Level2 is personalized and data-driven care for individuals with a type 2 diabetes diagnosis in the last 24 months, or are prescribed certain glucose-lowering medications (see Eligibility FAQ: “Who can join Level2?”). Through an individualized approach, guided by wearable technologies and personal coaching, Level2 focuses on the reduction of A1C, increasing time in range of blood glucose levels, and the possibility of type 2 diabetes remission.
Type 2 diabetes can’t be “cured” and there is a lot of confusion out there about what diabetes remission really means. If a person is in remission, it means they are no longer considered to have diabetes according to their hemoglobin A1C (measurement of glucose levels over the past 3 months). If that is true, a person may no longer have to take any medicines for their diabetes. Remission takes effort and persistence to achieve, but is attainable for many people.
Mind. Body. Lifestyle. That is our whole-person health approach. Participants and their coaches (e.g. registered nurses, registered dietitians, licensed social workers) can discuss how everyday decisions make a big difference. Participants can fine tune the interactions they have with their coach through phone or messaging capabilities to create a support system that aligns with their lifestyles, schedules, and goals.
We offer two wearable technologies that give participants insight into how their bodies react to the decisions they make—big or small.
Dexcom G6 Continuous Glucose Monitoring (CGM) system – a small, wearable device that can track a person’s glucose 24/7 up to 10 days at a time and displays those levels on an individual’s smartphone. It helps participants understand how their lifestyle affects their glucose levels in real time—like what happens if a person eats steak and potatoes? And then what happens if they go on a walk right afterward?
- Eliminates the guesswork of checking glucose levels
- No more constant fingersticks*
- Granted to market by the FDA, waterproof, and easy to put on
Whatever participants’ diabetes goals are—losing weight, reducing medications, or just feeling better—a CGM is a tool that can help them take simple but meaningful steps toward feeling their best.
Fitbit® activity tracker – a wearable device that tracks activity levels throughout the day. Research shows that moving more can make people feel, function, and sleep better. A participant’s Fitbit will help them do just that.
*Fingersticks required for diabetes treatment decisions if symptoms or expectations do not match readings.
Level2 is provided at no additional cost to eligible members as part of their covered health insurance plan.
People can participate as long as they are a current UnitedHealthcare member with a covered health insurance plan. If their benefits change, their eligibility to participate may also change. Participants may choose to end their participation at any time.
A person can participate as long as they are a current UnitedHealthcare member with a covered health insurance plan and are diagnosed with type 2 diabetes within the past 24 months. If their benefits change, their eligibility to participate may also change. Other exclusion criteria may apply. People may choose to end their participation at any time.
People interested in Level2 can use the Level2 website or call the Level2 support line at 1-844-302-2821, TTY 711, from 9 a.m. to 6 p.m. local time in the contiguous U.S., Monday through Friday, and we can verify their eligibility.
Type 1 diabetes and type 2 diabetes are very different diseases that need to be treated differently. The focus of Level2 is to use a CGM as a behavioral modification tool to help achieve a state of remission, not a state of control. In the type 1 diabetes population, CGMs are used to dose insulin injections and insulin pumps. Exogenous insulin is needed for survival in people with type 1 diabetes. As such, people who have been diagnosed with type 1 diabetes in the past 24 months are ineligible to participate in Level2.
If a family member/friend meets our eligibility criteria, they can sign up for Level2.
Participation (or declining to participate) has no impact on health insurance coverage or benefits. Premiums, deductibles, and copays are not affected by participation in Level2.
No, participation in Level2 is completely voluntary.
If a person has any questions about their ability to participate in Level2 from a health and safety standpoint, they should consult their physician.
Continuous Glucose Monitoring System (CGM)
The Dexcom continuous glucose monitoring system (CGM) is a small wearable device that can track a person’s glucose levels 24/7 up to 10 days at a time and displays that information on a smartphone. It’s a great tool for understanding how lifestyle affects a person’s glucose levels—like what happens if they eat steak and potatoes? And then what happens if they go on a walk right afterward?
