Tempo Pen
Freestyle Libre 14 Day
Summary
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.
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
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.
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
Discreet and modern option for people using multiple daily injections.
All-in-one glucose sensor/transmitter can be worn on the upper arm.
Affordability and Access
$$$$
Sometimes covered. Tempo is covered by some commercial insurance companies; typically, users pay $35 out-of-pocket copays for the eight-month device. Prices range from $35- $165. For those without any insurance coverage, the button's full price is $165.
$$$$
Widely covered. Provided by pharmacies. Price range; $0-$100/month. Often the cheapest and easier to access sensor.
Data Monitoring Options
Yes
Data can be easily shared with a healthcare provider through the SMART Visit Report.
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
Yes
Dose-related data can be viewed on the TempoSmart mobile app.
Yes
Freestyle LibreLink app displays glucose readings directly on the patient's compatible smart device.
Duration and Storage
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.
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
Light on body. Pens are easy to use and do not remain attached to the body, senor is light on the body.
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 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.
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
Many components. Have to carry pens and pen needles. CGM is attached to the body.
Lowest profile sensor and smallest adhesive.
Easy Insulin Dosing
Dosing recommendations. Displays personalized mealtime dosing recommendations.
Scanned sensor readings can be used for dose adjustment.
Easy to Use
Simple design. Replaces regular insulin pen. No additional devices to add on.
Requires scanning. Self-application and manual scanning every 8-hours are required. Easy self-application.
Fewer Fingersticks
Factory-calibrated sensor. Finger sticks needed for backup only.
Factory-calibrated sensor. Finger-sticks needed for backup only.
Privacy
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone.
Somewhat discreet. Scanning feature makes it easy to monitor blood glucose levels discreetly.