Omnipod 5 V Tslim x2

[@michaelkrynski7793]

People like you, my mother, etc. who have lived with type 1 diabetes for 20+ years are some of the strongest people ever!

[@FirstName-qq6rq]

Why do you think?

[@locke103]

Never felt particularly "strong" about any of this. But that's just me, I suppose.

[@kaddiddlehopper]

Thanks for the acknowledgement. Diagnosed at age 5 in the early 80's. Had a classmate from gradeschool with type 1 die. Most days seems like no one understands the struggle of 24/7 vigilance.

[@mysteryAly]

I feel like it’s just life for me at this point diagnosed sence Jan 99

[@friedelpas5637]

I live 31 years with T1D and not experience it like that. As said by others, it is just live for me. You can still do all what you want. Ok, you need to keep it constantly in mind and think whatever you do how I have to mention this with my diabetes but there are much worse deceases to have that result in much more problems then that. We are also lucky that diabetes is a decease that many poeple have (14% of the population) so there is an industry investing in it, a lot of research that come with a lot of good treatments that become better and better. That luxe have poeple with some rare deceases not. So I feel me lucky that I have T1D in place of one of those other deceases.

[@padfooter3817]

After being a omnipoder for years I switched to the tandem and even with the tubing I wouldn’t change back! Great insight on both machines 🥰

[@MWS1960]

Why wouldn’t you change back ?

[@michaelt.8956]

Hands down, best pump video ive seen so far. Im a RN & work with grade K through 4th grade children. Ive been comparing use of OP5 & Tslim on the children that I service. I feel like both companies should colab on a new shared hybrid pump, talking the best of both OP5 & Tslim. A pump like that would be a game changer. Love your vidoes. I may be trying to contact you in the future to clolab on a special project with far reaching potential. Untll then, you remain my favorite T1DM blogger. Kind regards, Michael T.

[@worthybookjourney3231]

What would be nice is if Tandem would give a tubeless option and still give the customizable options in place (or even improve). Excellent info. Thank you.

[@dawnb2224]

It's coming. Just give it a short time.

[@timreimann3254]

Thank you for your insight. I agree a tubeless solution sounds awesome. But, I'm going to stay with my Tandem Pump. It offers the flexibility I need to best manage by diabetes. Lastly, I truly appreciate your feedback regarding these options. You've been a huge help for me during my journey with diabetes. I've been a type 1 for 40 years. Going from 6 doses a day to a pump has been great for me. Thanks again, and I'm looking forward to your next video.

[@ShesDiabetic]

Oh my goodness - you are so welcome - thank you for sharing this with me!!! I think your decision to stay on the Tslim is a great one - we're all different no one size fits all with these things - but the important thing is that we all have that info to make those personal decisions and that's what drives me to make these videos and share what info I can. Thank you so so much for watching!!!

[@andricheli]

I am using the Omnipod Dash pods with DIY Loop and absolutely love the set up. I love Omnipod in general because the pump is much more convenient for my life (easier for travel, less intrusive, easier for use around water). I used tubed pumps for many years and really felt free when I no longer had to deal with tubing. For me, Omnipod is also much easier to deal with through insurance because it's all covered under the pharmacy benefit (it's also a lot cheaper for me). DIY Loop has worked so well for me and I can use it with the Dexcom G7 so have no compelling reason to switch to the Omnipod 5. I can also use it with just my iPhone, which is so nice.

[@haswavely]

Can you share more about the diy loop? Also you’re able to use with your iPhone? ??

[@jimlund1512]

When I retired and Medicare became my health insurance, I got a financial jolt when I had to pay for my supply of OmniPods. Because they are not durable medical equipment, like my new Tslim pump, they cost me several thousand dollars a year. My Tslim and all its supplies are covered under Medicare Part B. Medicare and my medigap policy cover the whole cost. As soon as I could switch from the very, expensive OmniPods to the Tslim, I did.

[@MWS1960]

Omni pods are covered through prescription. I just talked to my Omnipod rep and a one month supply is $50. Now Medicare is doing away with the donut hole for 2025. So it should not cost you thousand anymore. I have a Medtronic pump as my back up and get the supplies through plan B. Omnipod as you know is Plan D

[@katiemathews128]

Thank you so much, Andrea! I was finally able to switch pumps last month as my warranty with Medtronic came to an end. After watching your videos on the Tandem X2, I knew that’s what I wanted. This video, plus my last month of experience with the X2, confirmed for me that I made the correct decision. My CGM lines have never been “straighter” 😂 For example, my average glucose for the last two days is 119 with 100% TIR! Game changer for me as a busy mom of four. 🤩

[@kevineggleston9930]

Hi Katie! We’re you on 780g, with guardian 4 sensors? I’m debating between that and Tslim because of the algorithms. Medtronic seems to have the better Algo right now, but I’ve heard so many horror stories with the guardian 4 cgm. Do you have any experience with it??

[@spoofersleuth]

This was a very helpful review! I've been on the X2 for 4 years. My warranty is up and I'm giving the Omnipod a try since it would ultimately cost a lot less on my current insurance. So far I love the tubeless aspect. I appreciate the detailed comparison of their algorithms. It's helping with the Omnipod learning curve for sure.

[@ShesDiabetic]

I'm so so glad it was so helpful!! I've been there so I truly know the decision you're grappling with! I wish you all the very best as you try it out and adapt with it! You got this my friend!

[@thorritz8520]

Nice explanation. You really are great at explaining the two different functions of the pumps. I've watched your previous videos and know you are speaking from personal experience and know you are very active in your diabetes care. Great job and please keep making more instructional videos.