The CGM can help eliminate the guesswork of knowing how an individual’s body reacts to specific foods and activities, and it also reduces the need to take a fingerstick reading every single time glucose levels are checked.* Coaches can give more information about the CGM once an individual joins Level2.
* Fingersticks required for diabetes treatment decisions if symptoms or expectations do not match readings.
The continuous glucose monitoring (CGM) system has a small sensor (about the size of a thread) that sits under the skin and measures glucose (sugar) levels. It sends glucose data wirelessly using the Dexcom Glucose Program app to a compatible smart device (see https://www.dexcom.com/faq/what-devices-and-software-are-compatible-dexcom-cgm-apps for a list of devices compatible with the Dexcom Glucose Program app), so a person can track glucose highs and lows at regular intervals and make informed decisions about diabetes management.
Each sensor can be worn for up to 10 days before it needs to be replaced. In case the adhesive on the patch surrounding the sensor starts to peel, participants are sent reinforcement materials to supplement the stickiness. When 10 days is up, the sensor can be removed from the abdomen and replaced with a new one. The transmitter (the small gray part which is not disposable) is taken out to be attached to a new sensor. The old sensor can be thrown away.
Level2 manages orders and refills of CGM sensors and transmitters so participants don’t have to worry about it! Participants can get in touch with their coach or call the Level2 support line at 1-844-302-2821, TTY 711, from 9 a.m. to 6 p.m. in the contiguous U.S., Monday through Friday to get more CGM supplies.
No, the CGM is an essential part of Level2 and we are not currently enrolling members who are not interested in wearing a CGM or are without compatible smartphones. We are actively working with our device vendor partners to expand the number of compatible smart devices.
- Concerns about pain: In a recent study of Dexcom G6 users, eighty-four percent (84%) of subjects felt the automatic sensor applicator was painless.
- Concerns about accuracy: If participants ever think their results are incorrect, they can always check their levels by taking a regular blood glucose test with a meter.
- Concerns about putting the device on: The device is easy to apply directly to the stomach. The videos that are included in the app should help walk through application. Videos can also be accessed on the Dexcom website at: https://www.dexcom.com/training-videos.
The Fitbit activity tracker is a wearable device that tracks your steps and other important data like heart rate and sleep. It also has a clock, so it can be used as a watch.
The Fitbit® tracks your activity and other important health stats when you wear it, and sends data to the Fitbit app on your smartphone (see compatible devices at https://www.fitbit.com/us/technology/compatible-devices ). Through the app, you can see your daily steps and other health data such as sleep, continuous heart rate, and calories burned. You can also view this information on the Fitbit website if you have access to the internet on a computer, tablet, or other device.
No, there is no cost to use the Fitbit app.
No, Level2 will provide all participants with Fitbit devices. Participants may be asked to return the Fitbit Level2 sends them once their participation in Level2 ends.
No, if a participant drops out, they will receive a postage-paid mailer in which to return the device.
If a participant already has a Fitbit with heart rate monitoring capabilities, they can use their own device, otherwise they will need to use the Fitbit activity tracker provided by Level2. They will need to keep the smartphone near their Fitbit activity tracker at least once a day so their data synchs with the Fitbit app.
For Level2, participants can only use a Fitbit device with heart rate monitoring capabilities. We provide a Fitbit activity tracker to participants who don’t already have one.
Yes. However, using a Fitbit activity tracker will provide the best experience by tracking your activity and other important health stats when you wear it, and sending data to the Fitbit app on your smartphone. Through the app, you can see your daily steps and other health data such as sleep, continuous heart rate, and calories burned. This data can supplement CGM data to provide a more complete picture of how a participant’s lifestyle affects their glucose and provide additional information to support coaching recommendations.
They can still join Level2!
Even if a person is part of a diabetes program, they can usually still be in this one. See the Eligibility FAQ above for more information.
The lost or damaged items will be replaced by Level2. If a participant’s device has been lost or damaged, they can call the Level2 support line at 1-844-302-2821, TTY 711, from 9 a.m. to 6 p.m. local time in the contiguous U.S., Monday through Friday.