The twiist™ Automated Insulin Delivery (AID) System powered by Tidepool
See how twiist fits you

“twiist is amazing! The ease of use and reliability using the revolutionary technology is superior to any of the other various delivery modes or pumps I've used in 44 years of living with T1D.”
Maureen Gamble
Living with type 1 diabetes since 1981
Discover the freedom and flexibility of personalized type 1 diabetes management with the new twiist AID System. The twiist AID System adapts to your day, so you can confidently manage your type 1 diabetes with peace of mind.
Auto Adjust powered by twiist Loop updates your 6-hour glucose prediction every 5 minutes, and adjusts basal insulin all day and night to help prevent highs and lows.
iiSure™ ensures precise insulin delivery down to the microdose and detects blockages up to 9x faster than any other AID system, potentially reducing unexpected highs.1
Meal Adjustments let you update carb entries up or down before, during and even after eating, so insulin is adjusted when your plans change.
Pre-Meal & Activity Presets can be enabled before food and activity to temporarily adjust your correction range, helping prevent highs and lows around meals and activity.
Absorption Rate Selector optimizes your insulin delivery to the types of food you are eating, helping your glucose stay in sync with how your body absorbs food—for smoother, more precise management.2
Customizable Glucose Target(s) can be set between 87-180 mg/dL, the widest correction range of any available AID system, so that you stay in the range that is right for you.2-7
The twiist AID System is the first-of-its-kind in personalized diabetes management. With high levels of personalization and precise insulin delivery to help prevent highs and lows, twiist was designed to help patients with type 1 diabetes gain peace of mind. Connect your iPhone®, CGM, and (optional) Apple Watch® for adaptive and predictive insulin delivery.


The twiist Pump contains the twiist Loop algorithm. twiist Loop enables the system to automatically adjust basal insulin delivery based on CGM readings, your personalized settings, and predicted glucose levels to help prevent highs and lows throughout the day.

Abbott’s FreeStyle Libre 3 Plus Sensor measures and shares glucose readings every minute with the twiist Pump. More CGM sensor compatibility options are on the way!

For full FreeStyle Libre 3 Plus sensor safety information, please visit https://www.freestyle.abbott/us-en/safety-information.html. The sensor housing, FreeStyle, Libre, and related brand marks are marks of Abbott and used with permission.

Connect your iPhone and (optional) Apple Watch for discreet, app-based control. The twiist AID System is the only AID system that can be controlled from an Apple Watch.2-7
Get started with twiist for an adaptive and predictive approach to type 1 diabetes management. Flexible access allows most people to start twiist for $0 the first month and no more than $50 each month thereafter, without having to wait for your current system's warranty to expire. Switch whenever you're ready.†
Here’s what’s next:
Talk to your doctor to get a prescription for the twiist AID System.
Pick up your prescription Starter Kit at the pharmacy.
Connect with us to schedule a twiist training session.
Sign up and get more information to see how twiist fits you.
Want to learn more about the twiist AID System?
See how twiist fits you
Discover how the twiist App and twiist insiight™ App keep people with diabetes, and caregivers and their loved ones in the loop on diabetes management.

Your all-in-one diabetes dashboard

The twiist App is your diabetes management control center. This is where you can truly personalize how you manage your diabetes with twiist. The twiist App allows you to customize therapy settings, deliver boluses, log your meals, activate your Pre-meal & Activity Presets, and so much more.
No more juggling multiple devices or apps. Get a clear view of all your essential data in one place, including your insulin pump status, CGM readings, and six-hour glucose forecast. Get the full picture of your diabetes management at a glance, anytime, anywhere.2
The twiist App interface is intuitive and easy to navigate, providing built-in training modules to help you get started quickly.

Peace of mind for caregivers and loved ones

Peace of mind for caregivers and loved ones
The twiist insiight App syncs up with twiist AID System data from your loved one's smartphone to keep you tuned into their diabetes management. Now, you can remotely and securely monitor your loved one with detailed information and data, helping you to stay in the know as you work together to manage type 1 diabetes.
Be confident your loved one...
Gets their mealtime insulin
Activates their Activity Preset when necessary
Treats their low blood glucose*
*Requires the twiist AID System user to input data into their system.
Note: 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.
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