# twiist AID System — Personalized diabetes control > Automated insulin delivery system for personalized type 1 diabetes management. (iPhone/iPad app by Millyard Advanced Medical Products LLC.) - Source: https://appshunter.io/ios/app/twiist-aid-system/id6739071031 (this page in markdown: same URL + `.md`) - Developer: [Millyard Advanced Medical Products LLC](https://appshunter.io/developer/1781286549) - Category: Medical, Health & Fitness - Price: Free - Rating: 4.17/5 from 24 App Store ratings · 24 written reviews indexed - Age rating: 4+ - Requires: iOS 18.0 · 81 MB - Languages: English, Spanish - Released: 2025-04-04 - Data updated: 2026-08-28 - Monetization: free - User reviews in markdown: https://appshunter.io/ios/app/twiist-aid-system/id6739071031/reviews.md ## What is twiist AID System? Life with type 1 diabetes can be a stressful balancing act, but now it doesn’t have to be. Introducing twiist, the smart automated insulin delivery (AID) system that proactively adjusts your basal insulin and personalizes your care to help prevent highs and lows – day and night – for peace of mind. Consult a healthcare professional to confirm if this product is right for you or if you have questions about how to use this product to make treatment decisions. The twiist™ AID System is the first automated insulin delivery system powered by Tidepool. twiist Loop is based on Tidepool Loop, a technology that was originally designed by people with diabetes for people with diabetes! Experience this breakthrough in personalized diabetes management. In addition, the iiSure™ Technology in the twiist AID System uses sound waves to provide accurate delivery and reliability with advanced blockage detection technology. By checking the volume of each micro-dose of insulin at four key points, iiSure helps ensure accurate delivery. The twiist App is part of the twiist Automated Insulin Delivery System. The twiist AID System is for people with type 1 diabetes, 6 years of age and above, available with a prescription, only in the U.S. Visit twiist.com/safety for important safety information. Your All-in-One Diabetes Dashboard The twiist App home screen gives you a clear view of all your essential data in one place, including your insulin pump status, continuous glucose monitor (CGM) readings, 6-hour glucose prediction, and active insulin and carbohydrates. Get the full picture of your diabetes management at a glance, anytime, anywhere. User-Friendly Design for a Smooth Experience The twiist App includes an intuitive interface that's easy to navigate, with built-in tutorials to help you get started quickly. Personalized Diabetes Management Features twiist Loop continuously adapts to your needs, predicting your blood sugar 6 hours ahead and adjusting basal insulin every 5 minutes to help prevent highs and lows. With the widest glucose target range of any AID system (87-180 mg/dL), you get more flexibility in how you manage your diabetes. Meal and workout presets fine-tune insulin delivery, while the absorption rate selector lets you match insulin timing to the foods you eat. Changed your mind about a meal? Update your carb entry anytime, and twiist will automatically adjust to help keep you in range. Seamless Apple Watch Integration The twiist AID System takes wearable tech to the next level. How? With most Apple Watch models, you can discreetly check your numbers without pulling out your phone. Best yet, enter carbs and deliver insulin right from your wrist! Get personalized and precise management of your type 1 diabetes on the go without missing a beat in your daily routine. Seamless Apple Health Integration Review twiist AID System data alongside your health and fitness information to get a more complete picture. Share Data with Friends & Family The twiist AID System gives peace of mind to friends and family by sharing data with invited followers via the twiist insiight App. ## Key features - Automated insulin delivery - Personalized diabetes control - 6-hour glucose prediction - Apple Watch integration - Data sharing with family - Advanced blockage detection ## Recent user reviews (10 of 24) All indexed reviews: https://appshunter.io/ios/app/twiist-aid-system/id6739071031/reviews.md ### 5/5 — Seemless *2026-08-12, version 2.30.34* Works with Tidepool and syncs. ### 5/5 — Best pump *2026-07-15, version 2.30.34* I’m loving the pump. The app has obvious things I had asked Dexcom for like the last updated time on the widget. Some things I’d like to see: A function to add short notes which would be printed on daily reports. This would be good for noting things such as the infusion set came out, you were sick, you had a steroid injection, etc. an “emergency contact” that gets an automated phone call if your blood sugar is dangerously low and you don’t respond to the app in X minutes. I live alone and would like someone to be notified, but I don’t want them to have access to any of my data. I would get nagged non stop. ### 2/5 — The sounds are ear piercing, stay away *2026-07-13, version 2.30.34* I have all alerts disabled on my phone but then the pump itself starts making noises (which you