[@ShesDiabetic]

Thank you so so so much - this means the world to me!!!!! Truly - thank you!!!! 🙏 ☺️

[@robertsanders3174]

Nice video! I have never considered the Omnipod but for my use the T-Slim is awesome. I had been on Medtronic’s pumps and was getting very frustrated with the way their system worked. A1c were always higher than i wanted and the number of alerts the pump gave off quite frankly drove me insane. After several conversations with my doctor we switched me to the T-Slim X2. There were some hoops as my Medtronic was still in warranty but Tandem had a program in place when i switched (not sure if they still do so you might want to reach out to them if interested). All of that to say that after a little time we got the T-Slim dialed in and my A1c for the past year and a half have been Human normal! 5.4, 5.5 and in range numbers are well into the 70% + range most days. Really happy with the T-Slim and the tube while occasionally frustrating is manageable. This was a great video. Thank you for providing the community with such valuable information and insight.

[@ShesDiabetic]

Thank you for all that you've written here and shared with us all! My first pump was a Medtronic 640g and I have to say I didn't love it. And now that I've had experience with other pumps I can say that it was my least favorite. That's not to say that it's not good, but like you, I had frustrations with the alarms and just generally how the thing ran. I'm so glad you love your tslim - and that you were able to get it before your warranty expired - this is definitely something I'm going to keep in mind for the future in general - thank you, thank you for sharing!!!

[@opeLogan]

As much as I really want a tubeless pump, the micro-bolusing on Tandem is a dealbreaker for me. I also like using exercise mode to give myself a higher glucose target of 140 regardless of whether I'm exercising or not, while still keeping the autobolusing. I'm very excited to see what the Mobi brings when it finally comes out!

[@verachamie5697]

Andrea! I have no suggestions...yet, but do appreciate million times your contributions to the DM1 community. Your comments always help me to dig in and be more aware of our user power controlling our body glucose numbers. Thank you! You are awesome!

[@mayhaley1]

I 1000% agree with you! I love the tubeless pump but I just can't get it to work for me. Waiting for the new mobi to come out from tandem.

[@ylyl9676]

Thanks to speak slow that helps a people like me that don't speak English fluent. I am Spanish speaking. ❤

[@tonylopez4075]

I been with type 1 diabetes since I was 14. I’m 33 yrs now , started using Omni pod 5 about a month ago and I been loving the pump. My sugar levels been on range

[@ShesDiabetic]

YAY!!! I'm SO glad to hear this!!!! I'm so happy for you!! HORRAY!!!

[@amandamcallister2194]

Thank you so much for taking the time. After using both with my kids we have gone back and forth because tslim algorithm, but tubeless ugh the decision sucks to have to make. Recently we went back to tslim partially because I was irritated with the algorithm and mostly because in sports the pod became a hazard. In football my youngest got tackled and the pod left an indent in his leg. We ended up ripping it off in the middle of the game. Today with the tslim site it wasn't an issue and I bolused him at half time. Seemed to workout well. We'll see if mobi is the winner soon enough. My oldest is tempted to go back to injections just because it seems like too much hassle at times.

[@HebaruSan]

The basal reductions and cutoffs are great! I can add extra units to do a classic "super bolus" on the fly, and Control-IQ will bring me in for a soft landing anyway more times than not.

[@lindseyquennell1457]

Thank-you for this very educational video Andrea comparing the two systems. I am on the Tandem T:Slim X2 as my everyday pump and use the Omnipod Dash for swimming as I swim once a week for three hours. Love the tubeless aspect of Omnipod but given that the Tandem has a superior algorithm I am sticking with it as my everyday pump. Just wish that they would come out with a tubeless pump with the same algorithm as Tandem’s.

[@ShesDiabetic]

Thank you for watching! I'm right in the same boat with you - once that tslim algo has a tubeless option I'm 100% getting it! Oh I can't wait for that day!! It can't come soon enough!!!

[@jodyloomis1369]

I love Tandem! They are coming out with a tubeless! I can’t wait

[@randy7068]

You are going to have to wait. The X3 hasn't even been launched and it's another tubed pump if memory serves me. If tandem does get their butts in gear they could look like they are standing still as Medtronic does now.

[@bernardo817]

Golden video, you deliver all the needed info with objectivity and grace. Thank you!

[@ShesDiabetic]

Thank you so much!!!! This means the world to me!!!!

[@zxczxczvv]

Hellloo! i am not sure if you will read my comment! but anyway i am really love movies that you appeared! So FINALLY i found your youtube:))) you are really adorable!! always cheering you from South Korea *^^* ❤ i hope you always feel happy :) have a nice day!

[@ShesDiabetic]

Oh well thank you so so so much!! That is so kind of you to say and come and find me here! Welcome!! :-) Cheers to you in South Korea lovely!!! ❤️❤️❤️

[@T1Diamondbetic]

This is incredible!!!! Thank you so much for this information. I’m on the t:slim S2 but have been so curious about the omnipod 5 because of the tubeless feature and wasting so much less insulin.

[@not_in_the_know]

Thanks Andrea, great to hear your opinions on both of these pumps. Each pump and algorithm has it's pros and cons. I am using the diy aaps system for the past 2 years and love it. It's very configurable with many options.

[@SwissPGO]

What pump, phone and sensors do you use for your DIY system?

[@not_in_the_know]

@@SwissPGO accu check combo, pixel 4a, dexcom g6

[@Neomet010]

You really hit on one of the shortcomings of the Omnipod 5. It has a non-modifiable algorithm that determines that X percent of your total daily insulin is basal. It does not "learn" what your actual basal requirements are. I am on a very low carb diet and the automatic function simply cannot keep up. I get the maximum microbolus constantly and my BSs still run off the chart. I hate tubes though, so now just run the OP5 in manual mode and get great results (5.8 A1C). It is just more work. We all make choices. :-)

[@kellyremender0930]

Hey! I am doing the carnivore way of eating, so very low carb, and I use OP5 in automatic mode. So you're saying you have better control in manual mode?

