Freestyle Libre 2
Tempo Pen
Summary
The FreeStyle Libre 2 is the thinnest, all-in-one glucose sensor/transmitter and requires scanning using a handheld reader or compatible smartphone with an app. This sensor lasts for 14 days and only needs fingersticks as backup. Optional low and high blood sugar notifications are available for this system.
FDA approved for insertion on the back of the upper arm (ages 4 years and older).
MARD of 9.3%
The Tempo system enhances management with multiple daily injections because it tracks data in real-time and offers personalized dosing recommendations. This system combines the Dexcom G6/G7 CGM with smart insulin pens for more time in range.
Components
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.
Receiver
Smart button and sensor readings displays dosage information directly on smart mobile device.
Controller
Smart button records daily injections and sends them to the compatible app.
Sensor
Sensor uses a thin, flexible filament inserted just under the skin to measure glucose levels every 5 minutes. Push-button applicator allows sensor to be placed on the body in one step.
Device Details
Overview
All-in-one glucose sensor/transmitter with low and high blood glucose alarms can be worn on the upper arm.
Discreet and modern option for people using multiple daily injections.
Affordability and Access
$$$$
Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.
$$$$
Sometimes covered. Tempo is covered by some commercial insurance companies; typically, users pay $35 out-of-pocket copays for the eight-month device. Prices range from $35- $165. For those without any insurance coverage, the button's full price is $165.
Data Monitoring Options
Yes
After each sensor scan with the mobile app or reader, data is automatically sent to the user’s LibreView account which enables sharing with HCPs and caregivers via the LibreLinkUp app. Data upload is possible with Glooko and Tidepool data-management systems.
Yes
Data can be easily shared with a healthcare provider through the SMART Visit Report.
Data View Options
Yes
Freestyle Libre 2 app provides glucose readings and alarms, multiple data views, the ability to share glucose data and real-time alarms with LibreLinkUp, and the ability to connect to a clinician's practice through LibreView.
Yes
Dose-related data can be viewed on the TempoSmart mobile app.
Duration and Storage
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.
8-month button 10-day sensor
Sensor lasts for 10 days, pen button lasts for up to 8 months. Sensors can be stored between 36°F - 86°F, and pens can be kept at room temperature.
Vision / Auditory / Dexterity
YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
NO text to speech
NO vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
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.
Light on body. Pens are easy to use and do not remain attached to the body, senor is light on the body.
Avoiding Highs and Lows
Optional glucose alerts for low and high glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
Limited customizability. System integrates the Dexcom G6/G7 CGM for high or low alerts but requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Comfort
Low profile sensor and small adhesive.
Many components. Have to carry pens and pen needles. CGM is attached to the body.
Easy Insulin Dosing
Scanned sensor trends can be used for dose adjustment.
Dosing recommendations. Displays personalized mealtime dosing recommendations.
Easy to Use
Requires scanning. Self-application and manual scanning are required. Easy self-application.
Simple design. Replaces regular insulin pen. No additional devices to add on.
Fewer Fingersticks
Factory-calibrated sensor. Finger-sticks needed for backup only.
Factory-calibrated sensor. Finger sticks needed for backup only.
Privacy
Hypoglycemia safety alarm. Discreet size but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone.