Hate new update
I love the twiist pump but ever since I updated the app the 6 hour glucose readings have been so inconsistent and my current reading is not accurate with the graph. It will always tell me that in the 6 hours ahead I will always be low. This doesn’t help when I want to have a meal and it will tell me I can’t have insulin because I’m predicated to go low so then I will eat something to bring it up and then I skyrocket of course. Please fix this or something because I really do truly love the twiist and I don’t want to go on a different pump. I’ve been on this pump since December and it’s helped me a lot but this is the first time that I’m having all of these problems now.
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Room for improvement:
I moved from Omnipod to twiist because while simple to use and convenient, Omni and dex7 were not working well together, and unit failures were too common.
Twiist works well when it runs smoothly and the data inputs are on point.
However it’s a chore to change a cassette and infusion set , especially since it only lasts 3 days, too many pieces and alarms too :
Lately I had two cassettes stop working due to line clogs errors that would not resolve after multiple attempts.
Changing out the battery caused a line clog error: that’s ridiculous. I spoke with cs about the way too small , hard to see Cleo clip and way too long hose.
She said you have to start a new cassette..again, an hour after I swapped the first clogged one out. That’s not ideal..for many reasons.
Idk how they came up with this hose length but it is just excessive:
Why not make it shorter or give users an option for this?
Reading other reviews it’s obvious some others aren’t happy w Cleo. Seems wise to swap suppliers so we don’t run into issues and waste supplies..
Also, once you pair a Libre to your pump, that is the only way it will work: You’re unable to use the Libre app outside the system to get your Bg. So finger sticks-
That’s pretty close to being a deal breaker for me. Keep it simple, give users choice and try hearing what users are saying here.
Twiist works well when it runs smoothly and the data inputs are on point.
However it’s a chore to change a cassette and infusion set , especially since it only lasts 3 days, too many pieces and alarms too :
Lately I had two cassettes stop working due to line clogs errors that would not resolve after multiple attempts.
Changing out the battery caused a line clog error: that’s ridiculous. I spoke with cs about the way too small , hard to see Cleo clip and way too long hose.
She said you have to start a new cassette..again, an hour after I swapped the first clogged one out. That’s not ideal..for many reasons.
Idk how they came up with this hose length but it is just excessive:
Why not make it shorter or give users an option for this?
Reading other reviews it’s obvious some others aren’t happy w Cleo. Seems wise to swap suppliers so we don’t run into issues and waste supplies..
Also, once you pair a Libre to your pump, that is the only way it will work: You’re unable to use the Libre app outside the system to get your Bg. So finger sticks-
That’s pretty close to being a deal breaker for me. Keep it simple, give users choice and try hearing what users are saying here.
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Fantastic Insulin Pump!!
I have been using the Sequel twiist exclusively since Feb. 2026. The twiist algorithm is so superior, I almost forget I have T1D. Lots of features you can use to keep glucose in range. Alarms can be adjusted to low, and when they happen, the sound is actually cheerful and not disturbing to others. 24-hour Customer Service is top notch, and they really care. Cleo infusions are the BEST, and so tiny. I can stick them anywhere. Site changes are easy, FAST and simple! (The Tandem Mobi infusions are horrible and complicated). The twiist RARELY has an occlusion. With Mobi, occlusions were happening all the time. The twiist is so light, you forget it’s even there. So straightforward to use, with its intuitive design. Puts me in control of my diabetes, which NEVER happened before.
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Patch notes with any details
What is included.
It’s worth the tubing
Changing to the twiist has been life changing. No more high highs, no more lows. The tidepool algorithm it’s superb.
Best pump
Edit: 9/3 - not being able to dismiss notifications from my watch is annoying, I have to open the app on my phone to clear it. The only complaint I have.
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.
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.
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CGM COMPATIBILITY
LIBRE 3 plus isn’t a few good sensor to use with this pump always reads lower and can’t calibrate this particular sensor. The pump would work was better if the CGM system actually worked.
Good pump good app
Amazing pump amazing software and hardware but the site no no no please ask your endo about a 4-5% lidocaine ointment and get bio-freeze (over the counter) and still expect a liitle sting. It won’t hurt more than a Tandem one but it’s harder to put right. Everything else is awesome my A1X started at 13 and after 2 months on shots and 4 months on the pump my A1C is 7.2 (libre system sucks but that should not be a dealbreaker) and let us put widgets on the lock screen PLEASE
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Seemless
Works with Tidepool and syncs.
Best pump
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.
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.
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The sounds are ear piercing, stay away
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.
-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.
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Allow users to change the alarm
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
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
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League of its own
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
Update after 2 mos. App needs:
Last 3 days avg insulin dosed
Avg BG and A1c
Time in range feedback
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Many problems.
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.
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The Greatest App ever!!!
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!!!
Loop is awesome
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.
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.
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Blocked lines and poor UI make it a hassle to use
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
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
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League of its own
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.
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Great Pump
The twiist aid system is great compared to all other FDA approved systems. They still need a lot of improvement but still great! Some changes that i would love is that the watch should talk directly to my pump even if I’m not next to my phone. The number on the watch should update and not have a delay (which is very dangerous)
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Good pump good app
It has everything that I would need except you should be able to tell the pump that you had a site failure so I knows you don’t get the bolus that way it can adjust the basal accordingly