[@Neomet010]

@@kellyremender0930 Hi Kelly. I do get very good results in manual mode, but it is way more work. I am in manual because if I stay in automatic I always run high. The algorithm of the pump does not work when I only eat 25-30 carbs a day. Are you getting good BSs on auto?

[@Neomet010]

@@kellyremender0930 Hi Kelley. I do get better results in manual, but this is driven by me having very low daily total carbs which makes it impossible for auto mode to keep up with my basal needs. If you are picking up carbs through what you drink or other sources auto mode might work better for you. You definitely will know if auto isn't the best for you. In auto, I could not get blood sugars below 200 without continually bolusing even though I wasn't eating any carbs.

[@natealwine213]

Thanks for such an honest review! I had been on a T-slim x2 for the last 4 years and it was a game changer. I’ve just changed to the Omnipod 5 and see exactly what you’re saying. I’ve actually adjusted my carb to insulin ratio to be more aggressive because I’ve seen the same thing with the high post meal spikes. I’ve certainly made different diet decisions because of a lack of extended bolus in auto mode. It seems like the cannula holds up better in the Omnipod. I’ve been very frustrated with cannula failures with the t-slim. My early take on the Omnipod is that overall I love it. I miss some of the adjustability with the t-slim, but my sugars have overall been better since switching and life without tubes is so nice

[@ShesDiabetic]

Oh wow - I'm so glad to hear you say that sugars have been overall better - I think mine still needs tweaking...LOVE the tubeless, struggling with the algorithm compared to the Tslim - but I'm going to have a call with my diabetes nurse to go over settings and make some tweaks - so hopefully that will help! 🤞 Thank you for sharing all of this with me!! And thank you so much for watching!!

[@HarryLThompsonIII]

Wow. That was really well done. Very clear. Exactly all the information I was hoping for. Thank you very much.

[@SteveStevens-sp7ly]

i love your blogs. youre obviously very inteligent and also very articulate. keep on posting, please.

[@ShesDiabetic]

Well, this is just the most lovely comment to receive! Thank you so so very much for watching and for these incredibly kind and motivating comments! You don't know how much it means to me!

[@natureaqua2227]

Yes agree very articulative. Not only learned about tandem vs omni pod but how to communicate intricacies

[@melady100]

I love the TSlimx2, it has been a game changer for me after years of MDI. I love the thot of being tubeless and was vwry excited to hear Tandem is coming out with a patch pump...I think that is wher I will be able to keep the nice features of Tandem but be able to go tubeless. I love your videos! Thank you!

[@KristinaThornton]

This was such a comprehensive and easy to follow video. The best comparison video I have watched and I have watched a lot as I have been trying to decide whether to go to Omnipod from Tandem. You really helped me so much thank you!

[@ShesDiabetic]

Thank you SO SO SO MUCH!!! This means a GREAT DEAL TO ME!!! THANK YOU!!!

[@lauraelggren]

Thank you so much for doing this comparison! I've wondered about the difference between the 2 pumps. I'm on the tslim and love it, but I look forward to the future where it has more customization for targets and certain aspects of basal dosing. I have found though that when I run in sleep mode all the time, I'm much more in range because the basals stay moving with me and it seems to be a more proactive way of using the pump. Just my experience, but I've come to love this pump!

[@jimaverill1659]

I'm relatively new to diabetes I was diagnosed 2 yrs ago. My MD put me on the OPD 5 when you started the T-Slim how did you get started????? How do you deal with the tubing? are you an active person?

[@joeclifford9242]

Hi Andrea! I've been using a Tandem pump for 6 years and very interested in the Omnipod 5! After watching your video you answered my questions and I'm sticking with my t:slimx2! Thanks for the help!

[@lisakonarske957]

Great video! I have used 2 tube pumps and the original omnipod in between. Things have changed wirh the new phone apps that would help with both types. I loved the Pods, no tubes, but would sometimes forget my PDM, then I couldn't eat. I like having the control with me all the time more than being tubeless, but I may go back now that you can use your phone or a PDM, but then what if I lose or forget my phone. I still have PODS that I can use if needed, but I like that my pump is always with me. I've never lost or forgotten my pump.😊

[@michellewaddle398]

Thank you for explaining both systems as well as you have! I have been considering the Omnipod (currently on Tslim) and your explanation of the algorithms and micro-bolusing has been very helpful for me in my decision. I have been living with T1D for nearly 35 years and have seen so many changes in the technology available, I know how important it is to stay up to date and really understand how each pump works and weigh the pros and cons for yourself.

[@user-nr5he3ic9o]

The one thing I like about OP5 is that like you I can’t eat a dang thing without bolusing for it. I’m not on a diet or anything but I just hate having to eat when my BG is dropping and I’m not craving food. That hardly happens anymore with this algorithm. Please keep sharing your experiences with OP5 if you can. I really look forward to them!

[@melindahayward8316]

I was diagnosed type 1 lada almost a year ago. I started on omnipod 5 in February. I did not want to deal with tubing. Omnipod works fairly well, sure beats stabbing muliple times a day. I do agree with you that it could be more agressive. I am looking forward to your hack video. Thanks for sharing your experience with both systems.

[@fatterthantheshad0w]

I think cannula choice is massive, just like yourself I've used tubed and pods. I use AAPS diy, it's much better with with tubes because of the chose of hardware. Keep it up

[@Sophiesshenanigans]

Thank you for this video. I’m still on the Omnipod dash because I’m so insulin sensitive my doc doesn’t think the omnipod 5 will work for me. Until today I was still tempted to try it but after seeing your video and reading some of the reviews I may want to reconsider. I am just majorly anti tubing and the new Mobi isn’t tubeless or even close IMO. I will probably still pull it out every time I go to use the restroom. And the patch on the skin is huge and I’m tiny so it will probably look crazy big on me. This was great info and a great video with only the necessary info needed. Appreciate that when I’m watching many videos trying to figure this all out. I’ll be watching more of your videos now. Thanks again!

