# PERT Pilot vs twiist AID System

The clearest difference is rating: PERT Pilot at 5.0 against twiist AID System's 4.2. PERT Pilot also leads on review sentiment (100% vs 68%) and update cadence (every 2 weeks vs every 3 months). twiist AID System's advantage is ratings volume (45 vs 7). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

PERT Pilot holds the better App Store score, 5.0 against 4.2. That said, the two scores are not equally well evidenced: twiist AID System has 45 ratings behind it against 7, so its average is the more settled of the two. Written reviews point the same way: 100% of PERT Pilot's written reviews are positive against 68% of twiist AID System's.

PERT Pilot ships an update every 2 weeks, twiist AID System every 3 months. The most recent releases landed on September 10, 2026 and September 25, 2026 respectively.

## The numbers

| Metric | PERT Pilot | twiist AID System |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (7 ratings)](https://appshunter.io/ios/app/pert-pilot/id6448204562/reviews)** | [4.2 (45 ratings)](https://appshunter.io/ios/app/twiist-aid-system/id6739071031/reviews) |
| Number of ratings | 7 | **45** |
| Positive reviews | **100.0% of reviews** | 67.7% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 weeks** | Every 3 months |
| Monetization | Free | Free |
| Size | 19 MB | 82 MB |
| Requires iOS | 18.0 | 18.0 |
| Devices | iPhone, iPad | iPhone, Apple Watch |
| Age rating | 12+ | 4+ |
| Developer | [Dana Lewis](https://appshunter.io/developer/1683991711) | [Sequel Med Tech, LLC.](https://appshunter.io/developer/1781286549) |

## What reviewers say

### PERT Pilot

[App page](https://appshunter.io/ios/app/pert-pilot/id6448204562)

Manage your Exocrine Pancreatic Insufficiency (EPI) with this tool. Log enzyme intake, meal details, and symptom responses to optimize your pancreatic enzyme replacement therapy (PERT). Share insights with your healthcare provider.

**Highlights:** Log enzyme intake and meal details, Record and edit symptom responses, Set enzyme intake reminders, Visualize PERT dosing and meal history, Share data with healthcare providers, Utilize AI meal estimation, Supports custom enzyme types

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### twiist AID System

[App page](https://appshunter.io/ios/app/twiist-aid-system/id6739071031)

This smart system proactively adjusts basal insulin and personalizes care to help prevent highs and lows for individuals with type 1 diabetes. It offers an all-in-one dashboard for essential data, seamless integration with wearables, and advanced blockage detection for reliable insulin delivery.

**Highlights:** Automated insulin delivery, Personalized diabetes control, 6-hour glucose prediction, Apple Watch integration, Data sharing with family, Advanced blockage detection

**Features:** Apple Watch app

**In-app purchases:** none


## Frequently asked questions

### Is PERT Pilot free?

PERT Pilot is free to download, with no in-app purchases.

### Is twiist AID System free?

twiist AID System is free to download, with no in-app purchases.

### Which has better reviews, PERT Pilot or twiist AID System?

PERT Pilot is rated higher. PERT Pilot averages 5.0 out of 5 from 7 ratings, while twiist AID System averages 4.2 from 45 ratings.

### Do PERT Pilot or twiist AID System have ads?

Neither PERT Pilot nor twiist AID System shows ads.

### Which is updated more often, PERT Pilot or twiist AID System?

PERT Pilot ships an update every 2 weeks, and twiist AID System every 3 months. Most recently, PERT Pilot was updated on September 10, 2026 and twiist AID System on September 25, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*