acting insulin.
Easy to Use
Simple with few steps. Patch is replaced every 3 days with insulin administered at the click of a button.
Simple design. Replaces regular insulin pen. No additional devices to add on.
Fewer Fingersticks
Frequent finger-sticks are required.
2 daily finger-sticks are needed to calibrate the sensor.
Privacy
Hideable. Thinnest and lightest patch pump that's not as noticeable as injections.
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone.