• Basal-IQ™ Technology - Regaining the Freedom to Explore

    by Blair Ryan | Feb 06, 2019

    It was a crisp morning in the secluded mountains of Big Bear, California, as I sat down to read a new book and sipped on my coffee among the birds and the trees. I was on vacation with my wife for the first time all year, and we were enjoying a quiet morning at the cabin before heading out for the day. We had a full day of fun plans ahead of us, which included a peaceful bike ride along the lake path in the morning, going to the local farmers market to grab some food for lunch, and a quick hike up the mountain to take in the incredible view up top.

    The bike ride reminded me why I need to get out of the city more often and explore nature. The farmers market was quaint, and it reminded me to slow down in life to enjoy the moment and have meaningful conversations with those around me. Lunch was delicious and taught me to savor the moment … and the meal. It had been an incredible day so far, but the day was about to become even more memorable and exciting when I took my phone out to check my blood sugar before our afternoon hike.

    I took a peek at my Dexcom G6® Continuous Glucose Monitoring (CGM) System on my phone and also noticed that I had an email from Tandem. I called my wife over and excitedly asked aloud, “Is it finally time for my Basal-IQ technology update on my t:slim X2™ insulin pump?!” I opened the email and nearly yelled out of happiness. Smiling from ear to ear and feeling like a kid on Christmas morning, I ran to my laptop in the office. I remembered that we were supposed to leave on our afternoon hike shortly, but my wife knew how important this Basal-IQ technology update was to me and agreed to wait until I had it downloaded and set up.      

    The process of downloading and watching the instructional videos was simple and easy, and before long, I had my shiny, new algorithm that could (and would) change the way I control my type 1 diabetes. Thrilled that I now had the opportunity to test the algorithm with our previously planned hike, we jumped to action and ran out the door towards the mountains.

    The hike was short, but I knew it would be intense. I’ve done it in the past and knew what to expect, so I planned ahead and had my blood sugar sitting around 180 mg/dL to give me some wiggle room in case I dropped low. Climbing over rocks and pushing through the brush along the way, we powered our way up the mountain. I had my trusty backpack full of sugar just in case, but I wanted to test out the Basal-IQ update; the sugar was a safety cushion. As we neared the top I took a peek at my blood sugars. 140 mg/dL slanted down. The next reading would show an arrow down. I was a little nervous, but chose to enjoy the moment and let Basal-IQ technology work as it was meant to, and guess what? It had already shut off my basal insulin once the algorithm picked up on my quickly dropping blood sugars! It was helping my blood sugars in the background without even making a peep. We took our time taking in the 360-degree viewpoint of the forest, the mountains, and the lake. It was breathtaking.

    Heading down the steep mountain was still strenuous, and my blood sugars let me know that. However, while they continued to drop, I noticed that they were slowing down. I put my phone away and enjoyed the rest of the hike back to the cabin before pulling out my stash of sugar. Back at the cabin, I was positive that I would need to have at least a few carbs to stop the drop from the hike, but I took a look at my sugars first. I was now slanted down (instead of arrow down which means that it was slowing down) at 103 mg/dL. I faced an important decision: Wait and see what happens with the Basal-IQ suspension, or respond like I normally would and prepare to treat a low blood sugar. I chose to trust the software and wait it out, which turned out to be a great decision because the next reading was a stable arrow at 106! I ended up stabilizing at 112 mg/dL and staying there until dinner.

    I was blown away at how well Basal-IQ technology worked and at the whole new world of possibilities this opened up to me. Basal-IQ technology had allowed me the opportunity to take in the beauty of nature that surrounded me on that perfect day, without having to stop to eat any sugar.

    Matt Vande Vegte is a certified personal trainer, nutritionist, and type 1 diabetic whose biggest goal in life is to help people with diabetes around the world live their lives fearlessly. Looking for an online health coaching program to help you live your best life? Click the link below to learn more about his program for people living with diabetes, focused on helping you reach your goals while living a happier and healthier life. Join the Tribe today!

    Responsible Use of Basal-IQ Technology

    Systems like the t:slim X2 insulin pump with Basal-IQ technology are not substitutes for active diabetes management, as there are common scenarios in which automated systems cannot prevent hypoglycemia. The Basal-IQ feature relies on continuous CGM readings and will not be able to predict glucose levels and suspend insulin delivery if your CGM is not working properly or is unable to communicate with your pump. Be sure to always use your pump, cartridges, CGM, and infusion sets as instructed and check them regularly to make sure they are working properly. Always pay attention to your symptoms, actively monitor your glucose levels, and treat according to your healthcare provider’s recommendations.

    Matt was compensated by Tandem Diabetes Care® for his contribution on this topic. However, he created the content, and it is based on his personal knowledge, experiences, and observations.

    From time to time, we may pass along suggestions, tips, or information about other Tandem insulin pump user experiences or approaches to the management of diabetes. Please note, however, individual symptoms, situations, circumstances, and results may vary. Please consult your physician or qualified healthcare provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information before using a Tandem Diabetes Care product. www.tandemdiabetes.com/important-safety-information.

  • Al Singer on What Tandem is Looking For in Sales

    by Blair Ryan | Jan 31, 2019

    Al has been with Tandem for six years, starting as a territory manager in Austin, Texas. Al transitioned into the role of Regional Sales Manager of the Gulf Coast in 2016. Al manages both sales and clinical specialists in the gulf coast area and is looking to add a passionate and dedicated salesperson to his team. Al has lived with diabetes for 40 years and views helping patients with diabetes as his personal and professional mission in life. 

    Tandem has been named a “Best Place to Work.” What do you think makes Tandem a great place to work?
    Our approach of putting the patient first is something that is evident in every way. Tandem does this in a way that is captivating, but also energizing! Regardless of who you speak with from the Tandem family, whether it’s Inside Sales or a Territory Manager, you feel the passion and love for what we do.

    Describe the Sales hiring process at Tandem.
    We look for entrepreneurs who have the hunger and drive to make a difference in improving the lives of people living with diabetes. Our amazing Talent Management team works very closely with senior leadership to cultivate searches based on who is right for the company, not just the territory.

    Other than strong sales experience, what does Tandem look for on a candidate’s resume? What makes an applicant stand out as someone you want to interview?
    The ideal candidate is someone who has a dynamic personality and the ability to adapt to the fast-changing diabetes industry – having that hunger and passion for diabetes care is a MUST! This is an organization where you have the opportunity to not only do well financially, but also do GOOD in the way we care for our patients.

    Do you ever consider candidates without medical device experience? What advice do you have for someone trying to break into the field at Tandem? 
    Yes, we do. The most important thing for me is how eager you are to learn. Every interaction with healthcare providers is an opportunity to learn more about them, their practice, their patients and where our portfolio fits into their desired treatment regimen. If you bring your heart and hunger, you will absolutely be someone with whom we want to speak.

    What mistakes do you see candidates making during the interview process? 
    Most people are too focused on providing “the right answers” vs. what they truly feel. Interviewing is a naturally stressful situation, but if you are true to who you are and what you want to accomplish, then the stress level tends to drop.

    What characteristics do most successful Territory Managers have in common?  
    A passion for making a difference coupled with strong goal-setting and the ability to execute them are key factors. It is so important to feel enthusiastic and determined to make a difference in a patient’s life, but you also need to be able to plan how to get there and accomplish the goals you set for yourself.

    What’are coolest things someone will learn or get to work on by coming to work at Tandem?
    It’s incredible to be exposed to so many bright minds. We are a rapidly growing company, yet you can reach out to the highest level of Manager/Marketer/VP and truly connect with them. At Tandem we are all united and that is obvious to anyone who has interacted with us.