can’t control) and it’s every 12.5 seconds(I timed it) and the shrillest horrible sound. They must have never had real people test this who have jobs or who ever drive a car. My blood pressure is likely up about 30 mm Hg due to how angry I get when the pump is terrorizing me. -this is my second time writing this review as I must’ve used too foul of language in the first review. I still feel just as angry, I just toned it down so other people can be warned away or this dim witted company can change the sound. They allegedly already updated the pump once to deal with the noises but fixed nothing. -besides the sounds the pump is similar to the tandem X2 but a bit lighter and uses changeable batteries instead of the pump being rechargeable. The other problem is it is fragile and I am on my second twiist pump in two months and the cheap plastic clip broke a while ago so I have to keep it in my pocket. ### 3/5 — Allow users to change the alarm *2026-07-03, version 2.30.34* The fire alarm alert sucks. It’s always sucked and continues to suck. It sucks coming from the twiist pump and it equally sucks from the phone. It scares my dogs and my kids. I turned off critical alerts and all alerts from the app just because it’s so bad. Let users choose their own alert for different instances- high glucose can have a chime, lower glucose a different setting but for every darn alert to be the dang fire alarm… really ??? That’s just bad design and I bet most users just turn off notifications. Choice is good so please give users a choice. The pump itself is great ### 5/5 — League of its own *2026-06-15, version 2.30.34* I’ve used 2 other pump systems over the last 20 years. One tubed and one tubeless. Each required me to “lie” to my pump to get a chance at control. Twiist is the opposite. The algorithm has allowed me to move from an avg A1C of 7 down to nearly 6.0! I only have to enter meal bolus or exercise periods into the app. Not 10-12 times daily as with previous pumps. Add to this Apple Watch control, adjustable alarm volume, and predictive glucose trending and the Twiist system, for me, is truly head and shoulders above other systems. Update after 2 mos. App needs: Last 3 days avg insulin dosed Avg BG and A1c Time in range feedback ### 1/5 — Many problems. *2026-06-14, version 2.30.34* Massive problem with blocked line alerts coming through with every single one of the infusion sites I’ve used. The app then takes FOREVER to reload the functionality so I’m sat there like a moron refreshing the page 20 times in a row so I can be able to eat my lunch without going to 250. Infuriating that there isn’t a timeline for a new infusion set that actually works or any support on how to use the Cleo without constantly getting blocked lines. The only support they provide is replacements which doesn’t help the problem of not being able to dose insulin EVERY SINGLE TIME I put an infusion set on. ### 5/5 — The Greatest App ever!!! *2026-05-20, version 2.30.34* I love this app. My partner has the app. We are both Diabetics. I’ve been on, Tandem and Omnipod 5. They worked well, but this pump wow!!! Amazing. We can’t still talking about it WOW!!! ### 5/5 — Loop is awesome *2026-05-19, version 2.30.34* The pump is a big step forward. Being able to basically leave my diabetes to loop itself is amazing compared to some of the competition is great. Except for meals I haven't had to significantly bolus for any amount, as the basal rate adjustment takes care of most of the changes happening day to day. Also the carb tracking in the app with carb timing is a wonderful feature that's also very helpful with tracking not only what I eat but how much is bolused. There's some improvements that could be used for the app, I wish y'all had iOS lock screen widgets, I miss being able to glance at my phone screen to see my bg. Still overall fantastic pump and app. ### 1/5 — Blocked lines and poor UI make it a hassle to use *2026-05-15, version 2.30.34* I have used this since Nov. 2025 and have had constant blocked line alerts overnight. It has been infuriating waking up almost every single night to at least one sometimes two or three alerts. I then struggle to stay awake because of the tedious process of waiting for the pump to perform a self test and wish that it could be automated with a single button or even just test on its own without sending a blocked line alert. The alert for blocked lines is insanely sensitive and is ruining my sleep and keeping me high overnight because if I forget to restart the basal there’s no alarm for the pump being disabled ### 5/5 — League of its own *2026-05-11, version 2.30.34* I’ve used 2 other pump systems over the last 20 years. One tubed and one tubeless. Each required me to “lie” to my pump to get a chance at control. Twiist is the opposite. The algorithm has allowed me to move from an avg A1C of 7 down to nearly 6.0! I only have to enter meal bolus or exercise periods into the app. Not 10-12 times daily as with previous pumps. Add to this Apple Watch control, adjustable alarm volume, and predictive glucose trending and the Twiist system, for me, is truly head and