When I first reviewed twiist, I walked away impressed with the algorithm but still unsure about a tubed pump experience. Since then, Sequel Med Tech released a slew of updates, and I was excited to give it another shot and see how the system has evolved. 

The latest update brought a number of improvements, including a new iPhone widget, follower app alarms, new Apple Watch faces, and perhaps most importantly, updated alarm settings. One of my biggest complaints in my original twiist review was the alarms. They were loud and distruptive. The new update added the ability to adjust the alarm intensity between low, medium, and high, along with the ability to snooze alerts. I prefer the low setting. These changes may seem small, but when you wear a device 24/7, those quality-of-life improvements make a big difference. So thank you, Sequel! 

Going into this second round of testing, I expected to focus on those new features. What I didn’t expect was to completely change my perspective on wearing a tubed pump. I’ve used Omnipod for years and love the freedom of being tubeless. There’s something great about not having a tube attached to you all day and not having to think about where your pump is when you move, sleep, bathe, or get dressed. But during this second experience with twiist, something clicked. I finally learned how to navigate a tube, and honestly, I didn’t hate it. I found little tricks that made it easier to carry, and the tubing went from something I constantly noticed to something I thought about less. I also feel like I got the twiist algorithm down even more this time around, and I was very happy with the results.