By Karen Sensibile

October of 2017, I was scrolling through Facebook on my phone while waiting for my husband to get ready in the morning. I stopped browsing in dismay when I saw a post about Animas leaving the insulin pump business. I immediately called Animas to get their version of the story, and was really saddened to hear that I would eventually have to make a change to a different pump sooner than I’d planned…

I was diagnosed with type 1 at age 38 in 2002. I started out with injections, using a combo long/short acting pen at first, and then switched to Lantus and Novolog. I first was told about switching to a pump by my nutritionist. She really felt strongly that the Animas pump could help me manage things better and live my life with less inconvenience.

When I switched to pumping, I was very excited about having fewer needle sticks and easier calculations of my dosing and the programmable basal rate alleviating the need for two types of insulin. I was happy with my pumping life.

When I got the news about Animas in 2017, Medtronic was being advertised as the new partner, I assumed that would be my new pump company. At this point, I had never heard of Tandem Diabetes Care.

At my next appointment with my endocrinologist, I learned about Tandemand the t:slim X2 pump, but I wasn't ready to make a decision because my Animas pump was still fine. But, last August, my Animas pump decided to crack, and my hand was forced.

Once I started reading and researching, I was excited about the Basal-IQ technology. The idea of the pump being able to predict my lows was something I really was interested in, because fear of lows is real for me. The worst feeling ever is waking up in the middle of the night at 45 and being in the full-blown throes of a miserable low blood sugar.

Plus, I was already a Dexcom user, and this would allow me to continue using my Dexcom.

Also, I liked the idea of being able to charge the pump and not use batteries, with my Animas pump I had to use Lithium batteries that died every 3 weeks or so.

Animas users will notice a difference in the cartridge load process and insulin is delivered by a different method than the syringe style of the Animas.

However, once I got used to the process, I liked the way the pump loading process is automated, and I feel there is protection from human error while priming.

Also, the Tandem pump has full color touchscreen, much easier to see in bright daylight, and is much slimmer in your pocket. I love to be outside gardening with my two little doggies-Ralphie and Ruby, who are miniature Schnauzers.

I am fearful of lows, I don’t enjoy them to say the least! I am a big fan of feeling “normal” every day. I am most happy when I feel well and am able to be active. I have been doing Jazzercise for the last 27 years, and last November, I became certified to teach. I had been thinking about doing it for many years, and once I got my Tandem pump, I felt much more secure with Basal-IQ technology. I am now an instructor in Agoura Hills, California. Not once in the 7 months I have been teaching have I had a low glucose during class.

My motto is “I am in control of my T1, not the other way around.”

Attention Animas users! Animas is now offering eligible, in-warranty Animas customers $750 to return their pumps. Learn more about how you can use your rebate to offset the cost of a new t:slim X2™ insulin pump with Basal-IQ® technology through our Basal-IQ Technology Upgrade Program by visiting tandemdiabetes.com/animas Note: Offer expires July 31, 2019.

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.

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

This year, Children with Diabetes presents their 20th annual Friends for Life conference! We look forward to joining the international group of world-renowned clinicians, researchers, physicians, adults, children, and families with diabetes in Orlando, July 16-21. We invite you to join us at the activities listed below.

Trial a t:slim X2 Insulin Pump

At CWD we offer would-be pumpers a chance to try a t:slim X2 pump using saline. A prescription from your physician is required.

Sign up online at https://go.tandemdiabetes.com/CWD-Pump-Trial.html and we will set up a time to get your pump to you Wednesday through Friday in room El Paso 1 behind North Registration.  

In the Exhibit Hall - Booth 211

Wednesday, July 17, 6:00 PM - 9:00 PM 
Thursday, July 18, 10:00 AM - 4:00 PM
Friday, July 19, 10:00 AM - 4:00 PM 

Community Appreciation Event

EVERYDAY T1D MANAGEMENT THROUGH THE LENS OF SPORT AND ADVENTURE

Friday, July 19, 7:30 - 8:30 AM, Room: Coronado K-L
Coffee and tea will be provided.

Continuing favorite activities is an important aspect of managing diabetes well. In this two-presentation session, professional tennis player JC Aragone will discuss how he learned to manage his diabetes through playing tennis at a high level. Peter Nerothin, MA, will help attendees appreciate the benefits of leaving their comfort zone as they strive to manage their diabetes; Make better decisions about the use of technology in day-to-day life; Know where to go to find an appropriate adventure for themselves or loved ones.

AGAINST ALL ODDS  JC Aragone, Professional Tennis Player

 

Featured Presentation 

EVERYDAY T1D MANAGEMENT THROUGH THE LENS OF ADVENTURE  Peter Nerothin, MA, Managing Partner, Adventure Consulting Group

 

Autograph Signing

Friday, July 19, 10:00 AM - 12:00 PM, Exhibit Hall - Veracruz Ballroom, Booth 211

JC Aragone, Professional Tennis Player Courtesy of our Life Life in Full Color Speaker Series

To register for the Children with Diabetes Friends For Life Orlando Conference online, please link here: https://childrenwithdiabetes.com/conferences/friends-for-life-orlando-2019/. Otherwise, tickets will be sold on-site Tuesday, July 16th at 9:00 AM.

Note: The t:slim X2™ insulin pump is approved for individuals 6 years of age and greater. 

Note: The t:slim X2™ insulin pump is approved for individuals 6 years of age and greater. 

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

By Clayton McCook

In late 2015, we received the very difficult news that my wife Cindy had breast cancer. She underwent surgery just before Christmas of that year, and then began chemotherapy in early 2016. She had six rounds of chemo, followed by a year of infusions of a tumor-fighting drug every three weeks. The week after each chemo infusion was very difficult for her.

During that time, Cindy wasn’t as available as she usually was (and now is again) at times to help manage our daughter Lily’s diabetes.

It certainly tested me personally, as Cindy underwent treatment during my busy season at work when I typically work 70-80 hours a week. I leaned very heavily on my faith and found strength in our church and school communities, who brought over meals and helped us through prayer and support.

During Cindy’s treatment, we heard about Looping, pumping insulin using an Open APS System. I was very drawn to the idea of tighter control of Lily’s blood sugar because of the safety aspects of keeping her in tighter range. This was particularly true regarding overnight episodes of hypo- and hyperglycemia, which affected all of us by causing interrupted sleep patterns, as well as long-term concerns about diabetes complications.

We were very happy with our looping experience overall. The DIY community is filled with amazing and altruistic people who generously donate their time and talent to help families like ours. However, having to rely on social media posts and the kindness of strangers for tech support was difficult at times. This was particularly true for me as I have no background in tech and had to learn everything on my own from those wonderful people. Troubleshooting presented unique problems, because when I set up our systems my wife Cindy couldn’t participate as fully in that process as she had with all the other aspects of Lily’s care prior to Cindy’s diagnosis with cancer.