shoulders above other systems. ## Frequently asked questions about twiist AID System ### What is twiist AID System? twiist AID System is a smart automated insulin delivery system designed to proactively adjust basal insulin and personalize care for individuals with type 1 diabetes. It aims to help prevent high and low blood sugar levels day and night. ### Who is twiist AID System for? The twiist AID System is for people with type 1 diabetes, 6 years of age and above. It is available with a prescription and is currently only available in the U.S. ### How does twiist AID System ensure accurate insulin delivery? The iiSure™ Technology in the twiist AID System uses sound waves to provide accurate delivery and reliability. It features advanced blockage detection by checking the volume of each micro-dose of insulin at four key points. ### Can I see my diabetes data with twiist AID System? Yes, the twiist App provides an all-in-one diabetes dashboard on its home screen. You can view essential data including insulin pump status, CGM readings, 6-hour glucose prediction, and active insulin and carbohydrates. ### Does twiist AID System work with Apple Watch? Yes, the twiist AID System seamlessly integrates with most Apple Watch models. You can discreetly check your numbers, enter carbs, and deliver insulin directly from your wrist. ### What is the glucose target range for twiist AID System? twiist AID System offers the widest glucose target range of any AID system, which is 87-180 mg/dL. This provides users with more flexibility in managing their diabetes. ### Is twiist AID System free to use? The twiist App is available for free. However, the twiist AID System itself requires a prescription and is part of a medical device system. ### How often is twiist AID System updated? The latest version of the twiist App is 2.29.42, and it was last updated on November 20, 2025. This indicates a relatively frequent update schedule to ensure reliability and new features. ## Version history (last 5 releases) ### 2.30.34 — 2026-04-16 We listened. This update brings highly requested enhancements to help improve your experience with the twiist AID System: • New iPhone widgets for quick glucose checks • Custom High and Low Glucose Alert values for different times of the day and night • CGM Alert Snooze for High and Low Glucose Alerts • Re-prime your tubing independent of a cassette change • Customizable Cassette Change Reminders and last cassette change timestamp • Adjust the volume of Critical Alert audio played by the app • Adjust the volume of audio played by the pump • Apple Watch complication for “at a glance” glucose viewing • App improvements and minor fixes ### 2.29.42 — 2025-11-20 App improvements and minor fixes. Integration with Eversense 365 CGM from Senseonics. Continued compatibility with the Abbott Freestyle Libre 3 Plus Sensor. The Eversense 365 CGM will be available for pairing in early 2026. To use twiist with Eversense 365, your transmitter will require updated firmware from Senseonics. Current Eversense 365 transmitters are not compatible with the latest twiist App. Please contact Senseonics at www.eversensecgm.com/twiist to join their update list and be among the first to receive the required firmware. ### 2.29.38 — 2025-10-30 App improvements and minor fixes. ### 2.28.42 — 2025-09-14 iOS 26 Support ### 2.28.36 — 2025-07-07 Improved notification and messaging behavior. Added data to Tidepool patient data portal. Miscellaneous bug fixes. ## Apps similar to twiist AID System | App | Rating | Price | Category | | --- | --- | --- | --- | | [Undermyfork: Diabetes App](https://appshunter.io/ios/app/undermyfork-diabetes-app/id1440135674) | 4.6 (130) | Free | Medical | | [TempoSmart](https://appshunter.io/ios/app/temposmart/id1628603185) | 3.3 (54) | Free | Medical | | [iLet App](https://appshunter.io/ios/app/ilet-app/id1553486890) | 4.3 (101) | Free | Medical | | [Eversense 365](https://appshunter.io/ios/app/eversense-365/id6502610344) | 4.2 (24) | Free | Medical | | [Level One: A Diabetes Game](https://appshunter.io/ios/app/level-one-a-diabetes-game/id6739605694) | 4.9 (213) | Free | Medical | ## More apps by Millyard Advanced Medical Products LLC - [twiist insiight](https://appshunter.io/ios/app/twiist-insiight/id6738584896) All apps by Millyard Advanced Medical Products LLC: https://appshunter.io/developer/1781286549 ## Related topics [sri lanka college of endocrinologists](https://appshunter.io/ios/topics/sri-lanka-college-of-endocrinologists) · [twist insulin pump](https://appshunter.io/ios/topics/twist-insulin-pump) · [twiist](https://appshunter.io/ios/topics/twiist) · [twiist aid system](https://appshunter.io/ios/topics/twiist-aid-system) · [twiist loop](https://appshunter.io/ios/topics/twiist-loop) · [tidepool loop](https://appshunter.io/ios/topics/tidepool-loop) · [axonify](https://appshunter.io/ios/topics/axonify) · [t1d1 mobile](https://appshunter.io/ios/topics/t1d1-mobile) · [tidepool](https://appshunter.io/ios/topics/tidepool) · [igarden service](https://appshunter.io/ios/topics/igarden-service) --- *Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-08-28.*