twiist™ is an Automated Insulin Delivery (AID) system powered by Tidepool. The twiist AID System automatically adjusts to your glucose levels and food choices, even when you're not focused on them. It's designed to provide personalized diabetes management with flexible control, allowing you to take a more customized approach to managing your type 1 diabetes.¹

twiist is cleared for individuals ages six and above who live with type 1 diabetes. It's designed for at-home use and requires a prescription.¹

The twiist AID System offers unmatched personalization, allowing you to set your personal glucose target within the widest Target Range of any available AID system (87 mg/dL to 180 mg/dL). It also features next-level delivery technology, 24/7 world-class product support, and unique features like food emoji libraries and workout presets.^1,3-7

You can control insulin delivery in three ways: through your iPhone, Apple Watch, or using the on-pump button on the twiist device itself.¹

Yes, twiist offers flexible wear options. You can disconnect and reconnect from your infusion set as needed.

The twiist Pump features iiSure™ Technology, which provides the fastest blockage detection - up to nine times faster than other AID systems.²

Yes, twiist AID System is designed to work with compatible integrated continuous glucose monitors (iCGMs). The system uses CGM readings to automatically adjust insulin delivery.¹

Once twiist has launched, please speak to your provider about the twiist AID System and ensure it's right for you. From there, your doctor will send your twiist Starter Kit prescription to your local pharmacy. Once you receive your Starter Kit and register, a twiist Trainer will reach out to schedule a training session for you.

Sequel offers access to diabetes educators, customer care, and 24/7 product support. This personalized guidance and support is available anytime, anywhere throughout your entire twiist journey.

twiist supplies will be available at local retail pharmacies, ensuring easy access to the items you need to manage your diabetes all in one place.

Different foods can impact glucose levels differently. Some raise glucose quickly, while others do so more slowly. With twiist, you pick the emoji that matches what you’re eating. twiist will adjust your insulin delivery to closely match how your body absorbs different types of food,¹

Yes, with twiist you can update entries before, during, or even after a meal. The system will adjust your insulin dosage accordingly, which is especially helpful if you eat more or less than expected.¹

It can be secured to a belt or clothing using the provided pump clip. We are working on adhesive patches that will allow it to be worn on the body, or it can be discreetly placed in a clothing pocket like a traditional tubed insulin pump.¹

We’re excited to share that Sequel is preparing for a U.S. launch early next year! We plan to provide the twiist AID System conveniently and affordably through local retail pharmacies, making it easier for people with type 1 diabetes to get everything they need to manage their diabetes in one place.

The twiist pump is small but mighty! It weighs less than 2 OZ, is water resistant, and holds 300 units, making it the smallest pump with such a large capacity. It can detect blockages up to nine times faster than other AID systems², and with Tidepool Loop, it boasts the widest Target Range of any AID system (87 mg/dL to 180 mg/dL)!^1,3-7