At just 10 years old, Lily amazes me.

Diabetes is constant. No matter what we’re doing or where we are, it’s always on our minds. We’ve tried very hard, and successfully I believe, to not focus on diabetes all the time and to trust Lily with her own care when and where it’s responsible to do so, but it’s still always there. We’ve let her know that she’s right when she feels like it’s not fair, because it isn’t. She got dealt a tough hand when she was diagnosed, and if I could take it away from her I would in a second. We have tried to arm her with information and enough data and knowledge to allow her to take care of herself in our absence, and she has demonstrated so much character and resolve by taking over many aspects of her care. She is incredibly adept at counting carbs and determining appropriate insulin doses. Almost anything she does, whether eating or playing basketball or riding her bike, requires her to think about how it might affect her blood sugar. That’s a tough burden for a kid.

Thinking back to when Lily was in kindergarten, Cindy spent time at her school every day. We didn’t have a school nurse on campus full time, so she often had to go up to the school to give her insulin or juice or just to make sure she was ok. When Cindy was undergoing treatment, the same time we set up our looping system, I often had to go to the school for troubleshooting when her system would go offline, or something would happen to one of the components. With the t:slim X2 pump, Lily only has to be responsible for her phone and her pump, and I almost never have to go to her school anymore.

Part of the reason for me not having to go to her school is related to the t:slim X2 pump keeping her in range so well, and part of it also has to do with Lily taking over so many aspects of her care.

It is an honor and a privilege to get to be a partner in Lily’s care. There is no doubt that it’s strengthened our marriage in many ways. We have much more of a “big picture” mentality because Lily’s diabetes and Cindy’s cancer diagnosis forced us to focus on visceral things that really matter. We don’t get caught up in petty battles and arguments that take away our ability to care for Lily and each other. We view diabetes management as the difficult endeavor it is, and we recognize that it is only through teamwork, cooperation, mutual respect, and love that makes it possible to provide Lily with the care she deserves. She amazes me every day with the person she’s becoming and the work she puts in to stay safe and healthy. My greatest blessing is to be her and Olivia’s father and to be Cindy’s husband. While having a child with diabetes may seem like a burden to some, I feel blessed that God entrusted me and Cindy with her care.

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

By Kim Daniels

This post was updated on 7/5/2019 to reflect the extension of the Animas Pump Return program, extended to July 31, 2019.

My daughter Lily was diagnosed with diabetes in January 2013, a month prior to her third birthday. She started using an OneTouch Ping insulin pump from Animas about six months after her diagnosis. We switched to pumping because of the increased flexibility it would give us with her treatment, as well as to attain better blood sugar control.

Years later, we found ourselves switching pumps, and we were nervous about finding another pump that was as simple to use as the OneTouch Ping, which we had become accustomed to for four years. I was nervous about how switching pumps would affect her blood glucose control, which admittedly was not great prior to switching. 

The main feature we were looking for in a new pump initially was ease of use. We heard about Tandem Diabetes Care from the diabetes educator at our endocrinology office and through the diabetes online community. We chose the t:slim X2™ insulin pump after meeting with the educator. During that meeting, we were extremely impressed with the touchscreen and the sleek look of it. We were excited to hear of a pump that was capable of software updates using a personal computer. We learned that the Tandem pump was integrated with a Dexcom continuous glucose monitor (CGM), and this was another selling point for us.

It didn’t take long for us to discover that the t:slim X2 pump is even more user-friendly than our Ping! Even the school nurses, who regularly take care of Lily, agreed that this pump was the easiest pump they had ever used. 

We were pleasantly surprised to discover that her numbers improved SIGNIFICANTLY, literally within days of being on the new pump. Within two months of switching, her A1c went from 8.5 to 7.8 (prior to that, we had never attained an A1c lower than 8.0). And within one year of switching, her A1c was down to an astounding 6.8. 

The biggest difference with this pump is the Micro-Delivery® technology, which Lily's body seems to respond better to. [The Bolus Delivery Increment on the OneTouch Ping/Animas Vibe is 0.1 and on the t:slim X2 pump it’s 0.05, and the Basal Delivery Increment on the OneTouch Ping/Animas Vibe is 0.025, and on the t:slim X2 pump, it’s 0.001 ]

We enjoy spending time outside, being active, getting together with other T1D friends, playing board games, swimming, creating YouTube videos (check out Lily's channel, T1D Rockstar), spending time with our family, and much more.

The t:slim X2 pump fits into our lives so perfectly. It allows us so much more flexibility in her treatment.

Hands down, the Basal-IQ® technology is now our favorite feature!! We sleep a lot more soundly at night. We also use the extended boluses quite frequently, and I love that you can set the percentage of the bolus that you want right away and the amount of time you want the remainder of the bolus to be delivered. This pump is so easy for anyone to customize.

The biggest challenge that diabetes brings is the constant up and down from day to day. Knowing that we can do the same exact thing every day, yet we will likely end up with completely different results, makes diabetes far more stressful. And of course, we constantly worry about how diabetes will affect her long-term health. 

We are blessed to have so much support from her healthcare team (endocrinologist, CDE, PCP, etc.), friends and family who also live with this disease, an amazing online community, a local T1D Facebook group that myself and another local mom founded, and – not to mention – Tandem and Dexcom, both of which are a huge part of our success in allowing Lily to live a full, active, and healthy life. 

The best part is that she gets to be a kid just like any other kid. She can go to birthday parties and enjoy playing outside with her friends and have peace of mind of knowing that she has a reliable pump. 

Lily has grown and changed so much over the almost 6.5 years since her diagnosis. She is learning more and more every day about her diabetes and how to manage it, and I am confident that we are giving her the tools that she will need to continue to be successful in managing it independently as she gets older.

Attention Animas users! Animas is now offering eligible, in-warranty Animas customers $750 to return their pumps. Learn more about how you can use your rebate to offset the cost of a new t:slim X2™ insulin pump with Basal-IQ® technology through our Basal-IQ Technology Upgrade Program by visiting tandemdiabetes.com/animas Note: Offer expires July 31, 2019.

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

San Diego, May 28, 2019 – Tandem Diabetes Care, Inc. (NASDAQ: TNDM), a leading insulin delivery and diabetes technology company, today announced its sponsorship of Project 50-in-50, a mountaineering challenge by two climbers with type 1 diabetes—Michael Shelver and Patrick Mertes. To achieve their goal, Shelver and Mertes will need to summit the highest peaks in each of the 50 United States in 50 days or less. Only two individuals have accomplished this before, none with type 1 diabetes.

“Trailblazing has been an important part of solving the challenges of diabetes management,” said Tandem Diabetes Care President and CEO, John Sheridan. “We are excited to support Patrick and Michael in their Project 50-in-50 to demonstrate that anything is possible with type 1 diabetes.” 

Since first attempted in 1966, only 274 people have successfully summited all 50 state high points—most doing so over the course of their lifetime—and none living with type 1 Diabetes. In the summer of 2019, Shelver and Mertes will road trip more than 16,000 miles—hike, run, ski and walk more than 315 miles of trails—all while managing their blood glucose levels thanks to their t:slim X2 insulin pump.

“We couldn’t be more thrilled to be partnering with Tandem Diabetes Care. From the PROJECT’s inception, Michael and I have felt strongly about only partnering with companies we can confidently endorse,” said Diabetes Family Connection Executive Director Patrick Mertes. “After hours of research and testing out various systems, we’re confident the t:slim X2 pump combined with the Dexcom G6 continuous glucose monitor will be the best tools for aiding in our diabetes management while we tackle this adventure."

Project 50-in-50 is an initiative of The Diabetes Family Connection, a North Carolina based nonprofit corporation. In addition to achieving a new milestone in mountaineering, Shelver and Mertes hope their attempt will grow local and global communities of people with diabetes inspired to get outside and enjoy the outdoors.

“As a team, we embrace the idea that the organ between your ears plays a much bigger role in defining limitations than a broken pancreas ever could,” said Mertes. “We feel that diabetes should never determine the limit of what an individual desires to do. Project 50-in-50 is a movement to demonstrate this truth.”

To follow their progress, and to learn more about how to contribute individual donations, visit www.project50in50.org.

Tandem Diabetes Care periodically provides sponsorships and grants for educational and empowerment programing in the diabetes community. Grants are awarded to qualified non-profit organizations with the mission to empower people with diabetes, and to assist local initiatives, events, and programing that support Tandem’s mission, its employees, and corporate citizenship.

The Diabetes Family Connection

The mission of The Diabetes Family Connection (www.thedfc.org) is to positively transform life with diabetes through the power of community. The organization provides recreation-based programs focused on building confidence, optimism, and support for families affected by diabetes.

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care, Inc. (www.tandemdiabetes.com) is a medical device company dedicated to improving the lives of people with diabetes through relentless innovation and revolutionary customer experience.  The Company takes an innovative, user-centric approach to the design, development and commercialization of products for people with diabetes who use insulin. Tandem’s flagship product, the t:slim X2™ insulin pump, is capable of remote software updates using a personal computer and features integrated continuous glucose monitoring. Tandem is based in San Diego, California.

Follow Tandem Diabetes Care on Twitter @tandemdiabetes, use #tslimX2 and $TNDM.

Follow Tandem Diabetes Care on Facebook at www.facebook.com/TandemDiabetes.

Follow Tandem Diabetes Care on LinkedIn at www.linkedin.com/company/TandemDiabetes.

Tandem Diabetes Care is a registered trademark and t:slim X2 is a trademark of Tandem Diabetes Care, Inc. Dexcom G6 is a registered trademark of Dexcom, Inc. All other third-party marks are the property of their respective owners.

Tandem Diabetes Care Contact Information:

Media: Steve Sabicer, 714-907-6264, ssabicer@thesabicergroup.com

Investors: Susan Morrison, 858-366-6900 x7005, IR@tandemdiabetes.com

# # #

San Diego, May 23, 2019 – Tandem Diabetes Care, Inc. (NASDAQ: TNDM), a leading insulin delivery and diabetes technology company, today announced its sponsorship of Connected in Motion’s 2019 program calendar, featuring social and educational programing that builds community among people with type 1 diabetes. The funding will go to support Slipstream Retreats, adventure programs, and special projects in Ontario, British Columbia, the Yukon, and Alberta, Canada, including additional support for the Ontario Slipstream Retreat, hosted in partnership with Beyond Type 1.

“We work hard to develop technologies to help people with diabetes spend less time worrying about their blood sugar, and more time enjoying their lives,” said Tandem Diabetes Care President and CEO, John Sheridan. “That’s why we sponsor Connected in Motion, and other inspiring patient events throughout Canada, that help to make living with diabetes easier, and hopefully, a lot more fun.”

A Slipstream weekend is like camp for adults living with type 1 diabetes – a getaway packed full of outdoor adventure, traditional camp programming, hands on diabetes-themed workshops, and sessions hosted by guest speakers, most often people with type 1 diabetes. It’s a chance for participants to connect with like-minded people, get outside, try something new, and learn from each other’s experience.

“We are thrilled to be working with Tandem Diabetes Care in Canada as they support CIM’s upcoming 2019 programs.” said Connected in Motion Executive Director, Jen Hanson. “Their support allows us to increase access to educational programming and to foster the growth of this community. We’re grateful that Tandem Diabetes Care has made supporting the community they serve such a priority and are excited for what this partnership will help us achieve in the coming year.”

Connected in Motion programs will take place from May to September 2019 in Ontario, BC, the Yukon and Alberta, Canada. Interested people with type 1 diabetes (18 and older) are encouraged to visit the Connected in Motion website at www.connectedinmotion.ca/events for more information, registration details, and program pricing.

Tandem Diabetes Care periodically provides sponsorships and grants for educational and empowerment programing in the diabetes community. Grants are awarded to qualified non-profit organizations with the mission to empower people with diabetes, and to assist local initiatives, events, and programing that support Tandem’s mission, its employees, and corporate citizenship.

About Connected in Motion

As a registered Canadian charity Connected in Motion works to foster a community of people living with type 1 diabetes through peer-based experiential diabetes education, sport, and outdoor adventure pursuits so that they may inspire one another to live life without limits. They bridge the gap between clinical care and real life. Empowered by adventure, the CIM community has been learning through experience since 2009. To date, they have connected over 8,000 individuals and helped to breathe fresh air into diabetes education throughout North America. Connected in Motion is excited to be collaborating with Beyond Type 1 on Ontario Slipstream. Beyond Type 1 (www.beyondtype1.org) is a nonprofit organization changing what it means to live with diabetes. Through platforms, programs, resources, and grants, Beyond Type 1 is uniting the global diabetes community and providing solutions to improve lives today. To learn more, visit www.connectedinmotion.ca

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care, Inc. (www.tandemdiabetes.com) is a medical device company dedicated to improving the lives of people with diabetes through relentless innovation and revolutionary customer experience.  The Company takes an innovative, user-centric approach to the design, development and commercialization of products for people with diabetes who use insulin. The t:slim X2™ pump with Dexcom G5® Mobile CGM integration, is the only CGM-integrated insulin pump approved in Canada for making daily diabetes treatment decisions without fingerstick.¹ The device was approved in Canada in 2018. 

Tandem is based in San Diego, California.

Follow Tandem Diabetes Care on Twitter @tandemdiabetes, use #tslimX2 and $TNDM.

Follow Tandem Diabetes Care on Facebook at www.facebook.com/TandemDiabetes.

Follow Tandem Diabetes Care on LinkedIn at www.linkedin.com/company/TandemDiabetes.

Tandem Diabetes Care is a trademark of Tandem Diabetes Care, Inc., registered in the U.S. and other countries. t:slim X2 is a trademark of Tandem Diabetes Care, Inc. Dexcom G5 Mobile is a trademark of Dexcom, Inc., registered in the U.S. and other countries. All other third-party marks are the property of their respective owners.

Tandem Diabetes Care Contact Information:

Media: Steve Sabicer, 714-907-6264, ssabicer@thesabicergroup.com

Investors: Susan Morrison, 858-366-6900 x7005, IR@tandemdiabetes.com

¹ Estimation since Aug 31, 2012 ,as of February 28, 2019, assuming 20-day battery life of disposable batteries when used in other insulin pumps. Data on file.

² Medical waste is incinerated, not recycled. 

San Diego, April 19, 2019 – Tandem Diabetes Care, Inc. (NASDAQ: TNDM), a leading insulin delivery and diabetes technology company, today announced its sponsorship of Beyond Type 1’s “Beyond Type Run,” an official charity partner of the 2019 TCS New York City Marathon.

“It is inspiring to see how people with diabetes can thrive, especially when they have the best diabetes management technology,” says John Sheridan, President and CEO of Tandem Diabetes Care. “Tandem Diabetes Care is proud to sponsor Beyond Type Run, and wishes all the runners well as they train for an exciting race day.”

Beyond Type Run has sent a team of athletes all living with type 1 diabetes to participate in the TCS New York City Marathon since 2017. As part of its sponsorship, Tandem will offer t:slim X2™ insulin pumps with Basal-IQ® technology for up to 30 marathoners with type 1 diabetes for use while training and during the race which takes participants through the five boroughs of Manhattan.

"Beyond Type 1 is thrilled to field our third and largest Beyond Type Run team for the TCS New York City Marathon, and is incredibly grateful for the support of Tandem Diabetes Care,” says Thom Scher, CEO of Beyond Type 1. “Insulin pump technology, like that developed by Tandem, supports athletes living with type 1 diabetes with tools to help them train for the big race and live beyond their diagnosis.”

The marathon takes place on November 3, 2019.
Applications to join the Beyond Type Run team are now being accepted.
For more information visit:  beyondtype1.org/2019-tcs-nyc-marathon  

Tandem Diabetes Care periodically provides sponsorships and grants for educational and empowerment programing in the diabetes community. Grants are awarded to qualified non-profit organizations with the mission to empower people with diabetes, and to assist local initiatives, events, and programing that support Tandem’s mission, its employees, and corporate citizenship.

About Beyond Type 1

Beyond Type 1 (www.beyondtype1.org) is a nonprofit organization changing what it means to live with diabetes. Through platforms, programs, resources, and grants, Beyond Type 1 is uniting the global diabetes community and providing solutions to improve lives today. Founded in 2015 with a focus on education, advocacy and the path to a cure for Type 1 diabetes, Beyond Type 1 has grown to also include programs for those with Type 2 diabetes. A new model of philanthropy, Beyond Type 1 aims to change what it means to live with chronic illness.

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care, Inc. (www.tandemdiabetes.com) is a medical device company dedicated to improving the lives of people with diabetes through relentless innovation and revolutionary customer experience.  The Company takes an innovative, user-centric approach to the design, development and commercialization of products for people with diabetes who use insulin. Tandem’s flagship product, the t:slim X2™ Insulin Pump, is capable of remote software updates using a personal computer and features integrated continuous glucose monitoring.  Tandem is based in San Diego, California.

Follow Tandem Diabetes Care on Twitter @tandemdiabetes, use #tslimX2 and $TNDM.

Follow Tandem Diabetes Care on Facebook at www.facebook.com/TandemDiabetes.

Follow Tandem Diabetes Care on LinkedIn at www.linkedin.com/company/TandemDiabetes.

Tandem Diabetes Care is a trademark of Tandem Diabetes Care, Inc., registered in the U.S. and other countries. t:slim X2 is a trademark of Tandem Diabetes Care, Inc.

Tandem Diabetes Care Contact Information:

Media: Steve Sabicer, 714-907-6264, ssabicer@thesabicergroup.com

San Diego, April 18 2019 – Tandem Diabetes Care, Inc. (NASDAQ: TNDM), a leading insulin delivery and diabetes technology company, today announced its sponsorship of BlueLoop, a care coordination resource for children with type 1 diabetes. BlueLoop, powered by the non-profit MyCareConnect Foundation, is a tool to help improve a family's ability to manage a child’s diabetes when the child is at school or away from home.

“At Tandem Diabetes Care, we understand the challenges of diabetes management, especially for families,” said John Sheridan, President and CEO at Tandem Diabetes Care. “We are proud to support the MyCareConnect Foundation, to help them bring BlueLoop, to more families impacted by diabetes who are working hard to help their children thrive at home and at school.”

“I created BlueLoop to help communicate with my school nurse after our daughter was diagnosed with type 1 diabetes 16 years ago at age six. Little did I know it would become a resource for thousands of families, schools and endocrinologists,” said Pam Henry, Founder of BlueLoop and the MyCareConnect Foundation. "Our foundation provides BlueLoop free of charge. Tandem’s sponsorship enables us to reach more families in need of better, more effective diabetes care coordination.”

BlueLoop® is an online and mobile solution for children with diabetes and their parents who worry. BlueLoop provides care coordination among caregivers, improving a child's and family's ability to manage diabetes, especially when the child is at school or away from home. BlueLoop uses instant notifications via email/text to keep caregivers – parents, nurses, teachers, etc. – informed. Caregivers can also put information like BGs, carbs, insulin, and notes into their child's account. BlueLoop also documents current dosages, and is an effective way to collaborate with your Endocrinologist. BlueLoop is available online and as a mobile app.

People can sign up for BlueLoop online at blueloop.mycareconnect.com, by phone at 302-4OurKids (302-468-7543), or by emailing support@mycareconnect.com.

Tandem Diabetes Care periodically provides sponsorships and grants for educational and empowerment programing in the diabetes community. Grants are awarded to qualified non-profit organizations with the mission to empower people with diabetes, and to assist local initiatives, events, and programing that support Tandem’s mission, its employees, and corporate citizenship. 

About MyCareConnect

A 501(c)3 based in Dallas, Texas, MyCareConnect’s mission is to support the physical and emotional well-being of children with diabetes, and those who care for them, by facilitating communication among home, school and clinic. blueloop.mycareconnect.com

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care, Inc. (www.tandemdiabetes.com) is a medical device company dedicated to improving the lives of people with diabetes through relentless innovation and revolutionary customer experience.  The Company takes an innovative, user-centric approach to the design, development and commercialization of products for people with diabetes who use insulin. Tandem’s flagship product, the t:slim X2™ Insulin Pump, is capable of remote software updates using a personal computer and features integrated continuous glucose monitoring.  Tandem is based in San Diego, California.

Follow Tandem Diabetes Care on Twitter @tandemdiabetes, use #tslimX2 and $TNDM.

Follow Tandem Diabetes Care on Facebook at www.facebook.com/TandemDiabetes.

Follow Tandem Diabetes Care on LinkedIn at www.linkedin.com/company/TandemDiabetes.

Tandem Diabetes Care is a registered trademark and t:slim X2 is a trademark of Tandem Diabetes Care, Inc.  All other third-party marks are the property of their respective owners.

Tandem Diabetes Care Contact Information:

Media: Steve Sabicer, 714-907-6264, ssabicer@thesabicergroup.com

Investors: Susan Morrison, 858-366-6900 x7005, IR@tandemdiabetes.com

# # #

In 2003, Pam and John Henry’s 6-year-old daughter, Sarah, was diagnosed with type 1 diabetes. Once the initial shock wore off, Pam’s maternal instincts took over. She needed a better way to stay on top of Sarah’s care. Since then, she founded  BlueLoop, a place for logging medical information, getting reminders, or keeping caregivers in the loop.

Q. What is the biggest change you’ve seen in yourselves since Sarah’s diagnosis? 
It’s been 16 years since Sarah’s diagnosis, so the gradual transition of responsibility from parent to child has been most significant, beginning with something as simple as finger poking with independence, all the way to where Sarah is today, learning the ins and outs of insurance, ordering supplies, and eventually paying for them herself. Sarah’s independence has reduced our stress, but to be honest, the stress never goes away completely.  There have been many stages to this process of her gaining independence.

Q.  How does diabetes affect your family’s daily life? 
When Sarah is at college, she’s six hours away, which means we don’t have much daily interaction about diabetes. Because she’s good at self-management, we only get a call if she needs someone to talk to, especially if she doesn't feel well, or needs help troubleshooting. The ability to "share" data through the Dexcom app lets us into her world during these times. I think occasionally sharing data helps her to know someone has her back. This is very different from the early years in her diagnosis, when we were very involved.

Q.  Why BlueLoop?
After Sarah’s diagnosis, our challenge was wanting to know what was going on when she was not under our direct supervision, especially at school. We also discovered some communication challenges with her school nurses. We created BlueLoop to solve those problems. It gave us an instant communication channel with Sarah, her teacher, and the school nurse. There are tons of examples of the benefits we experienced from BlueLoop. Most important was that we no longer greeted Sarah when she came home from school by asking what her blood glucose numbers were that day, what she ate for lunch, or when she last checked her blood glucose level. Because we received updates throughout the day, we greeted her at the door with, “How was school today? Did you have fun painting in art class?” etc. Getting back a little normalcy meant a lot to all of us.

Q.  Whom is BlueLoop for?
BlueLoop is ideal for newly diagnosed families, because it’s the only tool available from day one that logs activity and coordinates care among home, school, and clinic. It’s also helpful for parents of young children since the system sends instant notifications, providing much-needed peace of mind. With the recent release of our insulin dose calculator and built-in CGM adjustments, learning the elements of dosing insulin is safer and easier.

Q.  Does BlueLoop support pump users?
While many of our families are newly diagnosed and injecting insulin, we have pumpers who use BlueLoop for the back-and-forth communication between school and home. Sarah started pumping when she was in first grade. We liked the idea that she could administer insulin more independently with a pump. She was already checking her blood glucose levels and treating lows in the classroom. Now, with her pump, she could also administer insulin without going to the nurse’s office, because syringes weren’t part of the process.

During the transition to pumping, we depended on BlueLoop notifications to know how she was doing throughout the day. It’s all about peace of mind and the ability to get a more comprehensive view of what’s happening throughout the school day. We received information on her insulin dosing alongside how ketones were being handled, the tummy ache she shared with the nurse, or logistics around her diabetes for a field trip to the zoo next week. It’s all about enhancing the communication about all aspects of life with diabetes. 

Q.  When you meet a family with a newly diagnosed person, what is your advice to them? 
We’re fortunate to be in contact with families every day. Most are newly diagnosed, and we’re often the first non-medical people they’ve talked to about diabetes. First and foremost, they need to hear – from another parent – that their child is going to be okay. Parents need to also make sure their child knows they’ll be okay, especially since many will undoubtedly hit the internet and find misinformation. Also, many parents have false expectations that blood glucose levels will always be within range if they focus on a list of doctor’s orders. We talk to parents about the impact of their reactions around checking blood glucose levels and help parents understand that there are simply too many factors outside of their control to expect “perfection.” Our message is this: Treat blood glucose readings as merely data that tell you what to do next. Blood glucose readings should never be described as good or bad, and we encourage language like, “I’m so glad you checked your blood sugar. Now we know what we need to do next.” With our daughter’s permission, we like to share the story of how her blood glucose spiked every time she sat next to a cute boy in class. The moral of the story: Fluctuations are the norm. Any one blood glucose level is not a measure of how well you’re managing the disease; it’s an indication of what to do next – such as give insulin, treat hypoglycemia, or do nothing.

Q.  What’s next for you and BlueLoop? 
We did a lot of development last year, adding several insightful reports and a sick-day tool that all really help families. This year we’re focused on new ways of educating families on insulin pumps, CGMS and a host of other great resources.

Q.  How do people get involved?
People can sign up for BlueLoop through our website, blueloop.mycareconnect.com,or call us at (302) 468-7543 to sign up over the phone. Our foundation provides BlueLoop free of charge, and we’re available to families 24/7. Families can reach us via phone or support@mycareconnect.com to ask questions, get connected to resources, or simply talk parent to parent. Now, we can share important information with our families on several relevant diabetes topics through our mobile app as well as online.

Dexcom is either a registered trademark or trademark of Dexcom, Inc. in the U.S. and/or other countries. CM-000881_A

Quick Bolus Button

Tandem's Quick Bolus button can be programmed to enter either units of insulin (in 0.5, 1, 2 or 5-unit increments) or grams of carbohydrate (in 2, 5, 10, or 15 gram increments) without needing to look at the screen, or even take your pump out of your pocket. And with your choice of audible or vibrating confirmations, no one needs to know if you’re checking for your keys or bolusing for a snack.

"LITTLE BLACK DRESS" BOLUS

"I'LL JUST HAVE ONE" BOLUS

"AS LONG AS I'M HERE" BOLUS

"GOING TO FINISH THAT?" BOLUS

"YES, I'M STILL LISTENING" BOLUS

This video from our Tech Tip series

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

San Diego, April 11, 2019 – Tandem Diabetes Care, Inc. (NASDAQ: TNDM), a leading insulin delivery and diabetes technology company, today announced its sponsorship of the Beyond Type 1 Snail Mail Club. Percy, the official Snail Mail mascot, will begin using the t:slim X2™ insulin pump from Tandem Diabetes Care as part of the new partnership.

“Tandem Diabetes Care has always been impressed with the way Beyond Type 1 has supported people with diabetes, and their ongoing efforts to help people in the community connect with each other,” says John Sheridan, CEO of Tandem Diabetes Care. “We are excited to support this initiative, and we’re looking forward to hearing what Percy the Snail has to say about the t:slim X2 insulin pump.”

Beyond Type 1’s Snail Mail Club is a pen pal program for people with type 1 diabetes around the world. Currently in 50 different countries with nearly 7,500 participants from 1 to 80 years old, the program offers a global community of support for those living with type 1 diabetes.

“Beyond Type 1's Snail Mail Program brings the magic of the type 1 community offline, connecting kids and families in an entirely different way. The idea for a pen pal club came straight from the community, and has grown into a program that connects thousands across every continent except Antarctica,” says Thom Scher, CEO of Beyond Type 1. “With Tandem's partnership, the Snail Mail Club can continue to grow, to connect even more children and families, and to remain 100% free. And of course, Percy the Snail is excited to get a new t:slim X2 pump too." 

Snail Mail Club subscribers receive a starter kit with everything needed to send four letters (if in the U.S.) or postcards (if outside of the U.S.) to a new Snail Mail Club Pen Pal. Each club member receives an information sheet with a brief bio to help write the first letter.

For more information about the Snail Mail Club, visit www.beyondtype1.org/snail-mail-club

Tandem Diabetes Care periodically provides sponsorships and grants for educational and empowerment programing in the diabetes community. Grants are awarded to qualified non-profit organizations with the mission to empower people with diabetes, and to assist local initiatives, events, and programing that support Tandem’s mission, its employees, and corporate citizenship.

About Beyond Type 1

Beyond Type 1 is a nonprofit organization changing what it means to live with diabetes. Through platforms, programs, resources, and grants, Beyond Type 1 is uniting the global diabetes community and providing solutions to improve lives today. Founded in 2015 with a focus on education, advocacy and the path to a cure for Type 1 diabetes, Beyond Type 1 has grown to also include programs for those with Type 2 diabetes. A new model of philanthropy, Beyond Type 1 aims to change what it means to live with chronic illness.

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care, Inc. is a medical device company dedicated to improving the lives of people with diabetes through relentless innovation and revolutionary customer experience.  The Company takes an innovative, user-centric approach to the design, development and commercialization of products for people with diabetes who use insulin. Tandem’s flagship product, the t:slim X2™ insulin pump, is capable of remote software updates using a personal computer and features integrated continuous glucose monitoring.  Tandem is based in San Diego, California.

Follow Tandem Diabetes Care on Twitter @tandemdiabetes, use #tslimX2 and $TNDM.

Follow Tandem Diabetes Care on Facebook at www.facebook.com/TandemDiabetes.

Follow Tandem Diabetes Care on LinkedIn at www.linkedin.com/company/TandemDiabetes.

Tandem Diabetes Care is a trademark of Tandem Diabetes Care, Inc., registered in the U.S. and other countries. t:slim X2 is a trademark of Tandem Diabetes Care, Inc. All other third-party marks are the property of their respective owners.

Tandem Diabetes Care Contact Information:

Media: Steve Sabicer, 714-907-6264, ssabicer@thesabicergroup.com

Investors: Susan Morrison, 858-366-6900 x7005, IR@tandemdiabetes.com

By Ben Tzeel

It’s time for a vacation to somewhere exciting!

Or maybe you just have a work trip for a few days (hopefully there’s time to do something fun, too).

Maybe you’re flying to your next destination, or maybe you’re going on a road trip. No matter what, you are going to be thrown off your normal routine, which will require a little extra thought during the planning process to provide you with peace of mind around your diabetes

… and ensure the trip is as amazing as possible.

Without further ado, here are some things to consider for your next trip:

1. If you’re flying, prepare to assist TSA.

Your device is safe for use during air travel and complies with FAA wireless transmission standards. It is also designed to withstand common electromagnetic interference and can be safely carried through metal detectors.

Some TSA agents are more knowledgeable than others. You can help by knowing your pump’s needs. Before you go, be sure to review Tandem Diabetes Care’s screening recommendations and access their air-travel note that you can carry with you and share with the TSA or airport representative.

2. Have low snacks WITH you at your seat.

I can already hear it.

“Well, if my blood sugar goes low, the flight attendant can just get me some juice or some soda, and I’ll be fine.”

Sure, that could be the case, but what happens if your blood sugar goes low during takeoff or landing, when the flight attendants must be seated? Or if there is an extended period of turbulence, and they’re unable to get you a sugary beverage?

I’ve had a similar conversation with people who say, “I have a dollar on me. If I go low, I’ll find something at a vending machine.” When you get down to it, you can’t eat the dollar to help your blood sugar.

Have glucose tabs, a granola bar, regular soda, or SOMETHING that can raise your blood sugar at the very least, in the bag underneath your seat.

3. When flying or driving, consider a temporary basal rate.

Pop Quiz: What do a long flight and a day-long car ride have in common besides transporting you from one place to another?

If you answered, “Extended periods of inactivity” or “Lots of sitting,” you win!

Yes, unfortunately, on a plane or in a car, there’s not much of a chance to move.

When one moves less than normal, the body doesn’t respond in the nicest way. In fact, it tends to respond in the form of higher blood glucose.

This can also lead to dehydration. These two are more related than you may realize.

When you fall short on fluids, the blood glucose in circulation becomes more concentrated, and high blood sugar can cause you to urinate more, which results in even more dehydration.

Throw in the fact that if you are flying, the altitude and conditioned air also dehydrate you. It’s a vicious cycle, and not one you want to be part of.

This is where a temporary basal increase could pay HUGE dividends for helping maintain blood sugar in the target range.

Setting that temporary basal for the duration of your transportation may be a great start.

Tandem has a video that shows you how to do it.

The amount of insulin required depends on your unique needs. It’s important to talk to your healthcare provider to go over your travel plans.

4. Extended boluses may be your best friend at restaurants.

Eating is one of the many awesome things about traveling, especially when you travel to an area that is well known for its food (think: NYC, New Orleans, etc.).

If you visit a restaurant where the food is high in fat and carbs, you may experience stubborn high blood sugars hours after the fact.

Enter: The Extended Bolus feature. (That's an earlier blog I wrote about it.)

Is it easy to be perfect? No. Should you still make smart choices when eating away from home and try to stay on your nutrition plan? Of course.

Should you also enjoy the cuisine around you? Absolutely.

5. Try to squeeze in some form of exercise.

Exercise can help with your insulin sensitivity. If you are on an extended trip and do NOT exercise as much as you usually do, you may notice your blood sugars start to trend higher than you’d like.

The major keys here are going to be prioritizing and being creative when need be. It is SUPER easy to throw exercise to the wayside and just “relax,” but sticking to your usual routine as well as possible will pay off in the long run.

Staying at a hotel? It likely has some sort of gym with basic cardio equipment and weights.  Not staying at a hotel? Remember you can be active outside or do a body-weight workout.

There are ways around everything if you want it enough.

6. Pack 2-3 times the insulin pump supplies you think you’ll need. 

If you expect to do two site changes during your trip, bring enough supplies for six.

If you expect to do four site changes, bring enough supplies for 10.

This may seem excessive, but as we all know, the key to thriving with diabetes is to expect the unexpected.

If your site fails, falls off, or is ripped out by accident prior to your trip being completed, having double to triple the amount of supplies means you won’t have to worry about a transition to injections for a few days. You should always bring backup insulin just in case you get separated from your pump supplies.

“Well Ben, wouldn’t eight be a LOT of infusion sets to have when I only anticipate four site changes?”

Sure it is, but have you ever had a time where you’ve gone through three sets in a day due to fluky circumstances? It’s uncommon, but I have in my 16 years of being on a pump.

It is better to be over-prepared than under-prepared when you are away from home and away from your stash of supplies so you don’t find yourself calling the (amazing) Tandem support team in the middle of the night from a city halfway across the country because you don’t have enough sets to do a site change.

Oh, and Tandem offers a traveler loaner program for additional peace of mind. If you will be traveling to areas outside of the US (or Canada if you live there) or where you can’t easily receive shipments, you can take a second pump with you. For more information, give them a call at (877) 801-6901.

Implementing these tips and tricks should help your mind be at ease, keep you prepared, and have you ready to enjoy your next trip to the fullest!

More on the blog: Travel Easily with Tips from Kerri Sparling!

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.

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

On February 14, 2019, we announced that the t:slim X2™ insulin pump is the first toreceive approval in a new device category called alternate controller enabled infusion (ACE) pumps.

The FDA has now established special controls for ACE pumps; requirements for assuring the accuracy, reliability, cybersecurity and clinical relevance; as well as descriptions for the type of studies and data required to demonstrate acceptable pump performance. The recent ACE designation for the t:slim X2 pump states that it is capable of reliably and securely communicating with compatible external devices, and dosing software. We are very proud of this!

You may have heard people talk about iPumps … iPump was the assumed name for this category, but ACE pump is what the FDA ultimately named it. When the FDA named the interoperable CGM category “iCGM” last year, people began referring to the future interoperable pump category as “iPump.” ACE pump is the correct name of this new category.

What this REALLY means for our customers and the diabetes community:

This new designation does not represent a new product launch or any notable changes to the basic t:slim X2 insulin pump hardware. In-warranty t:slim X2 pump users will continue to have access to future software improvements and enhancements via remote software updates as they clear the necessary regulatory requirements.*

This new category of devices will make it easier for separate companies to integrate their products into advanced automated insulin delivery systems without having to resubmit each of the components and their associated clinical data every time. It’s a great move on the behalf of the FDA to make it easier for companies with leading-edge technologies to more quickly develop and deliver innovations for the diabetes community.

What this may mean for future uses:

It is too early for us to speculate on what this ACE designation means for future product development or integrations with non-Tandem-automated insulin delivery algorithms. We don’t currently have plans to make the t:slim X2 pump an open-platform device. At this time, our development resources are 100% dedicated to the products currently in late-stage development. Even with the new interoperable designation, integration with new algorithms would require some meaningful software development efforts and user interface adjustments. We will require that our business relationships allow us to provide Tandem pump users with adequate technical support and continue to meet regulatory reporting requirements for any integrated systems that include our technology. Because of this, we plan to be very purposeful and deliberate about how and when we partner on integrated system components to ensure our customers have the best possible experience.

The designation does not impact our current products in development. We have been working closely with the FDA on previous and ongoing submissions and have been incorporating their thoughts on interoperable device standards into our activities.

We have been getting a lot of questions about phone control for pumps, and what impact this new ACE pump designation could have for us on this front. Currently, no pumps on the market can be controlled by a smartphone, but it is high on the list of things all insulin pump companies would ultimately like to deliver. As you can imagine, given the variety of phones out there, the FDA has a number of security and safety questions that would have to be addressed before control of a pump using a smartphone could be approved. While the regulatory path has not yet been determined, it is of great interest to us and is something we are certainly looking into. This new ACE pump designation is a first step in that direction.

We believe this designation further establishes the role we have as a key innovator in the insulin pump industry, having launched the first touchscreen pump in the United States, the first pump capable of remote feature updates, the first pump approved as iCGM compatible, and now, the first in this new interoperable pump category.

Many thanks to everyone who is following this journey!

* A prescription and/or additional training may be required to access certain future software updates, and charges may apply. The determination regarding cost will be made individually for each software update.

In April 2018 we received CE Mark for our t:slim X2™ insulin pump and have announced distribution agreements for the following countries: Australia, Bahamas, Czech Republic, Denmark, Italy, New Zealand, Norway, South Africa, Spain, Sweden, and the United Kingdom.

Then in October 2018 we received a Heath Canada Medical Device License for the t:slim X2 insulin pump with Dexcom G5® Mobile CGM integration.

For Canadians looking to purchase a pump through private insurance, we are able to assist with insurance verification at this time for shipment to any province. We currently have approval for reimbursement from provincial health programs in Ontario, Manitoba, and Saskatchewan. Anyone interested in getting the process started can reach our Canadian team at 1-833-509-3598, then press option 2.

Canadian residents interested in staying up to date on our activities in Canada can sign up to receive updated information as it becomes available.

On our site you will find contact info for our distribution partners in the other countries; A.Import.CZ (Czech Republic), AMSL Diabetes (Australia), Air Liquide (United Kingdom), Ethitech (South Africa), Family Medicine Center (Bahamas), Movi Group (Italy), NZMS Diabetes (New Zealand), NovaLab (Spain), and Rubin Medial (Denmark, Norway, Sweden).

We encourage you to reach out to them directly, because they will be best able to share product updates for your country.

The image above features our first shipment outside the United States!

As I opened my eyes and got out of bed, I found it hard to navigate the room. The sun had not risen yet and my mind was a bit foggy waking up much earlier than normal. But it was no normal day waking up for work. On this special day, my wife and I were going snowboarding. We hadn’t been in a few years (you know how life can get hectic), and this would be my first time ever snowboarding with an insulin pump!¹

While I was very excited to get back into nature and experience the wonder of snow-covered mountains, there was still a part of me that was a little nervous. 

Let’s get back to waking up. In my pump's active Personal Profile I've programmed a higher basal rate a few hours before I wake up (this is different for everyone, consult your medical team to find what works best for you). This elevated basal rate takes care of my “dawn phenomenon” and allows me to wake up with perfect blood sugars almost every day, something that I never was able to master when I was on multiple daily injections. This effectively handled my dawn phenomenon and any additional adrenaline from preparing for the trip. I bolused for my breakfast in the car and had perfect blood sugars with the sun rising to the east, peaking over the grass covered hills.