[@lesleydoherty8769]

Thank you so much for making this comparison video. I am at the stage of choosing my first pump and found the video really 😊helpful. Offering a clear comparison between the two and outlining what worked and what didn’t.

[@ShesDiabetic]

You are so so so welcome! Thank you so much for watching!!!!! It's absolutely my pleasure!!! I wish you very good luck in navigating the choice and making the right one for you specifically!!!!

[@williamrussell5304]

I started with my Omnipod 5 yesterday. This video was awesome, thank you and keep up the good work.😊😊

[@VickyGonzalez-fk1kk]

I am in the process of switching from the tslim to omnipod. After seeing your video I’m not comfortable switching. Thought it will be much easier to learn I guess tslim wins tubeless after so so many years I can deal with it. Not for me. Thank you much for your video it made up my mind without listening to the competition which always sounds goods, until you see a video like yours that explains it. Ty ty ty

[@CTSCAPER]

Thank you for sharing. I appreciate hearing a diabetic speak about pumps and their experiences.

[@ShesDiabetic]

Of course! Thank you so much for watching!! 💙

[@janebaldock7995]

Great insights to differences between pumps. Used Omnipod, before #5 ie after Animas stopped and not automated, too gross in it's basal profiles: 0.05 whereas tandem is 0.025 mmol. Big difference when you're insulin sensitive and rates change dramatically thoughout the day: 0.7 U/hr during dawn phenomenon to 0.3U/hr mid afternoon with daily basal 8-10 U, TDD varies 15 -22U in summer to fgreezing cold Canadian winters with same CHO content in food eaten. Use tandem cartridge for at least 6 days and never fill it completely, after removing airbubbles, 150-200 U max. Thanks for video, well worth watching .

[@orac2901]

Great video. I am on a tslim and am considering an omnipod - for tubeless. I think tslim is the right choice for me, even with the tubes. Thank you for your review. Now a subscriber to your channel.

[@ShesDiabetic]

Ah! Thank you so much for watching, subscribing, and for leaving such a lovely comment!!! I'm so glad this video helped in some small way to give you the right info to make the best choice for you! The Tslim is an EXCELLENT pump and I don't think you'll be disappointed!!

[@nicolesilberfeld1799]

Being extremely insulin sensitive with another comorbidity, I appreciate the conservative nature. First night on omnipod 5 it pushed me into a low. I had to go on manual mode. Pretty darn scary. So for those who don’t have extreme insulin sensitivity, I would imagine that right customization without having to be conservative is the priority.

[@dunjaropret559]

I just switched to Medtronic 780g, and I believe whichever loop it is, it's waaay better than the manual mode :) I love it.

[@ashleylindsey1829]

I'm looking forward to your omnipod 5 set up hacks video!! I'm on o5 and thinking about going to tge t slim because I have 2 very different basal rates based on my period and it is taking the o5 way too long to catch up!❤

[@ShesDiabetic]

I must film this!! Thank you for the reminder!! Part of me is scare people are going to get upset with me for making the video but it's worth it I think lol!! But ohhhh....the period catch up...AN ABSOLUTE NIGHTMARE...!! I'm about to get mu period and I'm just continually hovering around 150-180...absolutely and utterly hear you on this..so frustrating...other than going into manual mode - I've yet to figure out a way around that one - please if you have any suggestions I'm all ears!! In the meantime...I'm sending you strength!!!!

[@MrPritch28]

I have had type 1 for 20 years as well…. Most of them I have been on a tubed pump. My warranty is up in 15 days on my tandem and I think I’m ready to try the omnipod.. I’m nervous and anxious at the same time. Like you I really actually love my tandem. I’m just ready to try tubeless now that omnipod can communicate with dexcom. I feel like I will have similar experience to you as to I just want to be tube free and experience it. Thanks for the comparison

[@StephaneMichel-Montréal]

Thanks for this video, Andrea. Omnipod, TSlim, Medtronics... At a time when a need to switch from insulin pens to a pump is drastically needed, I keep on scratching my head on the model to use. The tubulure is certainly a constraint for someone who likes running and swimming and who has a tendancy to bump into everything. The T-Slim seemed interesting and discrete but my endocrinologist was rather encouraging to try the MedTronics pump mentioning a better algorythm. If you had to add Medtronics to your video's comparison (and being well aware that the choice of a pump is a personal decision), where would you place it? Thanks a lot.

[@emmaw5442]

This video has so much good information! Thank you for sharing!! I’m fixing to switch from OmniPod DASH to the t:slim x2 and I’m so excited!

[@ShesDiabetic]

Thank you so much!!! I'm very excited for you to start your T:slim journey!!!! I think you're going to LOVE IT!!!

[@richardhook9763]

All this information on insulin pumps via U-Tube is a big asset for me. The omni-pod 30-day trial was a neat idea, but by the limitations of the algorithms I don't have the flexibility to use after 65 years of insulin therapy.

[@anastasiarn7781]

All great info, and much appreciated. Thanks for sharing.

[@ShesDiabetic]

You're so welcome - thank you so much for watching!!

[@anitastokar98]

I recently had to choose a new pump after my last pump (a Tandem T-slimx2) ran out of warranty and then broke. I haven't had problems with my tubing getting caught on things and I feel that the omni-pod would be uncomfortable as it looks too large on people's arms. If the omni-pod is in an uncomfortable location, I can't put it anywhere else until the three days is up. Therefore, I chose the Tandem T-slimx2 again. I was going to maybe choose the new Tandem Mobi which is supposed to be released in the U.S. in the beginning few months of 2024. It is supposed to be 1/2 the size of T-slimx2 with a 4-5" tube which sounds awesome but since it is controlled only by phone and I don't always carry my phone around with me, I decided to go with the T-slimx2.

[@ShesDiabetic]

It sounds like you absolutely made the right choice for you given all the circumstances, and the Tslim x2 is such an excellent pump - truly there are always going to be pros and cons, but I really really think you should know that you have an excellent pump by your side there!!

[@gruellie]

Outstanding comparison/presentation! Thank you!!

[@ShesDiabetic]

Oh wow! Thank you so so much for saying that and for watching!!!

[@penelopepochez8406]

Hi Andrea! Thanks so much for making these insightful videos 💕 i’m dying to hear your tricks and “hacks” to work the omnipod 5 system. I also find it way too conservative and too slow to adapt to days when you need more insulin. Will stay tuned for your next videos! ❤

[@ShesDiabetic]

I'm working on this video now! I will get it up asap! Thank you so much for watching the videos and for your kind words!! I was DESPERATELY searching for any help when I first started the OP5 becuase, like you are experiencing it sounds like, I just found the system WAY too conservative - and too slow to adapt to days I need more insulin - especially problematic with the Holiday Parties...eh!! I haven't figured out the trick to get it to adapt quickly, but I do pop in and out of manual mode during these more tricky times where I need more insulin, and I pretty much always have to bolus aggressively with this system. I also just started Fiasp and that faster acting insulin has been extremely helpful in now letting those lows run away from me (Lyumjev is another one in case your insurance doesn't cover Fiasp - I actually prefer Lyumjev) - sorry that's a lot!! I hope this helps!!!! Sending you all the very very very best!!!!!

[@penelopepochez8406]

Thank you 🙏 switching in and out of manual mode on days of higher need makes sense. I tried lyumjev, it was amazingly fast but it burned, and after 3 days of injecting in the same spot, it became unbareable. Happily using fiasp now. Looking forward to your next videos 💕

[@beckifitzwater8215]

Love your videos! My question is have you noticed a change in your A1C and TIR since switching to the Omnipod 5? I had a terrible time with the T-Slim and am back on MDI, but I’m always open to options! Tubes aren’t for me. :)

[@chadbecker9001]

Great video. After watching your other video and I used your hack of increasing my basal by 35% when starting the first pod with the O5. I'd recommend this, or possibly higher, given the overly conservative dosing, especially on the first pod. I also have been employing the "pump and dump" technique of dosing 9-10 units into the garbage before a pod change, trying to make the algorithm give a higher background basal based on the "increased" TDI. I agree with you that we shouldn't have to try hacking the system in order to get the proper amount of insulin. I went from an even 50/50 basal/bolus split on the old omnipod to a 40/60 bolus-heavy split now on the O5, but my TIR is still mid 90% and (actual) TDI hasn't changed.

[@texuztweety]

Hi! What is your abbreviation TDI stand for? Thanks in advance

[@joannewignall6417]

I’ve been type 1 for 45 years. Your videos are great Andrea, but I’m in the UK 🇬🇧 and don’t understand the US readings 😂 I’m on Omnipod 5 and Dexcom G6 as of yesterday x

[@abiassefi2655]

Tks so much. Brilliant Explanation. I am in between Tslim and Omnipod, I am up for a new pump and currently on the old omnipod. Tslim looks very interesting. Will look into it

[@ShesDiabetic]

Thank you so much for your kind words! This means the world to me!!! Good luck with your search!!!

[@530mnorman]

Great video. Your point about pre-bolusing with OP5 is completely spot on and can't be said loud enough. Once I figured that out, my success greatly increased with the system. After being on shots for 20+ years, and constantly snacking that entire time, with OP5 I can go huge stretches of time with flat blood sugar and zero eating. The result is I've lost over 20 pounds without even trying. The downside is that once I do eat and have zero insulin on board, I would go sky high and stay that way for hours. That's where pre-bolusing is essential. Sometimes I'll give half the bolus an hour before eating, then the other half closer to mealtime when I have a better idea of how much I'll really eat. I'm having great success with OP5, but it's not nearly as hands-off as I had fantasized. I want to see what the Tandem Mobi really looks like. I'm wondering if you can tape it to yourself and have it feel quasi-tubeless with a super short tube. At some point, I bet insulet will make their algorithm more flexible, but that'll be a few years I bet.

[@ShesDiabetic]

Your comment is so so SO well said. As I was reading all of it I was just nodding along truly I couldn't agree more with absolutely everything you've written so eloquently here. I'm in the exact same boat as you - OP5 hasn't been nearly as hands off as I fantasized either and I'm really really wondering what the tandem mobi is going to be like...! Agreed! Agreed! Agreed!

[@LandOfTheFree645]

Thank you for everything you do. You are so appreciated!!!

[@TheCriddles66]

I just recently discovered you here and love your take on things. I am a new pump user (2 months) and only know the Omnipod. I was so frustrated with my numbers constantly wanting to drift higher. Especially during the night when they would continue to climb throughout the night and hover just below 180. If it can keep me at 180 why can't it keep me at 110?! I did the reset thing after watching your other video and loved it for the first pump but then it started climbing again. I am to the point now that I only go into auto mode at night and I do manual all day long. my control is better than it has ever been but I am super vigilant. I am considering doing a reset with every pod just to enjoy a couple nights of good control. Thanks for your content!

[@ShesDiabetic]

OMG...the reset with every pod...I TOO HAVE SERIOUSLY CONSIDERED THIS!!! I recently was ill and eating very little so the past few pods ended up delivering way less insulin and I feel like I'm fighting my way back up to a proper amount of insulin. Something I read on fb was an interesting suggestion, people suggest doing a 'pump and dump' where at the end of the pod you take it off your body, pump 8-10 or whatever units, and then deactivate the pod. So the algorithm has more tdi in its memory. It's not been perfect, but since doing this I think I've also seen some overnight improvement and general improvement as well. But like you said so perfectly, sometimes I just wonder if I want to reset it every time because those first pod days seem like the golden period! Anyway - long comment here - just wanted to share the pump and dump thing with you and tell you I'M RIGHT THERE WITH YOU!!! Thank you so much for watching and sharing!!

