iiSure™ Technology

Introducing the next generation of insulin delivery.

Adhesive options for on-body wear are currently being developed.

High-precision dosing.
Quicker blockage detection.*

That’s the twiist™

Precise insulin delivery

twiist is the only pump that measures the actual volume of insulin delivered at every dose, ensuring each dose is accurate.

Sound wave technology

twiist uses iiSure, a cutting-edge acoustic technology to measure insulin down to the microdose, and detect blockages quickly.

Fastest blockage detection

Insulin blockages can happen with just about any pump. Other pumps take hours to detect them, resulting in unexplained highs, or emergencies like diabetic ketoacidosis (DKA). twiist detects blockages much faster than other pumps.1*

See how twiist compares1

twiist detects blockages
in about 19 minutes,
9x faster
than other AID systems.*
Direct Volume
Measurement
Time to Occlusion
Detection/Alert
Omnipod® 5
No
180 min3@ basal 1 U/hr
MiniMed™ 780G
No
201 min4
‍@ basal 1 U/hr
iLet†
No
171 min5 (150 min)‍@ basal 1 U/hr
t:slim X2™
No
64 min6‍‍@ basal 2 U/hr
Mobi
No
40 min7‍‍@ basal 2 U/hr
twiist detects blockages
in about 19 minutes,
9x faster
than other AID systems.*
Data taken from the UserGuide for each system.
†
Specific to iLet device with a color display.

Learn more about how iiSure™ Technology works

Caring for someone with diabetes?

twiist watches over your loved one, even when you can’t be there.‡ The soundwave technology in twiist ensures their doses are accurate. This same technology detects insulin blockages quickly, in as little as 19 minutes (up to 9X faster than other pumps).1*

The twiist insiight App is the only app that can alert caregivers if a blockage occurs.§ Your loved one finds out quickly, and you do too!

Learn what’s possible with twiist

I have type 1 diabetes

Discover twiist

I have type 2 diabetes

Discover twiist
*
Calculation based on a comparison of the following IFUs. The following reported 1 U/hr basal rate: Sequel Med Tech - twiist Automated Insulin Delivery (AID) System Powered by Tidepool User Guide; lnsulet - Omnipod 5 Automated Insulin Delivery System User Guide; Medtronic - MiniMed 780G system User Guide; Beta Bionics - iLet Bionic Pancreas System User Guide. The following reported 2 U/hr basal rate: Tandem Diabetes Care - t:slim X2 Insulin Pump User Guide; Tandem Diabetes Care - Tandem Mobi System User Guide.
‡
The insiight App is not intended to be a replacement for the information displayed by the twiist System App and should not inform dosing decisions. It is not intended to replace self-monitoring practices as advised by a physician. Data updates require WiFi or cellular connectivity and their frequency may vary depending on connection strength.
§
When comparing labelling of commercially available Caregiver Apps in the United States as of April 2026.
REFERENCES
  1. Klonoff DC, et al. Time to Moderate and Severe Hyperglycemia and Ketonemia Following an Insulin Pump Occlusion. J Diabetes Sci Technol. 2024;18(6):1472-1479.
  2. Sequel Med Tech - twiist Automated Insulin Delivery (AID) System Powered by Tidepool User Guide.
  3. lnsulet - Omnipod 5 Automated Insulin Delivery System User Guide.
  4. Medtronic - MiniMed 780G system User Guide.
  5. Beta Bionics - iLet Bionic Pancreas System User Guide.
  6. Tandem Diabetes Care - t:slim X2 Insulin Pump User Guide.
  7. Tandem Diabetes Care - Tandem Mobi System User Guide.
MAT-0437 V4.0 09/26