Not everyone has the same circumstances you do. I’m age 76 and a T1. It would be extremely rare that I would be so active that I’d get a delayed low in the night from activity. A typical mealtime dose of insulin is active between five and six hours in my body. So I just wait a minimum of four hours after dinner bolus to go to bed. OR if on a rare occasion I choose to go to bed shortly after dinner, I can be certain that the bladder would wake me up within a few hours, so there is no need for an alarm. I can check my BG then and either eat a little more or take a correction if it appears to need adjusting before the six-hours-from-bolus target point. My Lantus dose is set so my BG stays pretty level from the six hours point until 4 AM, when DP often starts. Only four times in 4+ years have I had a low in the night and none of those was a dangerous level one.
Sure, it would be nice to have alarms, but at the price of a couple of grand more per year? I don’t think so. I likely would not be able to afford to use it year round anyway, and an extra $75 for a reader is nothing compared to the cost of set up on a Dexcom if one only intended to use it one-fourth to one-half the time.
Also, I much prefer that the back of the arm as the accepted placement for the device. I’m thin and don’t want to give up territory on my abdomen which I need for all those MDI injections.
It is great that we’ll have one more choice for people who have different needs.