[@lozetchells9164]

Thanks Andrea, great to see you back and looking so well! Awesome video, thank you so much. MDI here and the only thing that would get me on a pump would be the ability to keep my a1c starting with a "5" with only the minimal amount of carb intake information, and even then only if it was tubeless. Shame the op5 isn't more aggressive. Do you know what your a1c was with the tsx2 and op5? That would be an interesting comparison. As an aside, i know you can calibrate the dexcom G6 to report higher or lower. I wonder if you could "fake" calibrate it to read 1mmol higher in order to get your omnipod 5 target to 5mmol instead of 6 (or whatever)

[@SwissPGO]

I used that exact tactic with the medtronic pump that was way too conservative. I always carry some sugar with me and I'd rather a have a few lows per week that can be easily corrected that staying for hours at around 10 mmol/l (180mg/dl for US readers) . The problem is that the clinical trials and diabetes specialists have defined a KPI (key performance indicator) called time in range. And they set that range usually as 70-180 mg/dL or 3.9-10.0 mmol/L. It would be way better to get that range defined as 3.4-8 mmol/L I believe.

[@friedelpas5637]

@@SwissPGO I'm not sure about that. I believe that the time in range is more important than changing the range. Especialy lowering the low boundery seems to me dangerous. In the Tandem you can change the range bounderies, but I have not done that and so also between 70 and 180 mg/dl. But I try to have that in that range more then 90% (in most cases over a period of 30 days I succeed to get that between 90 to 92 % in range). I got with that a A1C of 5,1%. Last time it was 5,3. I had the time before covid and as result of that the time in range was reduced to 88%. So for that reason I believe that the 70 to 180 bounderies are good, but that you need to achieve more the time in range. The new medtronic pumps have an algorithm comparable with this of the omnipod 5 and possible there this can be a better option because you have less flexibility to react and to get the values in those bounderies than you have with the Tandem pump.

[@thehappydiabetic5380]

Very good review. I was on OmniPod 5 for less than a year before switching to Tslim. I’d been on Medtronic pumps for 32 years prior. Insurance was the reason I switched. Over the 5 year warranty period (Medicare), OmniPod 5 would cost me about 4 grand more. I do find the Tslim gives me better numbers. With OmniPod, I was in range about 92 % of the time. With Tandem it a smidge better at 93%. The Tslim is better at correcting highs. I still have 4 more years on my warranty. By then, there will be a completely new technology, I imagine. Of course in 4 years, the cure for diabetes will be only be a year away and I won’t need to be so concerned about pumps, right?😅

[@Carol_Pearson]

Great video! I find customer support with Tandem to be a bit better than with Omnipod, but both systems work well overall. I understand the hold up with iOS and Omnipod is mostly due to delays with the FDA, so that's kind of out of their hands.

[@Carol_Pearson]

By the way, as someone with a young dog who is still in the, "let's chew everything," stage, even at 1 year, not having to worry about hiding tubes is very nice, so I am still on the Omnipod. I find it works well for me, now that I have figured out how to adjust it for my needs. But, yes, it is all a very personal decision.

[@paulclacher4825]

Thanks for this 🙏.. currently on the omnipod 4( dash) .. new pump later this year so these plus the the Medtronic are my options .. this is a great help thanks again Paul

[@zaflorida1140]

This helps explain why I was running in the 400s for hours and didn’t notice my Omnipod giving me any bolus. I had to keep entering my blood sugar # and bolusing (even though I hadn’t eaten in hours) to get my numbers diwn. Quite scary. Have gone back to my old Medtronic 670g while deciding what to do.

[@roberth.9558]

Thorough comparison and analysis. Thank you.

[@SwissPGO]

I love how you said that you have to hack the omni pod for it to work the way you want it: This has been my experience too with the various pumps I used in the last 15 years. It's time for these pump producers to open source their software and published their API's and communication protocols so that WE (the T2D community - who likely has way more collective knowledge that the manufacturers), can personalize our algorithms, using the mobile phone technology we want (e.g. as an iPhone developer) and integrating activity monitors and GPS location. And thanks Andrea for your reviews! One question: what insulin type is used with these pumps? I was an early adopter of fiasp as it was noticeable more reactive, and I use it with my current pump who is not certified for it and does not even have an option to configure insulin activity duration. But that "hack" resulted in getting me down a bit faster from highs.

[@friedelpas5637]

I'm using fiasp also on my previous pump and that was a game changer for me. For tandem they recomend not to use fiasp because they result with this pump more to blockages. I'm using now lyumjev what have the same extreme fast working as fiasp without the blockages of fiasp in this pump. The reason is that the proteïnes make the insuline ticker what give problem in the small lines of the pump. I'm now very happy with lyumjev and have even better results then with fiasp. But that can be of course also because of the excelent Tandem controlIQ algorithm

[@dariadaria3728]

I called customer service Omnipod and stated that they need to release actual needle like trusteel infusion sets for t slim pump. They were surprised to hear that and I felt like I was the only one who actually made the complaint and gave them an idea. I have been type 1 over 25 years and plastic cannula for omnipod is not working for me. Always itchy , irritated and insulin doesn’t observe well. Conclusion : high blood sugar most of the time.

[@thorritz8520]

I've been on tandem t-slim 2 years now. I had minimed before and have had diabetes for 55 years but didn't realize while on t-slim auto you could use delay bolus for when one eats pizza, etc. Can u go over how u managed doing this without taking pump out of auto?

