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?

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?

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:

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.

Managing diabetes effectively requires keeping blood sugar levels stable, and for many people, this means taking insulin. While traditional insulin injections work, they require careful timing and frequent adjustments. Insulin pumps provide an easier, more precise way to deliver insulin automatically throughout the day. If you’re new to insulin pumps, this guide will walk you through what they are, how they work, and how to choose the right one for your needs.


Understanding Insulin Delivery

People with Type 1 diabetes and some with Type 2 diabetes require insulin to manage their blood sugar. Traditionally, this involves multiple daily injections (MDI) using insulin pens or syringes. While effective, injections can be inconvenient and require precise timing to match your body’s needs.

An insulin pump offers an alternative by delivering insulin continuously through a small tube or patch, reducing the need for frequent injections and making it easier to keep blood sugar levels steady.

An insulin pump is a small, battery-powered device worn on the body that delivers insulin in two ways:

  1. Basal insulin – A steady, small amount of insulin is delivered throughout the day to maintain stable blood sugar levels.
  2. Bolus insulin – A larger dose of insulin is given before meals or to correct high blood sugar levels.

Most pumps are programmed to mimic the way a healthy pancreas releases insulin, adjusting doses based on your body’s needs. Some pumps work with Continuous Glucose Monitors (CGMs) to automate insulin delivery, reducing the need for constant monitoring.


How Does an Insulin Pump Work?

An insulin pump is made up of three main components:

Pumps can be programmed to provide different levels of insulin at various times of the day and can also deliver additional doses when needed for meals or high blood sugar correction.


Benefits of Using an Insulin Pump

Switching to an insulin pump can provide many advantages, including:


Who Should Use an Insulin Pump?

An insulin pump can be beneficial for:

If you’re unsure whether an insulin pump is right for you, talk to your doctor or diabetes care team.


How to Get an Insulin Pump

At Appy Medical, we specialize in helping people with diabetes access the latest insulin pump technology with ease. Our team works directly with healthcare providers and insurance companies to ensure you get the right device for your needs.

  1. Consult with Your Doctor – Your healthcare provider will assess whether an insulin pump is right for you and provide a prescription.
  2. Verify Insurance Coverage – Our team at Appy Medical will handle the paperwork, working with your insurance provider to determine coverage options and reduce out-of-pocket costs.
  3. Choose the Best Pump for You – We’ll guide you through the available options, helping you select a device that fits your lifestyle and needs.
  4. Get Your Pump Delivered – Once approved, we’ll ship your pump directly to you with clear setup instructions.
  5. Ongoing Support – Our specialists are available to provide training, troubleshooting, and continuous support to ensure you get the most out of your device.

With Appy Medical, getting an insulin pump is simple, fast, and stress-free.


Types of Insulin Pumps: Which One is Right for You?

Not all insulin pumps are the same. Below are some of the most popular options available today:

Tandem t:slim X2

Tandem’s t:slim X2 is a hybrid closed-loop pump that works with Dexcom CGMs to automatically adjust insulin delivery. It features Control-IQ technology, which predicts glucose levels and makes small insulin adjustments to help prevent highs and lows.

Best for: People who want customizable settings with automated adjustments for better blood sugar control.

Beta Bionics iLet

The iLet insulin pump from Beta Bionics takes a fully automated approach, requiring minimal input from the user. Unlike traditional pumps, it does not require carb counting or manual boluses. Instead, it learns from your insulin needs and adapts over time.

Best for: Those who want a hands-off approach to insulin therapy with no carb counting or complex settings.

An insulin pump can make managing diabetes easier and more precise, reducing the burden of daily injections and providing better blood sugar control. Whether you choose the Tandem t:slim X2 for its smart automation or the Beta Bionics iLet for its hands-off approach, an insulin pump can be a game-changer in diabetes care.

If you’re interested in switching to an insulin pump, talk to your healthcare provider or contact Appy Medical today to explore your options.

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.

Diabetes Management Devices: CGMs & Insulin Pumps

Diabetes technology has come a long way, providing advanced tools that help people manage their blood sugar levels more effectively and with greater ease. If you’re new to Continuous Glucose Monitors (CGMs) or insulin pumps, this guide will introduce you to these life-changing devices, explaining what they do, how they work, and how they can improve your diabetes management


Continuous Glucose Monitors (CGMs)

What is a Continuous Glucose Monitor (CGM)?

A CGM is a small wearable device that tracks blood sugar levels continuously throughout the day and night. Unlike traditional fingerstick tests that provide a single blood sugar reading, CGMs show real-time trends and patterns, allowing you to take action before levels become too high or too low.

CGMs use a tiny sensor inserted under the skin to measure glucose levels in the interstitial fluid. The data is sent to a receiver or smartphone, giving users an up-to-date picture of their blood sugar without the need for frequent fingersticks. Some CGMs also feature alarms that alert users when their glucose levels are dangerously high or low, helping prevent emergencies.

Dexcom CGMs

Dexcom CGMs provide continuous glucose monitoring with real-time updates and integration with insulin pumps. These devices are widely used and trusted for their accuracy, ease of use, and seamless data sharing with healthcare providers and loved ones.

Dexcom G7

Abbott FreeStyle Libre CGMs

The FreeStyle Libre line focuses on simplicity and convenience. These CGMs offer an easy-to-use system that provides comprehensive glucose data with minimal user intervention.

FreeStyle Libre 3 & 3 Plus


Insulin Pumps

What is an Insulin Pump?

An insulin pump is a small, wearable device that delivers insulin automatically to help keep blood sugar levels stable. Unlike injections, insulin pumps can deliver small, steady amounts of insulin throughout the day and allow for larger doses at mealtimes, making diabetes management more convenient.

Insulin pumps typically include a small infusion set that attaches to the skin and delivers insulin through a thin tube. Some advanced pumps work alongside CGMs to adjust insulin delivery automatically based on glucose readings, reducing the need for constant manual adjustments.

Tandem Insulin Pumps

Tandem’s t:slim X2 insulin pump is designed for users who want advanced insulin control with automated adjustments. This pump features Control-IQ technology, which works with CGMs to adjust insulin delivery automatically, helping to maintain stable blood sugar levels with less effort.

Tandem t:slim X2

Beta Bionics Insulin Pumps

The Beta Bionics iLet takes a completely automated approach to insulin delivery. Unlike traditional pumps, it does not require carb counting or manual bolus adjustments. Instead, users enter their weight, and the system learns and adapts over time.

Beta Bionics iLet


Which Device is Right for You?

Choosing the right diabetes technology depends on your lifestyle, medical needs, and personal preferences.

For personalized recommendations, consult with your healthcare provider to determine the best device for your lifestyle and diabetes management needs.


Getting Started with a CGM or Insulin Pump

Transitioning to a CGM or insulin pump can feel overwhelming, but you’re not alone. Many users find that these devices offer more freedom, flexibility, and better blood sugar control than traditional management methods.

What to Expect

If you’re ready to explore your options, call so that we can help you. The right device can make diabetes management easier, safer, and more personalized for your needs. Disclaimer: Device availability, features, and insurance coverage may change over time. Please consult the official websites of Dexcom, Abbott FreeStyle Libre, Tandem Diabetes Care, and Beta Bionics, or speak with a healthcare professional for the most up-to-date information.