MiniMed Flex
Dexcom Stelo
Summary
The MiniMed Flex is a tubed insulin pump system designed to automate insulin delivery using SmartGuard™ technology and the Simplera Sync sensor. Boluses can be delivered directly through the MiniMed app, while customizable settings help support glucose management throughout the day.
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%
Components
Controller
Pump receives CGM readings and automatically adjusts insulin delivery. Data from the pump and CGM viewable on compatible smartphones.
Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body. Optional Medtronic Extended™ Infusion set (up to 7-day wear) available.
Reservoir
Tubed insulin pumps contain a plastic reservoir or cartridge that is manually filled with insulin and locked into the pump. ExtendedTM Reservoir MMT-342, 10PK. 3.0 ml (300 units).
Pump
Pump connects tubing to a small patch called an infusion set that attaches to the body.
Device Details
Overview
A tubed insulin pump system that works with the Simplera Sync sensor and SmartGuard™ technology to automatically adjust insulin delivery.
Small all-in-one sensor/transmitter with a quick warm-up period and can be worn in multiple areas.
Affordability and Access
Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy or DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.
$$$$
No insurance coverage data. Pricing is to be announced in summer 2024. Price expected to be low to allow for over the counter distribution.
Data Monitoring Options
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
To Be Announced
Data View Options
Yes
Data is viewed on the phone app.
To Be Announced
Duration and Storage
2-3 Days. Infusion site and pump reservoir last up to 72 hours and works between 41ºF - 93ºF.
15 Days
Sensors last 15 days. They are purchased over the counter. Works at 50ºF – 108ºF
Vision / Auditory / Dexterity
NO text to speech
YES vibration alerts
A LOT of dexterity needed
YES text-to-speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is waterproof for up to 8 feet for 105 minutes.
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.
Avoiding Highs and Lows
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
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.
Comfort
Small tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from.
Low profile and low maintenance sensor application.
Easy Insulin Dosing
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.05 increments.
No options. Stelo is intended for use by people with type 2 diabetes who do not require insulin to manage their blood sugar levels.
Easy to Use
Pump has a rechargeable battery that takes 30 minutes to charge, and lasts about a week.
Real-time data and alerts make dose adjustment easier.
Fewer Fingersticks
Frequent fingersticks are still required.
Factory-calibrated sensor. Finger sticks needed for backup only.
Privacy
Discrete. The MiniMed Flex is small with visible tubing. Can be clipped to clothing or placed in a pocket to be discrete when needed.
Small sensor. Discreet and thin sensor that is easy to hide under clothing.