[@ShesDiabetic]

Check this link out - it goes over it better than I can explain! kzbin.info/www/bejne/iWLPoIpneMlpr5Y

[@jimaverill1659]

You make several comparisons except for cost and as important as tubing is so is the cost of the systems....I'm OPD 5 and it gets uncomfortable stings hurts when I touch it sometimes ...I hit a muscle I guess that caused the swelling in my thigh...I put the OPD 5 on my arm and when I walk thru a door I brush the door frame and it hits the POD..I was diagnosed 2 yrs ago and this disease sucks especially if you're an active person I go to the gym, swim laps, play golf,

[@troyklassen1473]

Thanks for putting in the effort to let us know how these different pumps work. Could'nt you just take some Humolog to adjust when having meals with the Omnipod? I am taking insulin through pens now, and have been Type 1 for 43 yrs so I was thinking about maybe trying a pump. I have good A1C's but just the ability to have a straighter lines than chasing it would be nice.

[@ZestyDwightO]

Thank you Andrea for this video.

[@dawnb2224]

Thanks for your opinions. I trust them. Love your video's.

[@PhilT1D]

Hello Andrea Fantastic ,thank you so much for explaining it all. I’m on the t slim and hoping to get dexcom before Christmas 🤞. Is there anything I can do before I get it i.e dialling in my settings so I’m in the best position for the algorithm, if that makes sense ? I’m carpenter so I’m stop/ starting all day and it plays havoc with my levels! I’m hoping things will improve with the dexcom but who knows. Thank you Phil

[@ShesDiabetic]

The great thing about the tslim is that it doesn't really need things to be too too too perfectly dialed in - as long as your basal rates aren't wildly off (making you go low or high on a consistent basis) then I think you're going to be really pleased with how quickly the system improves your time in range, at least that's been my experience, and would be my hypothesis for yours. WIth you being stop and start all day - oh you're just the PERFECT candidate for the Control iQ - I can't impress that on you enough - keep fighting for that Dexcom in whatever way you can becuase I really believe it will improve your quality of life!! Thank you so much for watching Phil and keep me posted on your progress with it all!!!

[@PhilT1D]

Thank you so much for your reply and advice. I’ll keep you posted for sure Phil

[@rcm9762]

Hi! Nice and extensive report. As a retired Journalist and of course a Type 1 Diabetic of 55 years I'm thinking of switching my insulin pens to the Omni Pod 5. As an older Diabetic I have found controlling my glucose levels becomes increasingly more difficult with age. Is the Omipod 5 right for me well, I will have to try it to see. But as you say the software seems or needs updating. Best!

[@Abber64]

I personally don't think I will ever go with the omnipod. I cant count how many times I have knocked off my dexcom, and I know that with an omnipod I would be in constant fear of knocking it off my body through daily routine. I am very active, so this is a high likelihood. If all one does is sit in front of a computer or TV, then I guess the omnipod is the way to go, but for active people, I would definitely recommend a wired insulin pump. When exercising, I use a leg strap and the tubing and pump is neatly tucked away under my gym shorts and does not get in the way of any of my exercises. other times, I just have the insulin pump in my pocket where it is out of sight with the tubing tucked away in my pants. It is simple and discreet and there is no fear of knocking the pump off your body as with a pod.

[@ShesDiabetic]

Super interesting! I actually am incredibly active, and have found the OP5 to be a game changer when it comes to my active life. I feel more free and untethered, and have not had the fear of knocking my Omnipod off, but I totally understand the preference for the tubed pumps - it's all so personal, I'm just delighted we have the choice!!

[@jane3674]

Hello! Thanks for another great video ❤ Do you have any supplements that you consume daily and recommend as a Type 1 diabetic?

[@ShesDiabetic]

Thank you! We're all so different when it comes to supplements, so it's really something that you want to talk to a healthcare provider about but basically I do Vitamin D, A probiotic (I struggle with my gut health), l-glutamine (also for gut health), sometimes B12 depending on my levels (you don't want too much of this one), and vit c when I'm feeling run down or during the winter months generally, and magnesium if I'm struggling with sleep. Gah! That's a lot! Maybe I should make a video about this! But I just get worried becuase it's all so personal so I don't want people to assume what works for me will work for them and vice versa, you know what I mean? I hope this helps answer your question! ❤️

[@craigclark5845]

I would take a Ypso or Medtronic 780g over the tslim x2. Its algorithm is old now and playing catch up, Im on Omnipod now with IAPS, DiY like Loop. Fantastic if you put the time in

[@mattj5492]

Tandem Mobi is coming as tubeless pump. My takeaway from your video is the Omnipod is very tricky to use and it would be a disaster for someone like my 12 year old son, however, he'd love the tubeless nature but I wonder if the complexity of Omnipod would outweigh that?

[@ShesDiabetic]

Some people thrive on the Omnipod 5, so I can't say that it would be a disaster for your son. I just know that for me, personally, it has taken more involvement from my end which I've deemed worthwhile to have the tubeless aspect. But some people get on the Omnipod 5 and have fantastic success - maybe try the free trial they give you and see how it goes? Just a thought - you know best for sure!! Thank you for being such a caring parent for a type 1 child, I know it's not easy and my goodness these are special people in our world. ❤️

[@amandamcallister2194]

I had my 11 yo on omnipod 5 and just switched to tslim because he would forget his phone often. His bg was good though. My 9 yo was on the omnipod 5 for the last year and we had so many issues with it not being aggressive enough or other times, like with post cold, being too aggressive and not adapting fast enough. I think it's worth trying the different pumps because because it's different even with siblings.

[@joannewignall6417]

I’ve been type 1 for 45 years. Your videos are great but I’m in the UK 🇬🇧 and don’t understand the US readings 😂 x

Hi Andrea! I am 51 years old and have been a Type 1 Diabetic for close to 43 years. I am currently using the Medtronic Paradigm pump but am exploring a better option with my Endocrinologist. In this video, you mentioned that you think the algorithm on the T-Slim outranks the Omnipod, but you prefer the tubeless option . My question for you is, if they were both tubeless, which one do you think is the better one in your opinion. I have a meeting with a Diabetes Educator coming up, but am doing some research of my own ahead of time. I am already leaning towards one but just looking for you personal experience opinion. Thanks in advance! Joe

[@ShesDiabetic]

If they were both tubeless, I would opt for the Tslim. But that being said, I'm definitely on the Omnipod and staying on it - as I deem the tubeless aspect worth that. But if everything were equal I would love to go back to the Algorithm and tech that the Tslim offers. They do have a Tslim sport that has a very short tubing that may be worth your looking into!! I wish you all the very very best on your search! I know it's a very personal a big decision!! You've got this my friend!!!!

