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Select Device Freestyle Lingo Freestyle Libre 3 Freestyle Libre 2 Freestyle Libre 14 Day Dexcom G7 Dexcom G6 Dexcom Stelo Guardian Connect Medtronic Simplera Eversense Meter Omnipod Omnipod Dash Medtronic 780G Medtronic 630G Tandem t:slim X2 Bigfoot Unity Medtronic InPen Tempo Pen NovoPen 6/NovoPen Echo Insulin Pen Afrezza CeQur Simplicity Patch V-Go Patch Omnipod GO Patch Syringe and Vial Beta Bionics iLet Pancreas Control IQ with Dexcom Control IQ with Freestyle Libre Medtronic 780G with Smart Guard Omnipod 5 Tandem Mobi Tidepool Loop twiist DIY Loop Apple Series 6/7/8/9/10/SE (2nd Generation) Garmin vívosmart 5™ Garmin Venu Sq 2 Garmin Venu 3 Garmin vivoactive 5 Garmin Fenix 8 Garmin vivofit jr 3 Garmin Forerunner 165/265/965 Garmin epix (Gen 2) Garmin Enduro 3 Fitbit Ace LTE Fitbit Charge 6 Fitbit Inspire 3 Fitbit Versa/Versa 2/4/Versa Lite Fitbit Sense 2 Fitbit Luxe Google Pixel 2/3 Samsung Galaxy 4/5 Xiaomi Mi Band 9 Oura Ring Whoop 4.0 Withings ScanWatch 2 Withings ScanWatch Lite Pedometer 3D Pedometer
Summary
The Tandem t:slim X2 is rechargeable, has a touch screen, and can be updated on a home computer.
*Control IQ+ Technology now available for ages 2+
Traditional syringe and needle. The most affordable insulin delivery option.
Components
Tandem t:slim X2 : Pump
Touch screen pump connects tubing to a small patch called an infusion set that attaches to the body.
Tandem t:slim X2 : Cartridge
Tubed insulin pumps contain a plastic reservoir that is manually filled with insulin and locked into the pump.
Tandem t:slim X2 : Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body.
Tandem t:slim X2 : Controller
Compatible smartphone can be used to view and control insulin delivery using the t:connect app.
Syringe and Vial : Bolus Insulin
Bolus (fast-acting) insulin vial for meal time or high blood sugar correction.
Syringe and Vial : Basal Insulin
Basal (long-acting) insulin vial for steady release of insulin that helps control blood sugar between meals, and overnight.
Syringe and Vial : Needles
Classic syringes with plunger used to fill insulin for injection
Device Details
Overview
Smallest tubed pump. Modern interface resembles a smartphone but tubing may be visible.
Nothing on the body when not in use but very visible when dosing.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies and pump provided by DME. Price range; $0-$4000 to start and $0-$300/Month.
$$$$
Syringes are available worldwide in pharmacies or DME without prescription. Price Range: $0-$300/month depending on insurance coverage.
Data Monitoring Options
Yes
Tandem t:slim mobile app wirelessly uploads cloud-based Tandem Source web application delivering access to recent patient data.
No Options
Data View Options
Yes
Data is viewed on the pump's main screen and/or on a smartphone with the Tandem t:slim mobile app (available for both iOS and Android devices).
No Options
Duration and Storage
3 Days
Pump can be worn for up to 72 hours and works between 40°F - 99°F
28 Days
Open vials can be stored at room temperature (not above 80º F) for up to 28 days. Unopened vials should be stored in the refrigerator (36ºF - 86ºF.)
Vision / Auditory / Dexterity
NO text to speech
YES vibration alerts
A LOT of dexterity needed
NO text to speech
NO vibration alerts
A LOT dexterity for insertion
Patient Considerations
Active Lifestyle
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly.
Avoiding Highs and Lows
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Limited customizability. Requires a high level of engagement and effort to avoid highs and lows but can be paired with a CGM for improved blood sugar control.
Comfort
Smallest tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from.
Many components. Must carry insulin vials and large syringes but nothing attached to the body.
Easy Insulin Dosing
Customizable dosing. Bolus calculator available to help figure out doses. Offers smallest increments of basal insulin delivery. Basal in 0.001 increments, bolus in 0.01 increments.
Requires attention. You have to do the math to figure out your dose. Unable to adjust basal in real-time.
Easy to Use
Rechargeable. Pump has a touch screen display and rechargeable battery.
Many steps. Requires effort to figure out doses and deliver insulin every single time you need it.
Fewer Fingersticks
Frequent finger-sticks are required.
Frequent finger-sticks are required.
Privacy
Discreet. Smallest tubed pump with visible tubing. Ability to bolus directly on a compatible smartphone. Can be clipped to clothing or placed in a pocket to be discreet when needed. Touchscreen of pump looks like normal tech device.
Hideable. Vials and syringes can be hidden when not in use but very visible when in use. Frequent injections are unavoidable.