What Insulin Pump is Best?

Table of Contents

Tandem t:slim X2 vs. Beta Bionics iLet: Choosing the Right Insulin Pump

For individuals managing diabetes, selecting the right insulin pump is a critical decision. Two of the most advanced insulin pumps on the market today are the Tandem t:slim X2 and the Beta Bionics iLet. Both offer innovative features designed to improve blood sugar management, reduce user burden, and integrate with continuous glucose monitoring (CGM) systems. This guide will help you compare these two devices, so you can make an informed choice based on your lifestyle and medical needs.

Key Comparisons: Tandem t:slim X2 vs. Beta Bionics iLet

CategoryTandem t:slim X2Beta Bionics iLet
Insulin DeliveryHybrid closed-loop system with Control-IQ technologyFully automated insulin dosing with no manual settings required
CGM CompatibilityWorks with Dexcom G6 and G7Works with Dexcom G6 (G7 integration pending)
User Input NeededRequires user carb input for meal bolusesDoes not require carb counting; learns from user’s insulin needs over time
Size & DesignSlim, touchscreen interfaceSimple interface with minimal settings
CustomizationAllows basal rate adjustments, bolus control, and user-set targetsAdaptive learning system without manual customizations
FDA ApprovalApproved for ages 6+Approved for ages 6+ for insulin-only therapy, 11+ for dual-hormone use (insulin + glucagon in future)
Battery LifeRechargeable battery via micro-USBRechargeable battery via USB-C

Tandem t:slim X2: Features & Benefits

The Tandem t:slim X2 is one of the most advanced insulin pumps available today, featuring Control-IQ technology, an FDA-approved automated insulin delivery (AID) system. This hybrid closed-loop system adjusts basal insulin delivery based on CGM readings and offers automatic bolus corrections for high blood sugar levels.

Why Choose the Tandem t:slim X2?

  • Works with Dexcom G6 and G7 for accurate, real-time glucose readings.
  • Control-IQ technology predicts glucose trends and adjusts insulin accordingly.
  • Customizable settings allow for manual boluses and basal rate adjustments.
  • Touchscreen design makes navigation user-friendly.
  • Proven track record with years of data supporting its effectiveness.

Best for: Users who want control over their insulin settings while benefiting from automated adjustments.


Beta Bionics iLet: Features & Benefits

The Beta Bionics iLet is designed to simplify diabetes management by using an adaptive, fully automated insulin delivery system. Unlike traditional pumps, it does not require carb counting, basal rate adjustments, or correction boluses—users simply enter their weight, and the system learns and adjusts over time.

Why Choose the Beta Bionics iLet?

  • No carb counting or complex settings; the system learns from user patterns.
  • Fully automated insulin adjustments, reducing daily decision-making.
  • Simple interface designed for ease of use.
  • Future-ready for dual-hormone therapy (insulin + glucagon pending FDA approval).
  • Ideal for users who prefer a “hands-off” approach to insulin management.

Best for: Users who want an ultra-simple, automated insulin delivery system without manual intervention.


Which Insulin Pump is Right for You?

Both the Tandem t:slim X2 and the Beta Bionics iLet offer significant benefits, but they cater to different user preferences:

  • Choose the Tandem t:slim X2 if you want more control, customizable settings, and proven technology with a hybrid closed-loop system.
  • Choose the Beta Bionics iLet if you want a completely automated experience with minimal input and no need for carb counting.

For the best choice, consult with your healthcare provider to determine which insulin pump aligns with your lifestyle, comfort level, and diabetes management needs.


Technology has significantly improved insulin delivery, making diabetes management easier than ever. Whether you prefer the control and customization of the Tandem t:slim X2 or the simplicity and automation of the Beta Bionics iLet, both systems are excellent options for better glucose management. Medicare and private insurance may cover these devices, so be sure to check your eligibility and benefits before making a decision.

Disclaimer: Device availability, features, and insurance coverage may change over time. Please consult the official websites of Tandem Diabetes Care and Beta Bionics, or speak with a healthcare professional for the most up-to-date information.

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