Dexcom Stelo
Medtronic Simplera Sync
Summary
Dexcom Stelo is the first over-the-counter low-profile, all-in-one glucose sensor/transmitter. This sensor lasts for up to 15 days and sends real-time glucose readings to a compatible smartphone app. No finger pricks or scanning is needed.
*Recently FDA approved for people 18 years or older with type 2 diabetes. Expected availability is summer 2024.
MARD of 9.2%
This is a disposable, all-in-one CGM sensor integrated with Medtronic’s pump systems (e.g., MiniMed 780G). Typical wear time is 6 days, plus a 24-hour “grace period.” No routine fingersticks are required when the device is in closed-loop/SmartGuard mode.
FDA approved for ages 7+ on the back of the upper arm
MARD of ~9%
Components
Sensor
Sensor uses a thin, flexible filament beneath the skin to continuously measure glucose every 5 minutes. Simple, one-step applicator makes insertion fast and easy.
Device Details
Overview
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
Disposable, all-in-one CGM sensor integrated with Medtronic’s pump systems
Affordability and Access
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No insurance coverage data. Pricing is to be announced in summer 2024. Price expected to be low to allow for over the counter distribution.
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Coverage depends on region and insurance; supplied via DME or specialty pharmacy.
Data Monitoring Options
To Be Announced
Yes
Data streams directly to the pump; users and clinicians can view trends and logs via Medtronic’s platforms.
Data View Options
To Be Announced
Yes
Data view directly on your connected pump or smart device.
Duration and Storage
15 Days
Sensors last 15 days. They are purchased over the counter. Works at 50ºF – 108ºF
6 Days
Sensors last 6 days, with a 24-hour grace period, and need about 2 hours to warm up. They work between 41°F – 104°F and should be stored between 36°F – 86°F. They are usually shipped in 1–3 month supplies, which is about 5–15 sensors at a time.
Vision / Auditory / Dexterity
YES text-to-speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
YES text to speech
YES vibration alerts
Multiple sound sources
Moderate dexterity needed
Patient Considerations
Active Lifestyle
Waterproof when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device. This device is intended to help people with non-insulin requiring type 2 diabetes better understand their blood sugar numbers.
Compact and integrated. Reducing bulk; compatibility with daily activities depends on the adhesive and body movement. Water-resistant up to 8 feet (2.4 m) for 30 minutes.
Avoiding Highs and Lows
Very limited alerts. This device does not provide alarms and alerts for high, low, and rise/fall rates. This device is intended to track and understand the effects of food on blood sugar for people with type 2 diabetes.
SmartGuard closed-loop. Pump adjustments use sensor data continuously to reduce highs and lows.
Comfort
Low profile and low maintenance sensor application.
Low profile. No overtape needed and one-hand insertion.
Easy Insulin Dosing
No options. Stelo is intended for use by people with type 2 diabetes who do not require insulin to manage their blood sugar levels.
SmartGuard technology. When paired with the MiniMed 780G, it automatically adjusts basal and gives correction boluses based on sensor readings. In manual mode, glucose values can guide dosing decisions, but fingersticks are required for confirmation.
Easy to Use
Real-time data and alerts make dose adjustment easier.
All-in-one. Eliminates the need for a separate transmitter, simplifying sensor changes (although more frequent due to the 6-day wear).
Fewer Fingersticks
Factory-calibrated sensor. Finger sticks needed for backup only.
Calibration is optional. Perfect if you like having that choice.
Privacy
Small sensor. Discreet and thin sensor that is easy to hide under clothing.
Small and integrated, but visible on the back of the arm. No separate transmitter reduces the number of visible parts. Alerts and alarms can be adjusted for discretion.