@@ShesDiabeticThank you so much for your input! I will take your thoughts and evaluation with me as I make my determination on which device to select. I will continue to follow your channel for additional information. Thank you so much!!!

[@Lightdog555]

How does medicai affect getting either one of these? Since omnipod isn’t medical equipment should I look at the tslim? Thx for the help!

[@thebabywasgreen2849]

The “micro corrections” I’ve found are very aggressive. It’s only 60% because the other 40% is used in the basil increase. When I started the pump I shocked at how quick the tandem is to give insulin.

[@ShesDiabetic]

Super interesting observation actually!

[@suejoinson7616]

Hi Andrea, Thank you for this great comparison!! I just ‘discovered’ your video while searching the differences between the Omnipod & Tandem algorithms. I’ve only ever worn Omnipod pumps, as MDI was my preference to a tubed pump. And am now on the Omnipod 5, after wearing each model as they came out. But I am frustrated with it’s lackluster ‘efforts’ at bringing my hypers down. So now that Tandem has Mobi coming out, and I got to handle one at a recent conference, I’m contemplating a switch. I’d love to know if the Mobi might tempt you switch back? Why, or why not? Thx, ~Sue J.

[@ChrisFeist76]

For the Omnipod 5 iOS app it's in the hands of the FDA now. It was submitted for approval in June.

[@butchgroves4908]

Outstanding video. Thanks so much

[@ShesDiabetic]

Thank you so much for watching and for your kind words!!

[@andybortel8549]

I test drove the tslim at the friends for life conference. It can be done!

[@ShesDiabetic]

Oh nice! It's a pretty awesome pump, isn't it?

[@haswavely]

Hi Andrea! First, thank you so much for this. I’ve always been on an omnipod since about 2010. I moved to Phoenix and have had so much difficulty in the summer with my pod falling off, even with the pod buddies, my insulin getting too hot, and also bad sites due to scar tissue. You mentioned customizable cannulas and I’m wondering more about how that might affect those issues? Do you know much about that?

[@HalStaniloff]

If you were just starting out with a pump from MDI, which one would you go with?

[@gurugamer8632]

When will Omnipod 5 app be coming out so iPhone Omnipod app replaces the Omnipod PDM?

[@ShesDiabetic]

Apparently the FDA has approved it but we're still waiting...! Hopefully soon!!!

[@gurugamer8632]

@@ShesDiabetic Thank you. Also need the integration of Dexcom G7 with OM5 !!

[@perbogren6955]

Thank you Andrea love your videos :)

[@databoy2k]

I'd love to know if you've ever considered the do-it-yourself systems, like loop or AAPS. I'm only a year and a half into my diagnosis, but I got on to AAPS as quickly as I possibly could.

[@ShesDiabetic]

I've definitely considered it - but honestly it intimidates me! Have you found it relatively easy to get to grips with? I just feel like I'm not that super duper tech savvy but maybe it's not as complicated as I'm imagining? Major respect to you for getting on it so quickly - that's AMAZING!!!!

[@databoy2k]

Thanks! I don't know if I found it less daunting because I really didn't know what I was doing anyway and was learning a lot in a very short amount of time, but like any open source software, I found the AAPS community to be very informative and helpful. I'm probably also fortunate that my endocrinologist has not had any concerns with it, maybe because my most recent A1C was a 5.6 and we confirmed that my honeymoon. Was probably measured in weeks at best. So I credit the software with being relatively solid considering it's probably not fair to credit me (I'm still not sure. My carb counts are even close to accurate) haha. I haven't had a lot of success in fully closing, but as long as I deliver a reasonable guess on bolus I stay fairly well in range.

[@craigclark5845]

I was using DIY loop now on IAPS it’s brillant

[@Science__2024nerd]

Hey, how to keep your weight in check? Increasing weight is a nuisance with insulin

[@rebeccaschauer2912]

If you have never been on a pump ever, which would you personally suggest somebody start with

[@ShesDiabetic]

That is SUCH a hard question. To be honest I think coming from tslim over to OP5 is the hardest option becuase they require such different user behaviors and interactions. SO if you were starting afresh from no pump at all I'd say it would be an equal jumping off point - but I think the tslim is the better algorithm so perhaps would be inclined to say that pump. However, if you'd never experienced a pump before the benefit of the OP5 is that there are no tubes, which is one of the hardest things to get used to when you go from no pump to pump. Gah! Sorry I know I'm not flat out answering your question - I apologize! It's just tricky to nail down one direct answer - it's all so personal

[@ayeshajarrett2398]

Thank you for the information

[@ShesDiabetic]

You're so welcome! Thank you for watching!!! ❤️

[@brucebrotman]

I was hoping you would say, "I had switched back to the Tandem,"but nooooo! Tandem is also coming out with a tubeless pump and perhaps your should do a video on that...🤔

[@ShesDiabetic]

I'd love to do a video on that once I get my hands on it!!!!

[@jurgenbrandt642]

Hi Andrea, can you please tell me, how the following situation is maybe handled by the Omnipod: we go under 140, basal is turned off as I think I understood. Bloodsugar drops under 75 but there was a huge (child-)meal with 45 carbs. As I got it, you cannot give a bolus until the bloodsugar gets back to 140+. Won't it be too late to eliminate the carbs then? I mean in terms of spray-at-distance? Thank you so much for sharing your knowledge!

[@csf1757]

Curious if you've gained any knowledge about the Beta Bionics iLet