    What’s the coolest thing about working in our South Houston territory?
    South Houston has been a top-performing Territory for years, and yet, it still has so much untapped potential!  If you have the commitment and hunger for getting it done, then this is a territory where you can step in, make a difference, and see the results almost immediately.

    Any final words of advice for professionals seeking a Territory Manager role at Tandem? 
    If you want to step outside of your comfort zone, stop checking boxes by sticking to your routine, stop the mundane conversations that you do not feel inspired by, and really want to join an organization with the most  innovative products and most robust pipelines in diabetes care, then step up! We are looking for you….

    Find out about careers at Tandem here.

     

    This post was originally published on 2/9/2017 and has been updated.

  • Alex Martin - Obstacle course racing with type 1 diabetes

    by Blair Ryan | Jan 24, 2019

    Alex Martin was diagnosed at 10 years old in October 2009. She’s an amateur obstacle course racer and founder of the College Diabetes Network (CDN) chapter at Mercyhurst University. We caught up with her at the 2018 CDN Retreat in Bridgton, Maine, about her racing.

    Q. Why Spartan Racing? How did you get into it?

    Spartan Racing is a relatively new thing for me. I was first introduced to the world of obstacle course racing during my sophomore year of high school. I wanted to get back in shape for soccer season because I had gained some weight over the winter. I told my dad that I wanted to do one, so we got gym memberships and worked out. I would do a decent amount of running and lifting while my dad did some walking and machines. I loved the fact that he went to the gym with me (mostly because he was my ride) and was invested in what I wanted to accomplish. 

    As the race day got closer, I asked my dad if he had gotten us signed up for the race and he responded, “Oh, I was actually hoping that you forgot.” But, to his word, he signed us up and the rest is history. 

    Q. How did the race go?!

    It was a dream come true. I proved to myself (150 burpees later) that no matter what obstacle, physical or mental, that I had the ability to do it and complete it. After the first one, I was addicted. I got more into the community and realized that each of the races have so many ways to challenge yourself.

    Q. How was racing with your dad?

    At the starting line I was nervous, but he was there by my side and that was all that mattered. He even offered to carry all my diabetes supplies. We started off the race and I was going to stay next to him and we were going to finish it as a team, but that went out the window when I saw how slow he was. Hehe. 

    When I crossed the finish line covered in mud, I felt low, but my dad had all of my supplies! Lesson learned. I relied on a woman giving out free protein drinks. I drank two while I waited for my dad to come back. He crossed the finish line about ten or so minutes later and immediately asked how I was feeling. I showed him the protein drink and said, “Great!” He told me how I scared him when I ran off and how he skipped a bunch of obstacles just so that he could stay kind of close to me. 
     

    Q. Have you always used an insulin pump? If not, what aspects of pump therapy were appealing to you when you made the switch? 

    I started using an insulin pump about a year after I was diagnosed because that was the earliest that my doctor would allow me to switch from the pens. I’ve always loved the “freedom” you have with the pump. Yes, you are attached to some tubing that is approximately a foot or so long, but the fact that I didn’t have to take a shot in front of my friends or walk all the way to the nurse’s office in middle school just to correct a high blood sugar was awesome. 

    In 2015, I was working at the Walk to Cure at the Cleveland Metroparks Zoo and dad told me that it was time for a new pump. Tandem Diabetes Care was one of the companies with reps at the walk, and I loved how the pump was touchscreen and how you could link your Dexcom sensor with it (I didn’t have one at the time, but at the walk I had also talked to the Dexcom rep about starting one of those). Overall, it just seemed like an amazing pump!

    Having this disease already makes you feel different and awkward at times, but this pump helped eliminate some of the weird looks you get from people.

    Q. Are there any insulin pump features you use on race day or in training, to help with your diabetes management? 

    Race day management is always tricky. Trying to find the happy medium between a little elevated and high is difficult. I like the Temp Basal feature to elevate my BGs a little bit, but hopefully stay within a comfortable range so that I don’t have a headache or any high symptoms. I generally start it about half an hour to an hour before I race.

    Q. Where do you put your pump when you race through the mud and ice water and fire!? 

    For short races, I don’t need much insulin during the race, so I take my pump completely off. I will take a Quick Bolus of about 1 or 2 units depending what my BG is pre-race and the temperature outside, then I put my pump in a cooler with my snacks and backup insulin. Often my infusion site isn’t usable after the race because of the dirt. I will bring an insulin pen with me, and use that for an hour or so until I can get cleaned up enough to put a new site in. Being agile is key on race day.

    Q. Do you have any diabetes gear you’d like to recommend?

    I suggest a personal item belt with pockets. You can keep a lot of stuff like your CGM receiver, pump, and low snacks in there all at once. Then you don’t have to rely on your slower-racing partner 😉.

    Q. If you met someone newly diagnosed with diabetes, what would be your advice to them? 

    This disease is constantly a work in progress. Don’t get caught up on a bad day; it takes some getting used to your “new body.” Everything is going to feel weird at first as you experience what a low feels like and what a high feels like, but you will adjust. Take things slow, and you will gain confidence over time. I suggest reading different books on how to adjust to this new lifestyle. If you like to work out daily, there are plenty of books on that. If you are struggling to adjust to school or work, there are books on that. Educating yourself and learning why certain things happen can be the most beneficial when it comes to taking control of your diabetes. There are also plenty of free sites like Beyond Type 1 and CDN that have wonderful articles and resources to help you get through anything! I also suggest getting involved with JDRF and going to diabetes camp, if you are young enough. If you are older, I suggest CDN retreats or Connected in Motion. CDN is geared toward college students and Connected in Motion is more for adults who want to connect with others with type 1 diabetes. There is an amazing support system out there for anyone who wants it!

    Q. If you could be on the cover of any magazine next month, which magazine would you want it to be, and what would the caption be?

    Fitness Magazine, “Crushing the course and diabetes.”

    Q. If you could have a song written about you, who would compose it and what would the song be called?

    The song would be composed by Nick Jonas (duh) featuring Metallica, and the song would be called “Bring it on.”

    Q. What’s happened since your first race and what's next?
    In October, I got my revenge on the course I did in Pittsburgh to prove that not even an injury can stop me! I demolished my original time getting 1:44.41 on a slightly longer course. I was able to get higher on the rope climb and I did better on the obstacles overall.

    Diabetes is very much like a Spartan Race, because you never know what obstacles you will face, but rough terrain is guaranteed. The only thing you can do is adapt to what is thrown at you. Sometimes you surprise yourself and do well, and others, you must take the thirty burpees. Either way you are constantly learning and doing your best, no matter how tired you are. I am planning on doing another Spartan next year, along with some other road and obstacle course races. I always want to improve and show others that diabetes doesn’t have to stop you from doing what you love. Don’t be afraid to try something new because you don’t know how your diabetes is going to react to it. You will end up regretting it for the rest of your life. Figure out how to manage your diabetes in conjunction with your dream not the other way around.

    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    Important Safety Information

  • Benefits of uploading data to the t:connect Application

    by User Not Found | Jan 03, 2019

    This content was originally posted 2/8/2018 and has been updated since.

    Diabetes is complicated, but managing data shouldn’t be.

    Compatible with both Macs and PCs, and accessible by both patients and providers, the t:connect® Diabetes Management Application is a fast, easy way to access and save data from pumps, supported glucose meters1, and Continuous Glucose Monitors. 

    Patients who regularly log in, and review data spend more time in range, 2 and sharing reports before appointments with healthcare providers can help to make the most of time spent with a physician. 

    But, don't take it from us! We asked Kerri Sparling, creator and author of Six Until Me, one of the first and most widely-read diabetes patient blogs, and mother of two. Even with all that Kerri has going on, Kerri finds time to upload her data.

    Q1. How often do you upload/sync data to t:connect? 
    I upload at least once a month, but am trying to do it every two weeks as part of my diabetes New Year resolutions. Since I use my Dexcom 24/7, I feel like I’m getting a good sense of my trends on a day to day basis, but there’s something very powerful about seeing 30 days of data, all color coded and presented in an organized way that keeps me from feeling overwhelmed and instead inspired by the data.  

    Q2. What features on t:connect that you use the most? 
    The dashboard is the feature I use most, because it gives me a global snapshot of where my management is, and helps me set quick goals on where I want to focus.  

    Q3. How do you and your physician share and use the data to make treatment decisions?
    I have shared the dashboard with him during our visits so we can start our appointment knowing where my management style stands.

    Q4: What else do you like about t:connect?
    Honestly, I like that plugging my t:slim X2 into my computer to download the data also charges my pump. Managing my data is a decision I benefit from twice…and that’s a rare thing. 

    As Kerri mentioned, with the new HCP Portal, clinicians can now upload, view, and print your data from one user-friendly webpage.

    Note: Don’t forget to protect your t:connect password. Treat it like your other important data-sf-ec-immutable="">

    If it's been a while since you uploaded, here are simple steps to upload your data today: 

    1. Plug in your pump or BG meter to your computer. 
    2. Open the t:connect Uploader and click Start Upload. Upload times will vary depending on the number of records since your last upload. 
    3. The “Upload Successful” message is displayed after the data has successfully been transmitted. 
    4. Click View Reports or Save Reports to be taken directly to the t:connect Application.

    Don’t have a t:connect account?
    New Tandem pump users should follow the steps in our Get Started Guide

    Healthcare providers interested in the HCP Portal should reach out to their local Tandem representative or give us a call at (877) 801-6901. Or visit our website for more information.

    1 The t:connect Application is compatible with the following meters: OneTouch® Verio® IQ, OneTouch UltraMini®, OneTouch Ultra® 2, FreeStyle® Lite®, FreeStyle Freedom Lite®, ACCU-CHEK® Aviva, ACCU-CHEK Compact Plus.
    2 Data on file. Tandem Diabetes Care, Inc. 

    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    IMPORTANT SAFETY INFORMATION

  • Tech Tips Instructional Video Series

    by Blair Ryan | Dec 14, 2018

    We've created a series of short instructional videos to highlight some of the features of the t:slim X2™ insulin pump. Check out the first videos in this series below!

    Extending a Bolus

    Here are the steps for programming an extended bolus.

    Unique Bolus Calculator

    The bolus calculator has another calculator built in, so you can add up multiple carb values to help calculate your total bolus amount.

    Entering a Dexcom G6 CGM Transmitter ID

    Here are the steps for entering a Dexcom G6 CGM Transmitter ID.

    Home Screen Shortcut

    The "T" on the front of Tandem pumps is actually a shortcut to the home screen! It takes you straight back home, eliminating any additional taps before your desired next step.

    Manually Resuming Insulin

    Here are the steps for manually resuming insulin delivery.

    Setting a Temporary Basal Rate

    Here are the steps for setting a Temporary Basal Rate.

    Quick Bolus Button

    This button can be programmed to enter either units of insulin or grams of carbohydrate without you looking at the screen, or even taking your pump out of your pocket!

    Unintended Touch Protection

    In order to guard against unintended inputs, the pump automatically turns off if it detects 3 taps on inactive areas of the touchscreen. This does not impact insulin delivery.

    Understanding the Colored LEDs

     

    For more information, please visit: https://www.tandemdiabetes.com/support/documents

    Additional Resources: 

    For more on the Extended Bolus: 

    Extending meal coverage with the Extended Bolus feature.

    Using the Extended Bolus Feature in Real Life with Ben Tzeel.

    For more on the Home Screen Shortcut: 

    Touchscreen Shortcut - Get back to the Home Screen with just one tap.

    For more information on the Quick Bolus: 

    We have a bolus for that!

  • Tandem Diabetes Care Honored in San Diego 2018 Top Workplaces Awards

    by Blair Ryan | Dec 14, 2018

    We're proud to announce we have been named a top workplace in San Diego by The San Diego Union-Tribune and awarded a “Future Forward” 2018 Top Workplaces honor!

    The honor went to Tandem Diabetes Care® because our employees topped other companies in San Diego on a question about the future of the company, answering “I believe this company is going in the right direction.”

    The Top Workplace list is based solely on employee feedback gathered through a third-party survey administered for the San Diego Union-Tribune by research partner Energage, LLC. The anonymous survey measures several aspects of workplace culture, including alignment, execution, and connection.

    Energage shared with us that employee confidence in the direction of an organization is really, really important. In fact, of the employees in the San Diego area they surveyed this year, “I believe this company is going in the right direction” was the most important factor in their workplace satisfaction. 74% said it was important to them, the highest of all 24 factors they measured.

    Our employees have created a culture of passion, creativity, and drive that makes our company a success in an increasingly competitive industry. We are incredibly proud that employees keep giving Tandem such high marks.

     

    Find out about careers at Tandem here.

  • Using the Extended Bolus Feature in Real Life

    by Blair Ryan | Oct 09, 2018

    Picture this: It’s Friday night. You’re at a restaurant for dinner with a bunch of your friends. You’re craving something delicious after a hard week.

    You decide to go fancy and order some surf and turf with vegetables and cheesy cauliflower mash. The group orders some oysters to share. Your mouth is watering.

    Low carb, right? Your starting blood glucose is 104 mg/dL. 1 unit of insulin is taken for the veggies.

    You go to bed at 11:30 PM with a blood glucose of 135 mg/dL. Nothing to worry about, right?

    You wake up at 4:00 AM and your blood glucose is 265 mg/dL for no good reason. What went wrong?

    Enter: Bolusing for high-fat meals.

    How Fat (and Protein) Affects Blood glucose
    I won’t nerd out and go all biochemistry on you, but for simplicity, fat has no real impact on blood glucose levels in isolation. 

    What it does do, however, is delay gastric emptying, aka slows digestion. This can occur over a period of HOURS.

    Why this matters: You are likely NOT consuming fat in isolation (if you are, more power to you). Instead, in this scenario, you are consuming it concurrently with protein.

    **We interrupt this section for a quick word on protein.**

    When consumed with carbohydrate, protein can augment the way the carbohydrate affects your blood glucose, though minimally. Unless you consume an excess amount of protein, you likely won’t notice much of an effect at all. When protein is consumed in the ABSENCE of carbohydrate, however, it will break down the excess into glucose during a process called gluconeogenesis.

    On average, each excess gram of protein will break down into roughly 0.6 grams of glucose.1  

    Now, imagine the meal above. If you are eating 50-plus grams of protein, that potentially has the effect of 30 grams of carbohydrates on your blood glucose.  

    **Back to your regularly scheduled program.**

    The effect of the glucose from the protein won’t be seen immediately. It may take an hour or two to even notice any increase in blood glucose. Now, add fat to the equation, which will slow the increase in blood glucose even more. Then a CGM graph will reveal a steady increase in blood glucose levels over a period of many hours.

    Let’s set this scene up again:

    • high fat, high protein, low carb meal
    • if we assume 50 grams of protein, it could impact blood glucoses similarly to about 30 grams of carbs
    • fat slows digestion, so the ~30 grams of carbs aren’t even seen in total until hours later

    How Do We Solve This? 

    There are two real options to consider, one of which is more sensible: 

    1. Set an increased basal rate for two to eight hours after the meal
    2. Set an extended bolus to cover the meal for two to eight hours…

     **Disclaimer: The two- to eight-hour range is NOT a range set in stone – you will need to experiment with what works for you and what does not.**

    While the first is simpler, it is not optimal because:

    1. Basal rates fluctuate through the day and night, so the amount of insulin to be increased is not consistent
    2. There is a max rate of basal one can receive per hour, and your needs for the meal may exceed this rate.

    Thus, let’s talk extended boluses!

    What is an extended bolus?

    The t:slim X2 Insulin Pump’s extended bolus feature allows the user to take an amount or dose of bolus insulin over a longer duration of time. Humalog and Novolog peak quickly (between 30 min to 3 hours), and last approximately two to five hours. The effect on lowering blood glucose may be out of the body too early to help avoid this delayed increase in blood glucose. Additionally, their peak may be too soon and lead to hypoglycemia...BEFORE the effect of the high fat meal kicks in!

    However, with an extended bolus, pump users can take some insulin up front and then have the rest administered at a consistent rate over whatever time period they choose. For example, one could take 20% up front and then 80% over four hours.

    Ideally, this strategy can be used to combat the delayed blood glucose increase by allowing users to have a higher amount of insulin active when their blood glucose starts to rise, and ideally blunts that possible spike or prevents it from even happening.

    Read more about extending meal coverage with the Extended Bolus feature.

    For more information, please visit https://www.tandemdiabetes.com/support/documents

    What Percentages Do I Need to Use? 

    This, my friends, is the beauty of diabetes: There is no “one size fits all.” There is no right answer. What works for me may not work for you and vice versa.

    There are, however, some tips for success you may want to consider:

    1. Track, log, or journal about how each attempt goes! It takes work, but it may help you get closer to the ideal up-front percentages, extended percentages, and ideal time frames that work for you.
    2. Alter ONE variable at a time! If you change more than one variable at once, such as time frame and percentages, and it works, you won’t be sure which variable caused the success. Changing one variable at a time takes longer, but it can help you better identify what works and doesn’t work for you.
    3. If something doesn’t work as expected once, don’t give up. We all know about diabetes, what works one day may not work the next – despite everything being same – so try not to get discouraged. Think of it as a learning experience.
      1. Note: If your strategy repeatedly doesn’t get you the results you need, then it may be time to try something else.

    Bonus Question: What if I Ate Carbs with a High Fat Meal? Does that Change Anything?

    Answer: Yes and no. The carbs will raise your blood glucose as anticipated, but the fat may prevent your blood glucose from dropping as easily.

    Why? The delay in gastric emptying is almost like a consistent flow of glucose being released in the blood over many hours. OR, you could choose to see it as the fat making one more insulin resistant.

    Either way, the end result is the same: elevated blood glucose levels for many hours, requiring more insulin than usual to bring it down.

    Author Bio: Ben Tzeel has lived with type 1 diabetes since 1999. He has a master’s degree in nutrition from the University of North Carolina at Chapel Hill and is a registered dietitian. He is a Certified Strength and Conditioning Specialist (CSCS) through the National Strength and Conditioning Association, is a published fitness model, and writes about exercise and nutrition. 

    Ben Tzeel was compensated by Tandem Diabetes Care for his contribution on this topic. However, he created the content and it is based on his personal knowledge, experiences, and observations.

    1Oexmann MJ. T.A.G.: A Diabetic Food System. New York, NY: William Morrow & Co.; 1989.

    If you’ve never used the extended bolus feature before, talk to your healthcare provider about strategies for using it to make this holiday season a little easier to manage. This information is a summary only, if you’d like to learn more please reference your pump’s User Guide for further information.

    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    IMPORTANT SAFETY INFORMATION

  • Updating the t:slim X2™ Insulin Pump with Basal-IQ™ Technology from the Top Bunk

    by Blair Ryan | Sep 06, 2018

    By Kerri Sparling

    When I received the email from Tandem Diabetes Care that my Basal-IQ feature training was available, I was in the car with my husband and our two kids, headed up to Acadia National Park in Maine for a week.

    “The update for Basal-IQ just landed in my inbox! I have to watch the training videos!” I said to my husband. We were about 45 minutes into a seven-hour drive with our kids in the backseat.

    “Awesome!” 

    Only I was still in the car and had to wait seven hours before I could watch the videos. (Knowing that the Basal-IQ update was just a training module and email launch code away from being siphoned into my insulin pump made the drive feel even longer.)

    The first time I updated my Tandem t:slim X2 Insulin Pump from home, it was to integrate with the Dexcom G5 Mobile CGM System. The update was simple: I received an email code, plugged in my pump, and downloaded the software update. It was awesome having my G5 data streaming to my t:slim X2 Pump…then Dexcom came out with the G6 CGM System.

    But you know what? My pump wasn’t outdated. 

    Instead, it was updated. 

    The process for updating this time was a little bit different. Several days earlier, I received an email from Tandem telling me that the update was available and that my doctor needed to provide a prescription for the update. I signed into the t:connect® Patient Portal to start the process for my endo to sign off on the request. In my case, this took a few days, but once the ball was rolling, things progressed smoothly. Once the prescription request was completed, I received an email with a link to training videos for the Basal-IQ update. (That’s the one that came while we were driving.)

    Now? All I needed to do was find some space to update my pump in peace. My kids like to hang out and be close (read: on top of me), so finding some uninterrupted time to watch the training videos for Basal-IQ was a challenge. Once we arrived at our lodging for the week, I realized there were bunk beds in the apartment. Which is why I spent some time hiding on the top bunk of the bunk beds, where no one could physically reach me, watching the online training videos. 

    Kerri Sparling Jordan Pond 1_555

    The videos were very clear and concise, and once they were completed, I had a good sense of what the Basal-IQ Technology was going to look and feel like on my t:slim X2 Insulin Pump. The quizzes I had to take at the close of each module helped reinforce what I had learned. Hitting “Exit” on those videos triggered the email from Tandem to arrive, providing the details on how to update my pump and also the necessary Update ID Number. 

    From the top bunk, I disconnected my insulin pump from my body and plugged it into my computer which was connected to the internet. After entering the Update ID Number into my pump and clicking through a few confirmations, my pump started to download the software update. 

    “Hey mom! Are you almost done fixing your pump?” my daughter yelled from the other room.

    “Almost! Just a few minutes!”

    “Okay.” A brief pause. “Will you be able to see your Dexcom on your pump again?”

    I stopped for a second, trying to find a way to explain how my CGM works, how Basal IQ works, how diabetes still requires work, and how my pancreas doesn’t exactly work to my 8-year-old daughter.

    “Yes…that’s the idea. And when the Dexcom is talking to my pump, my pump will be able to use that information and hit pause on my insulin if it sees that my blood sugar starts to run low, too.” 

    Her little face appeared around the door, peering up at her mother, perched in the top bunk with a bunch of technology glowing around her. “For real?”

    “Yeah, for real.”

    “That’s cool.” Another pause, followed by a confused query, “Are you going to sleep in the top bunk tonight, mom?”

    “No, I’m not sleeping up here. Just hiding for a few more minutes.”

    It took about 10 minutes for my pump to complete the update, and after I loaded up a new cartridge and infusion set, I was good to go. (Because software updates are awesome and useful but I can’t let the hardware go unchecked – I have to make sure my CGM is communicating properly and that the bits and pieces of my pump and infusion set are working right.)  I lean heavily on temporary basal rates to help take the edge off dropping blood sugars, so I was excited to see Basal-IQ Technology make that move for me. 

    And it only took a few hours to test my IQ (so to speak). 

    Later that afternoon, after updating to the Basal-IQ Technology, I was on a hike around Jordan Pond in Acadia National Park with my family. The hike is a few miles long, and I didn’t notice until about 45 minutes into it that my pump had already shut off twice, without my assistance, helping me keep by BGs in check. My blood sugar remained solid and stable, with the Basal-IQ Technology and exercise working in tandem with one another.

    Of course, I am still responsible for keeping tabs on my blood sugars and maintaining control of diabetes. Technology is moving forward quickly but still haven’t freed up all the space in my brain that’s dedicated to diabetes. But with technology like Basal-IQ in my management toolbox, I feel like the mental burden of diabetes is a little bit lighter…which makes it easier to drag around ponds and up mountains and on hikes. 

    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    Important Safety Information

  • The Basal-IQ™ Technology Update is Here, and We’re Answering Your FAQs

    by Blair Ryan | Aug 15, 2018
    We’re excited to announce FDA approval of the t:slim X2™ Insulin Pump with Basal-IQ Technology, a predictive low glucose suspend feature designed to help reduce the frequency and duration of low blood glucose events (hypoglycemia) using best-in-class glucose sensor data. We’re here to answer some frequently asked questions about our announcement. Please note these answers are intended for our customers in the United States.

    How Does Basal IQ Technology Work?
    Integrated with the Dexcom® G6 Continuous Glucose Monitoring (CGM) System, the Basal-IQ feature helps reduce the frequency and duration of low-glucose events by predicting glucose levels 30 minutes ahead and suspending insulin if they are expected to drop below 80 mg/dL. Insulin delivery resumes once glucose begins to rise. We have a few more details for you here: www.tandemdiabetes.com/products/t-slim-x2-insulin-pump.

    What’s so great about Basal-IQ Technology?
    A pivotal study showed the use of Basal-IQ Technology on the t:slim X2 Insulin Pump demonstrated a 31% relative reduction in time spent below 70 mg/dL when compared with a CGM-enabled pump without Basal-IQ Technology. Importantly, this marked reduction of time spent in low glucose was accomplished without any increase in the rate of hyperglycemia. Participants in the study overwhelmingly described the system as simple to learn and use.1 It is also approved for use by children as young as 6 years old.

    "Being a person with diabetes complicates all aspects of my life. The t:slim X2 with Basal-IQ eased some of these burdens. During my time in the Basal-IQ PROLOG study, the feature shined overnight when I could see it suspended and protected me from lows." - Elena E., Clinical Study Subject

    PROLOG Poster
    Pinsker, et al. Exceptional Usability of Tandem t:slim X2 Insulin Pump with Basal-IQ Predictive Low Glucose Suspend (PLGS): The PROLOG Study. Poster presented at: American Diabetes Association 78th Scientific Sessions. June 22-26, 2018. Orlando, FL.

    "My 13-year-old son manages his care quite well, but his schedule with gym class after lunch often causes his BG to drop. When this happens, his class time is interrupted. With Basal-IQ during the PROLOG study, Russell spent more time in class and less time taking care of his medical needs." - Kathleen B., Mother of Clinical Study Subject

    When will Basal IQ Technology be available?
    On August 16, we announced we began sending emails with update instructions to in-warranty t:slim X2 Pump users in the United States, who now have the option to add Basal-IQ Technology free of charge via remote software update. Emails contain the link to the new patient portal and instructions about the process, and will be sent in batches. We anticipate that all emails will go out by the end of August. If you customers can't wait for an email, they can learn more about the process and how to get started here. (Just know that all will still get the email later, even if they start the process sooner.) https://www.tandemdiabetes.com/products/x2-update

    Will Basal IQ Technology work with the Dexcom® G5 Mobile CGM System?
    The t:slim X2 Pump with Basal-IQ Technology is only compatible with the latest Dexcom G6 CGM, allowing the system to predict and help prevent lows with zero fingersticks.*

    What does iCGM mean?
    Essentially, it’s a faster pathway to deliver new CGM technology. iCGM classification designates approval for integration with other medical devices, such as insulin pumps, based on a series of special control requirements. Dexcom G6 was the first CGM device to receive iCGM classification from the FDA earlier this year, and Tandem is the first company with a pump approved with iCGM compatibility. The classification of the Dexcom G6 CGM sensor, combined with our Tandem Device Updater, allows us to offer our Basal-IQ Technology with Dexcom G6 CGM integration without a new submission to the FDA. We are excited about the potential for an exciting new wave of future innovation for the diabetes community.

    Oh no, I just ordered Dexcom G5 Mobile CGM Sensors!
    We realize some customers will be affected by the timing of their CGM sensor orders, and we are exploring options for customers who will have Dexcom G5 Mobile CGM supplies when the software update rolls out. We’d like to note that eligible t:slim X2 Insulin Pump users will be able to take advantage of the Basal-IQ Technology software update, free of charge for some time. The no-cost eligibility is determined by our release date in 2018 – not your download date – so it’s possible to align your update with your next sensor order.

    I have Medicare, can I use Basal-IQ Technology?
    The t:slim X2 Pump is covered by Medicare, but the Dexcom G6 CGM system is not. The t:slm X2 Insulin Pump can be used with or without the Basal-IQ feature or CGM. Because Basal-IQ Technology relies on Dexcom G6 CGM data, anyone who uses Medicare benefits for CGM supplies should not use the feature unless Medicare changes its reimbursement policies. We will be working with Dexcom and the Centers for Medicare and Medicaid Services (CMS) on this challenge, but we don’t know if/when this will happen.

    I have a regular t:slim® Insulin Pump or t:slim G4™ Insulin Pump, how can I get Basal-IQ Technology?
    We offered an upgrade program for t:slim and t:slim G4 Insulin Pump users to access the updatable t:slim X2 Insulin Pump from October 2016–December 2017. Currently, we have no plans to have another upgrade program. If anything changes in your insurance coverage during your warranty period, please let us know. Our insurance verification team can look into your options. They can be reached at (877) 801-6901, Monday-Friday between 6 AM and 5 PM PT.

    What about Canadians? We’re waiting for a new option up here!
    It is too early for us to speculate about plans or timing for availability of the t:slim X2 Insulin Pump with Basal-IQ Technology outside the United States. In February, we announced our submission of a medical device license application to Health Canada to market the t:slim X2 Insulin Pump with Dexcom G5 Mobile CGM integration. We plan to launch that pump in Canada in the second half of 2018, subject to regulatory approvals.

    For additional product and safety information for our customers in the United States, or to begin the order process, visit www.tandemdiabetes.com/tslimX2
    or call (877) 801-6901, Monday-Friday between 6 AM and 5 PM PT.

    * If glucose alerts and CGM readings do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions.

    1Forlenza GP, Li Z, Buckingham BA, Pinsker JE, et al. Predictive low glucose suspend reduces hypoglycemia in adults, adolescents, and children with type 1 diabetes in an at-home randomized crossover study: Results of the PROLOG trial [published online August 8, 2018]. Diabetes Care. doi:10.2337/dc18-0771.

  • #tsliminthewild with ice skater Chloe Glabach

    by Blair Ryan | Jul 25, 2018

    Chloe was an ice skater before she began living with diabetes. And even though all she could do was cry after she was diagnosed, now she says that not much has changed in her life since then.

    “Now, my advice to others with diabetes is, don’t let diabetes get the best of you, because nothing has really changed,” Chloe said. “You are still free to do what you want to do and follow your dreams.”

    Chloe skates almost every day during the school year, for two to three hours per day. She also travels out of her home state of Colorado for competitions twice a year.

    IMG_20161204_103407_1_555

    “Diabetes has taught me that I need to always try my hardest in skating, and that I can push through everything that goes wrong with my diabetes when I’m on the ice, and skating has taught me that I don’t need to be ashamed of my diabetes.”

    She shared that the biggest challenge she faces as someone with diabetes is that it makes her feel different from everyone else at school and at the rink.

    “It can sometimes make me feel like I am all alone in this, even when I know that I’m not,” said. Chloe. “I have coaches and teammates, and their role in my life with diabetes is to support me, lift my spirits, and make sure I am safe when I am on the ice. I share with them everything about diabetes that I can, and when my teammates are in a hotel room with me for our travels, I am able to show them what it’s like to poke my fingers and change my infusion sets so they know more about what it’s like for me.”

    These teaching moments may have contributed to her desire to be a pediatric endocrinologist.

    “I hope one day to help other people with diabetes,” Chloe says.

    IMG_20171203_110549_1_555

    In the meantime, she will continue to learn through her own experiences. She’s adapted to life as an athlete with diabetes by listening to her body and putting technology to use.

    “I feel and decide if I need to treat a low or if I need to give a correction for a high blood sugar. I carry my CGM on the ice too, and every once in a while, I check it to see if I’m trending down and need to change my basal rate. My blood sugar varies quite a bit between practices and competition because of adrenaline. Usually, I go quite high during practice, but then tend to drop low afterward. Sometimes, though, it is the opposite, and I have to aggressively treat a low in order to continue practicing.”

    Chloe shared that for her preferred treatment plan she prepares for treating low blood sugar in the rink by making sure she has Smarties and peanut butter crackers in her skate bag, "So I can quickly get off, treat, and get right back on the ice,” she said.

    DSC95601695_555

    Chloe hasn’t always used an insulin pump. Like most, she started using multiple daily injections when she was first diagnosed, but had the opportunity to use a Tandem pump when after participating in a market research study.

    “I loved it as soon as I saw it and used the features,” she said. “I also liked that I wouldn’t have to use long-acting insulin, and I could bolus more without having to poke more needles into me. Only one every three days! I got my t:slim Pump just five months after my diagnosis.”

    It is not uncommon for active people to ask questions or worry their pump will get in the way of their activities, or that they might hurt their pump while doing the things they love to do. There isn’t much extra space in a skating costume…

    “I wear it in a belly band designed for carrying insulin pumps,” Chloe said. “It keeps the pump safe and cushioned and allows me to tuck in some tubing so that it doesn’t get caught on anything. I also can program my pump right through the window without even having to pull it out of the band!”

    Chloe’s diabetes packing strategy includes:

    • one pump site change for every travel day
    • one extra full vial of insulin
    • one extra CGM sensor
    • syringes
    • plenty of snacks for treating lows

    Be sure check out Tandem’s list of essentials that might be easy to forget if you have limited time to pack.

    Chloe also makes sure to contact TSA Cares before traveling to make sure she can get through airport security quickly.

    Planning to travel by air with your insulin pump? Click here to download our air-travel note to carry with you and share with the TSA or airport representative. We hope this will help make the path through security smoother for Tandem pumpers.

    Chloe Glabach_high res_555

    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    Important Safety Information

  • Introducing the t:slim X2™ Insulin Pump with Basal-IQ™ Technology

    by Blair Ryan | Jul 21, 2018

    We’re thrilled to announce the t:slim X2 Insulin Pump with Basal-IQ Technology has been granted FDA approval. This latest release from Tandem Diabetes Care helps pump users take charge of diabetes management by predicting and helping prevent lows.

    Benefits of the system include:

    • The ability to predict low glucose levels 30 minutes ahead of time and suspend insulin delivery to help reduce the frequency and duration of low-glucose events. A pivotal study of Basal-IQ Technology showed a 31% relative reduction in time spent below 70 mg/dL when compared with a CGM-enabled pump without Basal-IQ Technology.1
    • Integration with the new Dexcom G6 Continuous Glucose Monitoring system, which delivers continuous glucose readings to the t:slim X2 Insulin Pump to aid users in making in treatment decisions without fingersticks for mealtime dosing or calibrations*.
    • FDA approval for automated insulin delivery for pump users as young as 6 years old.
    • A simple-to-learn interface that operates without constant user input or the use of complicated modes. In a clinical study, 91% of participants found Basal-IQ Technology easy to use.2

    Tandem_1140x622_Illustration_How_Basal-IQ_Works

    If you have an in-warranty t:slim X2 Insulin Pump, you will be able to access the remote software update with Basal-IQ Technology free of charge when it is available. This update will require a prescription and online training which will be managed through a simple to use online portal. You will receive an email when the portal is available. No action is required at this time. Click here to learn more about the process.

    Time for a new pump?
    If you don't currently use a t:slim X2 Insulin Pump and would like to start the process, visit www.tandemdiabetes.com/getstarted or call us at (877) 801-6901

    *If glucose alerts and CGM readings do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions.

    1. Forlenza GP, Li Z, Buckingham BA, Pinsker JE, et al. Predictive low glucose suspend reduces hypoglycemia in adults, adolescents, and children with type 1 diabetes in an at-home randomized crossover study: Results of the PROLOG trial. Diabetes Care. 2018 [In Press].

    2. Pinsker, et al. Exceptional Usability of Tandem t:slim X2 Insulin Pump with Basal-IQ Predictive Low Glucose Suspend (PLGS): The PROLOG Study. Poster presented at: American Diabetes Association 78th Scientific Sessions; June 22-26, 2018; Orlando, FL.

    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    Important Safety Information

  • T1D Camp Finder Tool, powered by Beyond Type 1 and DECA

    by Blair Ryan | Jun 20, 2018
    It's Summer and there are so many great opportunities for fun with people who understand diabetes! Using the T1D Camp Finder Tool, powered by Beyond Type 1 and the Diabetes Education & Camping Association (DECA), you’ll be able to find diabetes camps that are happening all across the globe.

    Find out when camps are happening, what activities they offer, and the cost to attend. Just click on the location you’re interested in and the information is at your fingertips!

    Camp Finder BT1 DECA -555

    Beyond Type 1's diabetes camp webpage has more info and stories about camps for people with type 1 diabetes!

    If you know about an event that isn't listed, you can contribute to the map by emailing the Beyond Type 1 Team at: hello@beyondtype1.org.
  • Touchscreen Shortcut - Get back to the Home Screen with just one tap

    by Blair Ryan | Jun 20, 2018

    Your t:slim X2™ Insulin Pump was designed to give you quick and easy access to both basic and advanced functions you can use in your diabetes management.

    After you complete a task with your pump, tap the Tandem logo to return to the Home Screen. This takes you straight back home, eliminating any additional taps before your desired next step. From the Home Screen, you have immediate access to your continuous glucose monitor (CGM) data (if you have a CGM sensor session going) and your insulin on board.  

     

    For more information, please visit: https://www.tandemdiabetes.com/support/documents

  • Diabetic Danica shares her thoughts on choosing a new insulin pump

    by Blair Ryan | Jun 20, 2018
    Editor's note: This blog was written prior to FDA approval of the t:slim X2 Insulin Pump with Basal IQTecnnology announced 6/21/2018. The Basal-IQ feature helps reduce the frequency and duration of low-glucose events by predicting glucose levels 30 minutes ahead and suspending insulin if they are expected to drop below 80 mg/dL. In-warranty t:slim X2 Pump users in the United States are now able to add this feature free of charge via remote software update.

    By Diabetic Danica


    When you’re connected to a medical device 24/7, you grow “attached” to it - not only physically attached, but emotionally too! I have been an insulin pump user for 11 years, and I have only ever used an Animas insulin pump. So when I heard that Animas was officially exiting the insulin pump market last year, I knew I would have to face a very big change. It is crazy to think that a device you have used every single day for more than a decade will soon be a thing of the past. However, I was happy that the warranty left on my current pump gave me some time to investigate my options before making a decision. When I choose my next insulin pump, I’m committing to it for up to four years, so it is very important to me that I make the best decision.

    When Animas decided to exit the insulin pump market, they chose Medtronic to support current Animas customers through the end of our warranty. However, it is important to remember that we do have options. We do not have to simply switch to whatever pump company Animas has selected at the end of our warranty. There are different pumps that offer different features, and it is important to do our own research into what pump would be best for us. In the U.S., there are basically three insulin pump options out there.

    Omnipod differs the most from my current pump, as it is a tubeless pump that stores the insulin in a patch-like pod that is controlled by a remote PDM (Personal Device Manager). I was able to get a demo pod to try out, and I came to the exact conclusion that I had expected: the pod was simply too large for my taste. I also worried that I might accidentally leave the PDM at home and not be able to bolus when I’m out and about. My pump is important to have with me at all times, so I don’t mind it being attached to me! Having tubing does not bother me.

    This left me with options from two other companies, Medtronic and Tandem Diabetes Care. To me, the biggest difference between the two is their Continuous Glucose Monitor integration. I am a loyal Dexcom CGM user. I absolutely love my Dexcom CGM and personally feel it is the best CGM on the market. I’m hesitant to use anything else.

    The Tandem t:slim X2 Insulin Pump is currently integrated with the Dexcom G5 CGM, which allows me to dose my insulin using CGM data alone without requiring a separate fingerstick. While Tandem pumps don’t automate insulin delivery today, I like that the potential is there because the t:slim X2 Pump is capable of remote software updates as they are approved by the FDA. There’s obviously no guarantee, since there are a lot of steps involved in getting something like automated insulin delivery approved, and Tandem has also been transparent that there may be a cost for some software updates, but it does make the 4-year commitment feel a little less scary. Additionally, I like the look of the t:slim X2 Pump. It’s significantly smaller than the Medtronic pumps, and I like the simplicity of the touchscreen. I want a device that does not overcomplicate my diabetes life. I love that you can see both the Dexcom trend graph and insulin on board right on the home screen. I also like the ability to enter numbers on the screen instead of scrolling. It sounds silly, but Animas requires scrolling and I waste a lot of time. The t:slim X2 Pump has a keypad and you just type on it.

    Figuring out which pump to switch to can seem overwhelming. It is a lot to think about, but overall I am excited to embark on a new insulin pump journey. Who knows how much the insulin pump market will change as I wait for my Animas warranty to expire? I will miss my Animas, but I’m also excited to try something new! Technology is developing fast, and my goal right now is to stay informed of my options and make the right decision for me when the time comes.  
     
    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    Important Safety Information

  • Tandem users have kept over 2 Million batteries out of Landfills

    by Blair Ryan | Apr 19, 2018

    Every day, Tandem insulin pump users are doing their part to reduce, reuse, and recycle. Having chosen the only rechargeable insulin pumps on the market, our customers have kept an estimated 2,327,595 disposable batteries out of landfills since the first t:slim Pump shipped in 2012.1 Nice work!

    Rechargeable batteries have a much smaller environmental footprint thanks to their reusability. Not only do they last longer over time, but also – thanks to trade-in programs for the high-tech devices that use these batteries – the heavy metals find their way into landfills less often than their disposable counterparts.

    At Tandem we also have several ongoing recycling programs where we work with vendors who specialize in each particular waste material.

    Instead of contributing to the problem, the good news is that we can all make a difference right now by replacing single-use batteries with the recyclable, rechargeable kind. By using rechargeable batteries, you not only save money, but also ensure that fewer batteries get into landfills. 

    Additional reading:
    In honor of Earth Day in 2016, we asked 1,456 of our customers how and when they preferred to recharge their pumps.

    1Estimation since Aug 31, 2012 as of April, 1 2018, assuming 20-day battery life of disposable batteries when used in other insulin pumps. Data on file.

  • Dave Nguyen and Jason Guzon on Software Engineering

    by Blair Ryan | Apr 11, 2018

    We're growing our software team! Tandem engineers take an innovative, user-centric approach to the design and development of products for people with diabetes, and we are looking for people who are passionate about making the lives of people with diabetes better. Before you look further into careers at Tandem, we thought you'd like to hear from some members of our team. Manager of Software Engineering Dave Nguyen and Software Engineer Jason Guzon share their experiences in this department. 

    Q: What are your favorite things about your job?

    Dave: When I started working at Tandem in 2009, I wanted to work on something meaningful, while developing cutting-edge technologies and learning from smart people. Working at Tandem has fulfilled all of those goals and allowed me to grow as a person and an engineer. Being able to innovate and change the landscape of insulin pump therapy fulfills my creative needs. I also really enjoy getting customer feedback and hearing about how Tandem’s products incorporate into their daily lives.

    Jason: I love writing software, and at Tandem I get to write code that helps make people’s lives easier.

    Guzon_IMG_2434_555
    Jason Guzon, Software Engineer

    Q: What are some of the challenges of your position that you enjoy most?

    Dave: Being at Tandem allows me to work on hard problems with a small and dynamic team. Everyone has more responsibility, but also more freedom.

    Jason: Designing new features, learning new technologies, and exploring software behavior are some of the challenges that push me to learn and grow as a programmer. Tandem has also provided the opportunities for me to improve myself in many other areas including writing, interviewing, and product management.


    Q: 
    How does Tandem’s focus on the customer impact your job?

    Dave: Because we focus on the customer here at Tandem, it allows the R&D department to really develop the best products possible. We don’t cut corners and we always listen to what the customers have to say to improve their experience the best we can.

    Jason: It impacts our design, implementation, and feature improvements. I love knowing that software I helped create is out in the world currently making someone’s life easier, and I know that what ends up in the customer’s hands is my best work and based on their feedback.

    Nguyen_IMG_2432_555
    Dave Nguyen, Manager, Software Engineering

    Q: What sets Tandem apart from other companies?

    Dave:
    Tandem’s culture is incomparable. The work/life balance is amazing, and my work attire consists of shorts and t-shirts. Not much has changed culturally, since I started at Tandem back in 2009 during its startup days. Working on software in the R&D department at Tandem allows you to learn a lot of really cool things. Since we are using the latest technologies to try and solve problems in different ways, everyone here is constantly learning and growing. 

    Jason: When I interviewed at Tandem, I was fresh out of college, but when I stepped into the building, I knew that I needed to work here. From my research, I knew that Tandem created top-of-the-line, high-quality products, and from the remote-control helicopters, mini foosball table, and random objects hanging from the ceiling, I could tell that these engineers knew how to have fun. The the t:slim® Insulin Pump broke ground in innovation with its touchscreen, easy-to-use interface, rechargeable battery, small size, and sleek design. Our second-generation pump, the t:slim X2™ Insulin Pump with Dexcom G5 Mobile continuous glucose monitoring (CGM) integration and capability to get software updates remotely, provides a pipeline of opportunities for engineers to learn and to shine.

    If you thrive in a casual environment that inspires collaboration and innovation apply today!

    Find out about careers at Tandem here. 

  • Tandem is pleased to introduce AutoSoft XC!

    by Blair Ryan | Apr 05, 2018
    The AutoSoft™ XC infusion set is the t:lock™ equivalent to the Inset™ infusion set formerly distributed by Animas.

    As a reminder, the new t:lock design reduces the time required to fill infusion sets by 30 seconds and lowers the amount of insulin used in the fill process by 4.4 units. The design itself looks, feels and functions in a very similar way to the traditional Luer-lock connector.

    We are very excited to offer another option for patients when it comes to infusion sets.

    CLICK HERE to see a complete list of Tandem’s infusion set products.

  • CGM data is now included on the t:connect Therapy Timeline

    by Blair Ryan | Apr 04, 2018
    The t:connect® Diabetes Management Application is our fast, easy way to access and save data from pumps, supported glucose meters1, and Continuous Glucose Monitors.

    We are pleased to announce an enhancement to our Therapy Timeline report. The Therapy Timeline will now include Dexcom® CGM readings when a CGM enabled Tandem pump is uploaded to t:connect. Best of all, no additional action is required, CGM data will automatically appear in t:connect when the pump data is uploaded.

    CM-000556_A_Image_tconnect_Therapy_Timeline_CGM

    Patients who regularly log in to review data spend more time in range,2 and sharing reports before appointments with healthcare providers can help to make the most of time spent with a physician. To encourage this habit, we send monthly reminders to our customers about the benefits of uploading.

    With the new t:connect HCP Portal, clinicians can now upload, view, and print this data from one user-friendly webpage.

    Don’t have a t:connect account?

    Healthcare providers interested in the HCP Portal should reach out to their local Tandem representative or give us a call at (877) 801-6901. Or visit our website for more information.

    New Tandem pump users should follow the steps in our Get Started Guide

    The t:connect Application is compatible with the following meters: OneTouch® Verio® IQ, OneTouch UltraMini®, OneTouch Ultra® 2, FreeStyle® Lite®, FreeStyle Freedom Lite®, ACCU-CHEK® Aviva, ACCU-CHEK Compact Plus.
    Data on file. Tandem Diabetes Care, Inc. 
  • Romancing the tone, taking control of the beep

    by Blair Ryan | Mar 10, 2018

    The blankets are soft and warm. You’ve just flipped your pillow to the cool side. It’s time to sleep. Or relax. Or to snuggle. Until… 

    BEEP BEEP BEEEEEEEEP!! 

    Nothing ruins the mood for sleep (or otherwise) quite like a loud pump alert. If you’re dealing with some ill-timed alerts, you have options. Thankfully, there are plenty of ways to reduce the inconvenience while making the most of your Tandem pump’s features.

    Let’s take a look at some common alarms and alerts.

    The Alarm: Auto-Off Alarm (aka Alarm 7).
    Why it’s important – The reason for this alarm is sound: it’s a safety precaution to prevent insulin delivery in case someone is unable to interact with the pump due to a severe low blood sugar.

    When it can be inconvenient – Ever eat an early dinner and then sleep in the next day? Your auto-off alarm might go off in the morning, depending on when you last looked at your pump screen and how long you slept.

    What you can do – The default is pre-set for 12 hours, but you can customize this setting and adjust the alarm to go off anywhere between 5 – 24 hours, or the alarm can be turned off completely. But if you decide to turn this alarm off, make sure you check with your healthcare provider. Safety first.

    See Auto-Off Alarm in your User Guide. 

    The Alert: Site Reminder
    Why it’s important – Time flies, and it’s easy to forget to change your site within 72 hours. But, leaving the infusion set in for over 3 days can lead to decreased insulin absorption and could cause high blood sugar. That’s why we designed this reminder to help you get the most out of Tandem pump therapy. At the end of the infusion set change process, after your fill the cannula, your pump will ask if you want to set a Site Reminder. You can customize this alert to go off any time 1 – 3 days after the site change.

    When it can be inconvenient – If your site change is at 9:00 a.m. and your alert is programmed to remind you three days later...during your big presentation.

    What you can do – Go on…customize it. Make sure you take note of when you’re changing your site, and be sure to program what time you want the reminder to pop up. Make it your own and take back the beep!

    See Setting Site Reminder in your User Guide. 

    The Alert: Incomplete Bolus Alert
    Why it’s important – Distractions happen. Life doesn’t stop while you’re trying to pay attention to your diabetes. This alert occurs when you navigate to the bolus menu and then put the pump away without executing a bolus. Ninety seconds later, you’ll receive an Incomplete Bolus Alert. We designed this feature for those times when you’re interrupted mid-bolus and never have a chance to complete it.

    When it can be inconvenient – If you legitimately decide you don’t want to bolus but forget to cancel it out... at the movies.

    What you can do – If you decided not to deliver a bolus, make sure you tap the T button to return to the home screen before putting your pump away.  It’s that simple.

    See Incomplete Bolus Alert in your User Guide. 

    The Alert: Incomplete Temp Rate Alert
    Why it’s important – If you set up your temp basal rate before you headed out to the gym, or to help mitigate some downward facing Dexcom CGM arrows, you want to know if it didn’t get done. We designed this alarm as a friendly reminder for those times. This alarm occurs when you remain on the temp rate page for 90 seconds without completing the process.

    When it can be inconvenient – When you decide against setting a temp basal and forget to clear the screen? Yeah, then.

    What you can do – Tap the T button to return to the home screen before putting your pump back in your pocket. Home screen again for the win!

    See Incomplete Temp Rate Alert in your User Guide. 

    And finally…

    CGM Reminders.

    Why CGM Alerts are important.

    CGM reminders are important because they alert you to blood sugars that are out of your customized range. These alarms give you a head’s up on the blood sugars that might be coming, building in response time to prevent a sticky high or a dangerous low. These alarms help you stay between the threshold lines, giving you a chance to keep your blood sugars in range and your diabetes more on the mental back burner.

    See chapter 26 in in your User Guide for instructions on how to customize your CGM settings.

    And remember, if you have any questions about the alarms and alerts you experience most, our tech support team is here for you 24/7. Please call 1-877-801-6901 anytime to ask them about your pump features.

    From time to time, we may pass along: suggestions, tips, or information about other Tandem Insulin Pump user experiences or approaches to the management of diabetes. However, please note individual symptoms, situations, circumstances and results may vary. Please consult your physician or qualified health care provider regarding your condition and appropriate medical treatment. Please read the Important Safety Information linked below before using a Tandem Diabetes Care product.

    Important Safety Information

  • Full manufacturing operations commence at new facility in San Diego

    by Blair Ryan | Mar 09, 2018
    Full manufacturing operations have begun at our new facility in San Diego!

    In support of our growing operations, the 50,000-square-foot space doubles our previous manufacturing capacity for both insulin pumps and cartridges and expands warehousing for additional infusion set supplies related to the launch of our new t:lock™ connector.

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    Our cartridges are produced using high-volume automation. They are produced in a clean room controlled environment with line capacity for producing 1 million cartridges per year.

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    This is a close up look at the automation, specifically the assembly of the  tubing and infusion set connector to the cartridge.

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    Cartridges are installed into our cartridge test system where each and every one is tested for quality.

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    In the pump assembly area, pumps are run through the equivalent of one month of customer use to ensure they are ready to go. 

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    Pumps sit ready to head to their new homes!