Table 1.
Feature | FreeStyle Libre 2 | Dexcom G6 | Medtronic Guardian Connect | Eversense |
---|---|---|---|---|
Indication, years of age | ≥4 | ≥2 | ≥7 | ≥18 |
Sensor wear, days | 14 | 10 | 7 | 90 (US), 180 (Europe) |
Requires fingerstick test calibration | no | no | 2 x/day | 2x/day |
Warm up period (hrs) | 1 | 2 | 2 | 24 (upon insertion of the sensor)* |
Requires confirmatory fingerstick test for insulin dosing | no | no | yes | no |
Active alarms/alerts | yes | yes | yes | yes |
Real-time remote monitoring (data sharing) | yes | yes | yes | yes |
Connects with insulin pump | no | yes | yes | no |
Accuracy: Overall’ MARD, % | 9.3 [28] | 9.0[29] | 10.4[30] | 9.0[31] |
Chemical substances Interferences | Ascorbic Acid; Salicylic Acid [32] | Hydroxyurea; [29] repeated doses of APAP [33] | Acetaminophen; Ethanol/Wine; Albuterol; Lisinopril; Atenolol; Atorvastatin; Ascorbic Acid [34] | Tetracycline; Mannitol [35] |
Interferences from Radiological Studies | Limited evidence of in-vitro exposure to X-Ray and RT, CT or MRI did not impact the data recorded by Libre Pro in 10 sensors [36] | No impact from X-Ray, CT or angiography among hospitalized patients (n=49); [37] there is some migration from MRI [38] | Medtronic recommends that users remove the sensor in the presence of X-ray, CT, MRI PET, Airport scanners [39] | Close contact with direct electromagnetic interference (EMI) may interfere with the smart transmitter’s ability to send data to the mobile device. [40] |
The U.S. Food & Drug Administration cautions that readings from the first 12 hours of use should not form the basis of treatment decisions. MARD : Mean Absolute Relative Difference