Next Tandem pump

So this t:sport is supposed to be in addition to the X2? Seems interesting they would put as much effort into another pump offering to run alongside the X2. I know the X2 is software upgradeable, but I would figure they would be working on a newer flagship pump with hardware improvements. I did read that they planned on focusing on the t:sport now that Control IQ is out, so sounds like they won’t be putting much effort into software on the X2 for a good year or 2 at least, if at all. The Dexcom G7 will eventually be coming out, so they will need some sort of update for the X2 for that, so who knows what they are doing really.

Not sure why you think they wouldn’t continue working on Control-IQ? It will be part of the new pumps as well.
And they said they would have yearly updates to the software.

The X2 doesn’t need any improvements. The pump is perfect how it is now.

LOL. I’ve yet to find anything that is “perfect”. Maybe “best in class”, or very cool, or useful, handy, satisfying, but “perfect” is an adjective that doesn’t come to mind to describe anything. Improvements are always possible and improvements upon improvements will occur…forever.

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They may, but I think it will be longer than a year for more improvements based on statements reported by the company. They said they were going to be focused on the new pump for now, so who knows when an improvement will be made to Control IQ. On top of that, how much can the systems like Control IQ and whatever Medtronic’s system is called actually be improved? There is a clear limitation to the amount of control and automation you can get with subcutaneous injected insulin. The acting times and decay times are too long, and absorption and such is far from consistent.

I agree with this, there are definite design improvements that could be made to the X2, not just software. The charging port is a real pain point for me, so that is a simple start lol. They will have to eventually upgrade the hardware whether the system is good right now or not. As other tech advances the current hardware will continue to become less compatible. another company out there is working on a super thin patch pump that can hold 3 different kinds of fluids, enabling a combination of insulin, glucagon, and whatever else might be used together in an artificial pancreas system. I can’t imagine having the X2 as it is compete with something like that.

But by time those devices come out we will all be cured, right? :grin:

Robyn_H: Yeah! It is until you look at it next to the t:slim that the lead seem so short. It’s always bugged my just a little bit that the connector integrated with the cartridge, instead of dangling like it is.

Kim8: I’m not sure what to make of “disposable.” It seems like that would create a lot of unnecessary medical waste. And there is some tech in that pump! Just toss it in the trash? If it has a lithium battery, that might not be possible. I agree it is too big to be a stick-on.

displayname: I think the t:sport is separate from the t:slim. They can both independently. One will need to obtain the an app on your phone or use the controller it comes with, but I think it is supposed to have at least the same functionality as X2.

User selectable ranges and targets
Ability to turn off Control-IQ and enable Basal-IQ
Ability to return to older software versions if you don’t like new features

I’m sure these improvements wouldn’t appeal to everyone. Some may not like them at all. That wasn’t the purpose of my comment. It’s just that there are significant improvements they could make.

Honestly, I wish they would focus on fixing the autosoft infusion sets. Far and away, the thing I dislike most about the whole system is that the infusion sets are rotated incorrectly 90 degrees in their inserter. I can apply to the far backs of my arms… But then I can’t possibly reach the release point to disconnect, because my arms don’t rotate that way I don’t understand why more people don’t raise a fuss about that. I guess they’re just used to it, since it’s a standard design.

I shouldn’t be forced into awkward yoga just to rotate my sites.

They most likely have no control over that. The Auto Soft 90, Animus Inset, Medtronic Mio, whatever name they give them, have been around for decades and Unomedical is not likely to change their designs now.

User selectable targets are an option on the 780. Native Control-iq doesn’t do anything until your BG reaches 180, why turn it off? Control-iq handles falling BGs much better than Basal-IQ ever did. Running the pump in sleep mode 24/7 has been an amazing transformation. Why control-iq didn’t function this way out of the box is a mystery.

Hear! Hear! I think there are lots of changes that the looping community has been exploring for quite awhile. My guess is that the restriction we see in the Tandem and Medtronic products are “safety” restrictions imposed by the FDA.

I think your second suggestion could be implemented as user option with little risk, but maybe not little enough for the FDA. I think it will be a while before the FDA signs off on your first suggestion, as they think we need to be protected form ourselves. In the smartphone realm, downgrading has been a vector for unapproved changes, i.e. potential hacking, by exploiting security flaws in the older ROMs.

With the ACE (alternate controller enabled, or something similar) designation, and the Bluetooth radio on/off switch that’s supposed to allow connectivity to phones, which got added with the Control-IQ uodate… I’ve REALLY been hoping this will open the Tandem for hackability. I would love to be able to use this pump UNDER WARRANTY as a looped system.

As much as I love Control-IQ in sleep mode, I’m a bit of a control freak. I want to to be able to tell it exactly what I want from my system.

Or maybe if Tidepool Loop manages FDA approval, they can expand to Android, and it will all be kosher, instead of “hacked”.

Yeah I think they would have already included those features if they could have, but almost certainly they were restricted by the FDA. You know we are completely incapable of controlling these things on our own…

I wish they would offer better infusion sets over all. The cannula lengths are very limiting to me, and I have no doubt are the reason that I have a lot of absorption issues. I used the Disetronic/AccuChek/Roche 90 deg sets for about 16 years and never had much issue with absorption unless I left them in for more than 4 days. The Tandem ones I rarely make it 3 days, and usually only about 1.5. Roche/accuchek offered 90 deg sets with longer cannulas than anyt 90 deg offered by Tandem. In the case of the Ultraflex sites, it was only 1mm, but that apparently makes a big difference for me. Their steel sets also had a version 2mm longer than TruSteel, so they worked better for me as well. On top of that their sets just seemed more well made.

Totally agree. Length of the infusion set can be extremely limiting. I’ve always used 42 inch Quik Sets and loved them. Switched over to 32 inch TruSteel and they are nothing but a P.I.T.A. Not everyone is a pencil pusher sitting behind a desk. I’m over 6 feet tall and need the extra length to allow me to do physical work such as working in the yard and on cars. Next problem is the AutoSoft in general - don’t like that either. The best set ever was the Unocal/Medtronic Quik Set. The Animas/Tandem AutoSoft just isn’t as user friendly and a waste. Why do you have to build in an inserter on each one and waste the materials and money. I’m still using my Medtronic inserter from 2001.

Not sure I understand this. Can’t you rotate the inserter to place the disconnect point in any direction you’d like?

There are two points on the inserter that you squeeze to set the infusion set. There are two points on the infusion set itself that you squeeze to disconnect the tubing. Ideally, these squeeze points would lie in the same orientation, so that if you can reach to do one operation, you can also reach to do the other operation. But they don’t, they’re perpendicular to each other.

To apply a set to the back of my arms myself, I have to basically try to disconnect my shoulder, hence the “crazy yoga”. It’s the only way the tubing connection will be orientated in a way I can reach myself.

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Makes perfect sense now. Thanks for the clarification.

When Animas went belly up, I went with Tandem because Dexcom integration. I so like getting all my info from one item. I don’t have to worry about losing anything. Lose my phone all the timebot no worries with tubed pump.

I want to know why there is no 43" tubing available for TruSteel infusion sets?. The 43" that comes with the Varisoft works with the TruSteel.