Freestyle Libre vs. Eversense CGM: A Head-to-Head Review 2025

Freestyle Libre vs. Eversense CGM: A Head-to-Head Review 2025

Managing diabetes effectively requires accurate and continuous glucose monitoring. Choosing the right Continuous Glucose Monitor (CGM) can significantly impact a person's ability to maintain stable glucose levels and improve overall well-being. Two popular CGM systems are the Freestyle Libre and Eversense CGM, each offering unique benefits suited to different lifestyles.

This article provides a detailed comparison of these two CGMs, helping you determine which one best suits your needs.

Overview of Freestyle Libre

The Freestyle Libre is one of the most widely used CGMs worldwide. Manufactured by Abbott, it is designed to be an accessible and easy-to-use glucose monitoring system.

Key Features:

  1. Sensor lifespan: Up to 14 days (Freestyle Libre 2 & 3).
  2. No calibration needed: Unlike some CGMs, Freestyle Libre does not require regular fingerstick calibrations.
  3. Real-time glucose tracking: The Freestyle Libre 3 provides continuous glucose readings directly to a smartphone.
  4. Affordable: Comparatively lower in cost than some CGMs, making it accessible to a wider audience.

Ideal For:

  1. Individuals seeking a budget-friendly, non-invasive monitoring system.
  2. Those who prefer a CGM with minimal maintenance and no calibration requirements.

Overview of Eversense CGM

The Eversense CGM, developed by Senseonics, is the first and only implantable CGM available. Unlike traditional CGMs that require adhesive sensors applied to the skin, Eversense is inserted just under the skin by a healthcare professional.

Key Features:

  1. Sensor lifespan: 180 days (approximately 6 months), significantly longer than other CGMs.
  2. Calibration required: Requires fingerstick calibrations twice daily.
  3. Real-time alerts: Provides on-body vibrational alerts, ideal for hypo- and hyperglycemia warnings.
  4. Smartphone integration: Data is continuously sent to a mobile device for tracking and alerts.

Ideal For:

  1. Tech-savvy users who prefer long-term solutions with fewer sensor changes.
  2. Those comfortable with minor surgical procedures for insertion and removal.

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Feature Comparison

Feature

Freestyle Libre

Eversense CGM

Sensor Lifespan

Up to 14 days

Up to 180 days

Calibration Needed

No

Yes, twice daily

Insertion Method

Self-applied adhesive sensor

Minor surgical procedure

Alerts

Limited (only in newer models)

Real-time vibrational alerts

Cost

More affordable

Higher initial cost + medical procedure


Pros and Cons of Freestyle Libre vs Eversense

Freestyle Libre

Pros:

  1. Affordable and widely accessible.
  2. No calibration required.
  3. Easy to apply and remove.

Cons:

  1. Shorter sensor lifespan (up to 14 days).
  2. Limited real-time alerts (especially in earlier models).

Eversense CGM

Pros:

  1. Long sensor lifespan (6 months, reducing frequent replacements).
  2. Vibrational alerts for glucose fluctuations.
  3. No adhesive-related skin irritation since it is implanted under the skin.

Cons:

  1. Requires a minor surgical procedure for insertion and removal.
  2. More expensive due to the medical procedure and ongoing calibration needs.

Who Should Choose What?

Choosing between Freestyle Libre and Eversense CGM depends on individual needs and preferences.

Freestyle Libre is best for:

  1. Those looking for an affordable, user-friendly CGM.
  2. Individuals who prefer to avoid calibration and medical procedures.

Eversense is best for:

  1. Users who want a long-term CGM solution with fewer sensor changes.
  2. Those who require frequent alerts for better glucose management.

Conclusion

Both Freestyle Libre and Eversense CGM offer unique benefits, making them valuable tools for diabetes management. The right choice depends on personal preferences, budget, and lifestyle needs.

For those seeking affordability and simplicity, Freestyle Libre is an excellent option. For users wanting longer wear time and advanced alerts, Eversense is worth considering.

To enhance your CGM experience, explore our range of adhesive patches designed to keep your sensor secure. Visit our online store today and find the perfect solution for your CGM!

Frequently Asked Questions

1. Do both CGMs require a smartphone for data tracking?

Yes, both systems integrate with smartphones, but Freestyle Libre also allows manual scanning if needed.

2. Which CGM is more accurate?

Both CGMs provide clinically accurate readings, but Eversense may have an edge due to its real-time alert system and longer wear duration.

3. Can I swim or shower with these CGMs?

Yes, both CGMs are water-resistant, but always check the manufacturer’s guidelines for specific limitations.

References

Abbott. Freestyle Libre 3 system. Retrieved from https://www.freestyle.abbott/us-en/products/freestyle-libre-3.html

Abbott. Freestyle Libre 2 CGM system. Retrieved from https://www.freestyle.abbott/us-en/products/freestyle-libre-2.html 

DiabetesNet. Eversense CGMs: E3 and 365 models. Retrieved from https://www.diabetesnet.com/diabetes-technology/meters-monitors/continuous-monitors/eversense-cgms/

Senseonics. Eversense 365 continuous glucose monitoring (CGM) system. Retrieved from https://www.eversensecgm.com/eversense-365/

Senseonics. Eversense glucose monitoring (CGM) diabetes system. Retrieved from https://www.eversensecgm.com/

Verywell Health. (2024). FDA clears the first implantable continuous glucose monitor that can last a year. Retrieved from https://www.verywellhealth.com/eversense-365-cgm-fda-clearance-8718361

Verywell Health. (2024). Abbott's Freestyle Libre CGMs cleared for use during imaging tests. Retrieved from https://www.verywellhealth.com/fda-clears-abbott-cgms-for-use-during-imaging-8743612

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