We arrived at the mountain and it was time to gear up for snowboarding. Since the parking lot was already full when we arrived, we had to park in the overflow lot. This meant we had to haul all our gear half of a mile to get to the slopes. Basal-IQ® technology to the rescue! We started walking and I started slowly dropping, but the feature suspended insulin and kept me steady between 80 and 100! We hopped on the ski lift and took our first run.

Being the adrenaline seeking adventurer that I am, I wondered if going off jumps or grinding on rails would be hard on my infusion set. But, I was committed to going snowboarding, and decided I’d take it easy on the first few runs down the mountain to build up my confidence.

I am happy to report that I had full range of motion and my pump site was comfortable. 

I gave it a good test too. I was trying to show off in front of my wife and I crashed hard trying to do a trick. (I hadn’t been snowboarding in a few years, I was rusty, ok?) But, guess what...Still good! One run down and I knew I could jump right back in. We were off to a great start!

I had my pump in my pocket close to my skin and under layers. I kept my alarms and alerts on for safety and was mindful about how I was feeling. I made a decision for the day, and that decision was to enjoy every moment by trusting in my wearable diabetes technology. Even after bolusing for a big lunch I was able to jump right back out and tear up the freestyle park without having the fear of low blood sugars ruin a perfect day. It had just snowed a ridiculous amount and both my wife and I were in awe at what a wonderful day it had been in a winter wonderland. On our last run of the day, we took a moment to appreciate the snow covered forest, the sounds of nature, and the fresh air that had allowed us to escape the hecticness of life.

I never dropped below 83 mg/dl.² At the end of the day when I was looking at my CGM graph, I can say that without the Basal-IQ feature, I would have seen some lows with all of the exercise from snowboarding.

Diabetes never stops, and because of Basal-IQ technology, my adventure doesn't have to stop either.

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 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!

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. 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

Leigh Vosseller, chief financial officer and executive vice president at Tandem Diabetes Care, was recognized in the Medical Design & Outsourcing November 2018 Special Edition: Women in Medtech! It’s about time we featured this important person behind our pump. We caught up with her about her work. 

The people! I was incredibly excited to learn that there was an opportunity for me at Tandem to reconnect with the best and brightest colleagues from a former company. I knew the kind of culture those folks had built in the past and was excited to have the opportunity to be part of that team and that type of environment again. Even now that we have grown substantially since I began (~4X the number of employees), it’s awesome to see that the culture has remained the same. 

Then, the fun part: the update itself. 

Actual time to update the pump: roughly 10 minutes.

Total time spent updating knowledge and pump: 70 minutes.

Not too shabby for the newest technology, but still a chunk of time you need to set aside.

Testing out Basal-IQ technology

The first day, I felt my pump vibrate - I’d activated the optional suspend and resume alerts after doing the training. Since it was my first time, I opted to keep these alerts on in order to learn as much as I could about all of the feature's activities. And, the Out of Range alert would let me know of potential situations where Basal-IQ technology wouldn't suspend, like if connectivity to my CGM was lost. When I looked at my pump, I had a message on the screen saying insulin was suspended because the algorithm predicted my blood sugar could go low in the next 30 minutes.

I was 125 with a partial down arrow.

“This seems excessive,” I thought to myself. “I’m not low, and who’s to say I will be low later on?”

But my insulin resumed shortly after and my blood sugar stabilized at 95 mg/dL.

An hour after that, I was still sitting between 90 mg/dL and 97 mg/dL.

Without further ado, here are my main takeaways from this experience:

Top Four Takeaways:

• The prevention of nighttime lows was HUGE.

You may or may not experience a similar situation, but typically my blood sugar drops at nighttime while I’m asleep.

This could be due to the large amount of physical activity earlier in the day, or due to an over correction at night, or a million other possible reasons.

Some days, it settles around 80-90 mg/dL, and other days, it becomes a legitimate low.

Basal-IQ technology was able to prevent lows almost every single time.

Did the vibrations occasionally wake me up? Yes. (Remember I kept optional alerts on overnight so that I would know if my CGM connectivity was affecting Basal-IQ technology.)

Was it 100% worth it? Yes.

The alternative would be crashing, correcting, possibly overcorrecting, and then ending up with a higher blood sugar that could take a while to come down.

• Hyperglycemia concerns eased.

I often set temp basal rates prior to exercise, and occasionally I see a high blood sugar later, maybe the temp rate was off, or my insulin needs were higher than expected during the workout. I worried about this using Basal-IQ technology.

Hyperglycemia only happened to me three times while using the feature. There were a few instances where Basal-IQ technology suspended for 30-60 minutes, and I was a higher after. But, it was only a few times out of a possible 28 automated suspensions. And if I’d been low and eaten, I might have been even higher later than I was after the suspension.

• Bonus: I needed fewer calories to avoid and treat lows.

I’m a registered dietitian, so I think about food about 90% of the day. I also tend to treat lows rather conservatively. I will eat three glucose tabs and wait rather than ravage the fridge. However, with Basal-IQ technology reducing the incidence of hypoglycemic episodes, I was ingesting even fewer calories to correct these lows.

I’m on a well-designed nutrition plan and these calories add up. It’s annoying to have to add low snacks to my overall meal plan … and ultimately take away from other delicious foods I’d rather be eating.

For someone that overeats for lows, this could save hundreds of calories per week …

• It’s stupid easy to use.

Once it is set up and activated, you legitimately don’t need to touch the pump to keep the algorithm working for you in the background. The system takes care of itself, provided your Dexcom G6 CGM is working properly and can communicate with your pump.

Basal-IQ technology is an absolute GAMECHANGER for anyone on a t:slim X2 insulin pump willing to use CGM.

Responsible Use of Basal-IQ Technology

Basal-IQ technology is not a substitute for active diabetes management and does not prevent hypoglycemia in all scenarios. Basal-IQ technology 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. Always pay attention to your symptoms and blood glucose levels and treat according to your healthcare provider’s recommendations.

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. Diabetes Care. 2018;41(10):2155-2161.doi:10.2337/dc18-0771.

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.

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

We are excited to announce the highly anticipated day-by-day Therapy Timeline printed report, now available through the t:connect^® Diabetes Management Application.

When you print the Therapy Timeline report, it is automatically formatted in this weekly summary view, displaying useful pump, insulin, and glucose data in a clear and actionable form. No updates are required; simply log into t:connect^®

For questions about the t:connect^® Diabetes Management Application or this new report, contact your local Tandem representative or call our Customer Support team at (877) 801-6901.

The t:connect^® Diabetes Management Application is intended for use by individuals with diabetes mellitus who use Tandem Diabetes Care insulin pumps, their caregivers, and their healthcare providers in home and clinical settings. The t:connect^® Application supports diabetes management through the display and analysis of information downloaded from Tandem Diabetes Care insulin pumps and specified blood glucose meters.