Diabetech - Diabetes Tech, Research, News

I Used the twiist Pump for 2 Months - Here's How it Went

I share my unfiltered review of the twiist insulin pump, diving deeper into my personal experience after two months of real-world use. I go beyond a standard review to break down how features like Apple Watch control, glycemic index-based carb logging, and retroactive carb adjustments performed in my day-to-day life. I also get the highs and lows, from strong glucose control and 87% time in range to frustrations with the Cleo infusion set and managing a tubed system. We also cover CGM integrations and how it felt using Libre 3 Plus with an AID system. This deeper conversation covers everything from training and usability to app design, connectivity, and overall reliability. 
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Why You Keep Going Low (And How to Fix It) - ODT

Gary Scheiner, CDCES, and I break down why hypoglycemia (low blood sugar) is one of the most dangerous and frustrating parts of living with diabetes. We dive into how to prevent low blood sugar, reduce the frequency and severity of hypos, and avoid rebound highs using insulin pumps, CGMs, and smarter insulin timing. Gary shares practical strategies for adjusting settings, treating lows without overcorrecting, and using diabetes technology more effectively. We also talk about hypoglycemia anxiety, what causes frequent lows, and how to rebuild confidence after a scary episode.
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Send in YOUR questions about  Hypoglycemia
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

$11 Insulin for All? Inside the Nonprofit Rewriting U.S. Drug Prices

I sit down with Allan Coukell, Civica's Chief of Government Affairs & Public Policy Officer, to explore how its nonprofit insulin model and California’s CalRx partnership are bringing low-cost insulin—priced around $11 per pen and $30 per vial—to people nationwide, with or without insurance. We break down how pharmacy benefit managers, rebates, and the current drug pricing system have kept insulin prices high, and what’s finally shifting. We also dive into the rise of biosimilar insulin and how this approach could transform drug affordability far beyond diabetes. 
 
Learn about the Eversense 365 CGM
 
Learn about Omnipod 5 (today's sponsor)*
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

How Blue Circle Health's Free Type 1 Support Works

I sat down with Dr. Monica Gomberg and Sherry Roberts from Blue Circle Health to explore how they’re redefining care for adults living with type 1 diabetes. We break down the real gaps in our healthcare system—from insurance battles and financial barriers to diabetes distress—and how this free, nationwide program helps people access endocrinology care, certified diabetes education, CGMs, and even direct financial assistance. Backed by the Helmsley Charitable Trust, Blue Circle Health provides no-cost support without billing insurance, all while improving A1C outcomes and reducing diabetes-related burnout. We also dive into optimizing diabetes technology and what the future holds as Blue Circle Health continues expanding across the U.S.
 
Learn about Omnipod 5 (today's sponsor)*
 
Learn about the Eversense 365 CGM
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Inside the twiist + Eversense 365 Integration

I spoke with leaders from Senseonics and Sequel MedTech to unpack a major first in diabetes tech—the integration of the Eversense 365 implantable continuous glucose monitor with the twiist insulin pump for automated insulin delivery. We explore how this implantable CGM works, what makes it different from traditional sensors, and how the new looping system connects through dual apps to support a more automated diabetes management experience. We break down usability, accuracy, weekly calibrations, alert customization, and early feedback from the first users trying the system. We also look ahead at next-generation implantable CGMs, upcoming app upgrades, and future insulin pump innovations that could further reshape automated insulin delivery for people living with diabetes.
 
Learn about Omnipod 5 (today's sponsor)*
 
Learn about the Eversense 365 CGM
 
Join the Diabetech Newsletter
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Optimizing Mealtime Insulin for Better Post-Meal Glucose - ODT

Gary Scheiner, CDCES, and I break down how to improve mealtime insulin dosing and why boluses still matter even with automated insulin delivery systems. We talk through insulin-to-carb ratios, pre-bolus timing, extended boluses, and how different foods impact post-meal blood sugar patterns. Gary shares practical ways to read your CGM data to tell whether highs and lows are caused by timing, dosing, or carb counting challenges. We also cover strategies for handling slow-digesting meals, high-fat foods, and unpredictable eating situations without increasing hypoglycemia risk. 
 
Learn about the Eversense 365 CGM
 
Learn about Omnipod 5 (today's sponsor)*
 
Learn About Integrated Diabetes (Gary’s Practice)
 
Send in YOUR questions about  Hypoglycemia
 
Join the Diabetech Newsletter
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

ATTD 2026: Biggest Diabetes Tech News Roundup

I spoke with endocrinologist and diabetes tech expert Dr. David Ahn at the ATTD conference about the biggest breakthroughs shaping the future of diabetes management, including the rapid progress toward fully closed-loop insulin delivery systems. We explored how companies like MiniMed, CamAPS, and Omnipod are advancing automation that reduces carb counting, minimizes manual bolusing, and improves time-in-range outcomes. We also discussed emerging topics such as GLP-1 therapies for type 1 diabetes, AI-powered diabetes tools, and continuous glucose-plus-ketone monitoring aimed at preventing diabetic ketoacidosis. We shared key takeaways from ATTD and what these innovations mean for reducing daily diabetes burden while moving closer to a true artificial pancreas. 
 
Learn about Omnipod 5 (today's sponsor)*
 
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Follow David's channels: https://www.instagram.com/ahncall | https://www.tiktok.com/@diabetesdoc | https://x.com/AhnCall
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

The Road to a T1D Cure - Inside the Islet Cell Act & Eledon Trial

I spoke with journalist and cure expert Ginger Vieira to unpack major developments including stem-cell therapies, donor islet cell transplants, and the growing debate around the Islet Cell Act currently stalled in U.S. Congress. We examine why promising results from trials like Eledon's still face challenges around safety, scalability, and immunosuppression despite exciting early outcomes and break down the latest breakthroughs in type 1 diabetes cure research, exploring new clinical trials that are bringing some patients closer to insulin independence.
 
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The Diabetes Nerd Network
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Detained by ICE and Denied Insulin for Days - She Shares Her Story

I sit down with Hanne Engan to discuss her experience being detained by ICE during what was supposed to be a routine U.S. green card interview. We unpack how immigration enforcement policies intersected with a life-threatening medical crisis when Hana—who has type 1 diabetes—was denied critical insulin and medical care inside an immigration detention center. Through her firsthand account, we explore the realities of visa overstays, ICE detention practices, and the human impact of immigration policy in the U.S. This powerful conversation sheds light on medical neglect in detention facilities and raises urgent questions about immigrant rights, healthcare access, and accountability.
 
Donate to Hanne's GoFundMe
 
Learn about Omnipod 5 (today's sponsor)*
 
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Sources: The Lever | Austin Kocher | Washington Post
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

How to Optimize Your Insulin for Better Time in Range - ODT

Gary and I break down why insulin doesn’t always work the way we expect—whether it’s absorption issues, site problems, heat exposure, stress, hormones, illness, or exercise. We talk about how automated insulin delivery systems are only as good as the insulin actually getting into your body, and why fixing efficacy often matters more than changing your settings. Gary shares practical strategies for improving absorption, rotating sites effectively, and troubleshooting those “stubborn” highs that won’t come down. We also cover how things like scar tissue, steroid medications, and daily stress can quietly impact insulin sensitivity. If you’ve ever wondered why your numbers feel unpredictable, this episode will help you identify what to adjust before blaming your pump or algorithm.
 
Learn about Omnipod 5 (today's sponsor)*
 
Learn about the Eversense 365 CGM
 
Learn About Integrated Diabetes (Gary’s Practice)
 
Send in YOUR questions about Mealtime Insulin
 
Join the Diabetech Newsletter
 
Follow Diabetech: Instagram | Tik Tok | YouTube | Facebook | Threads
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Inside Patient #1’s Islet Transplant Without Immunosuppression

I speak with the first patient in a groundbreaking type 1 diabetes cure research trial using encapsulated neonatal pig islet cells—without immunosuppression. Six months after his transplant through the OPF-310 study led by Otsuka Pharmaceutical and University of Illinois Chicago, Michael Revland's insulin needs have been cut in half as the cells have begun maturing and producing insulin. We dive into how this porcine islet cell transplant works, why it differs from stem cell and donor islet trials, and the risks and rewards of pursuing insulin independence. He also shares why he declined an immunosuppression-based transplant study and the emotional highs and lows of being patient number one.
 
Learn about the Eversense 365 CGM
 
Learn about Omnipod 5 (today's sponsor)*
 
Join the Diabetech Newsletter
 
Follow Diabetech: Instagram | Tik Tok | YouTube | Facebook | Threads
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Inside the FDA: Clearances, Recalls & Today’s Politics

I’m joined by Naomi Schwartz, former FDA diabetes reviewer and VP of regulatory strategy at Medcrypt, who shares firsthand insight into how device classifications, De Novo pathways, and FDA warning letters work. We break down why the FDA can feel like a barrier to innovation, how DIY diabetes tech and cybersecurity risks are evaluated, and the difference between wellness devices and regulated medical devices. We examine recent workforce disruptions from DOGE and political pressure—and what all of this means for the future of med tech innovation and patient safety.
 
Learn about the Eversense 365 CGM
 
Learn about Omnipod 5 (today's sponsor)*
 
Join the Diabetech Newsletter
 
Follow Diabetech: Instagram | Tik Tok | YouTube | Facebook | Threads
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

This Implantable Artificial Pancreas Could Change Diabetes Care

I speak with Portal Diabetes about how its next-generation implantable pump could bring this technology back—smaller, smarter, and potentially fully closed loop using CGM data. Because insulin is delivered into the intraperitoneal cavity, it acts far faster and clears the body quicker than subcutaneous insulin, which could mean fewer highs and lows and far more spontaneity. I ask them how the pump works, what the surgery and refills look like, and what real users have shared about living with an implantable pump. We even do a live demo—so if you want to see it in action, check out the video on YouTube or clips on my social channels.
 
Learn about the Eversense 365 CGM
 
Learn about Omnipod 5 (today's sponsor)*
 
Join the Diabetech Newsletter
 
Follow Diabetech: Instagram | Tik Tok | YouTube | Facebook | Threads
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

How to Use Your Data for Optimal Diabetes Control - ODT

Gary and I take on one of the most important skills in modern diabetes management: understanding and using your data. We break down how to analyze CGM and pump data to identify patterns, trends, and problem areas without getting overwhelmed by numbers. The conversation covers basal insulin, bolus timing, insulin to carb ratios, correction factors, and what metrics like time in range and glucose variability actually tell you about your settings. We also discuss when to make adjustments on your own and when to involve a diabetes educator.
 
Learn about the Eversense 365 CGM
 
Learn about Omnipod 5 (today's sponsor)*
 
Learn About Integrated Diabetes (Gary’s Practice)
 
Send in YOUR questions!
 
Join the Diabetech Newsletter
 
Follow Diabetech: Instagram | Tik Tok | YouTube | Facebook | Threads
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

This New AID Uses Biometrics to Automate Insulin - Inside Rheos

Using biometrics like heart rate, stress, and activity to automate insulin delivery in real time, Rheos is a next-generation AID system designed to learn and adapt directly from the body. I sit down with Jonathan Fitch, Founder of GlucoSense, to explore how this settings-free, AI-powered AID system uses wearable data to continuously adapt insulin needs throughout the day. We get into features like logging meals by photo or voice, planning workouts through an in-app LLM, and how the system dynamically adjusts dosing based on real physiological signals. Jonathan also shares how a life-threatening seizure during college pushed him to rethink diabetes automation—and how that experience shaped Rheos’ goal of dramatically reducing the daily management burden.
 
Learn about the Eversense 365 CGM
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 
 
*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.