I sat down with diabetes technology expert, and pharmacist, Diana Isaacs to compare every AID pump currently available in the Unites States. We dive into how each system works, who it's best suited for, and the features that truly set them apart; from Omnipod 5's tubeless form factor and Sequel's twiist DIY roots to Tandem's Control-IQ+ algorithm, the screenless MiniMed Flex, and the ease of Beta Bionics iLet. We discuss real-world pros and cons and explain what matters most when deciding on your next pump. Whether you're switching systems or considering your first pump, this conversation can help you better understand your options.

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Reviews & Resources: Omnipod 5, twiist, Tandem Mobi, Tandem tslim X2, MiniMed Flex, Beta Bionics iLet, Omnipod Recycle Program 

DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Gary Scheiner, CDCES, and I break down why carb counting is one of the trickiest parts of managing type 1 diabetes, and why getting it "close enough" is often more realistic than getting it perfect. We dive into how fat, protein, fiber, and alcohol each affect blood sugar differently, plus why insulin timing matters just as much as the dose. Gary shares practical estimation strategies like the hand and fist method, carb factors, and using AI tools and apps to get quick, accurate counts on the go. We also cover common "kryptonite foods" that trip people up and how to use CGM and pump data to fine-tune your ratios over time.

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Integrated Diabetes - work with Gary and his team

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Carb Counting Quiz

SNAQ App

DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

ADA 2026 Scientific Sessions brought a wave of exciting diabetes technology announcements, and Endo Dr. David Ahn and I dig into all of it in a live recording of the podcast! From a hands-on look at the new MiniMed Flex to updates from Tandem, Omnipod, twiist, and the open-source community, our discussion explores how these innovations could shape the future of diabetes care. We also dive into Abbott’s new dual glucose-ketone sensor, whether or not ketone monitoring is necessary, and the real-world impact these advancements could have for people living with type 1 and type 2 diabetes.

Following the live event, we hosted an All Access member ask me anything-style Q+A! We answered even more questions about reactions the open source excitement, reactions to MiniMed's new pumps, and our initial thoughts on Dexcom G8.

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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*30-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Commercial airline pilot John Roth shares how his diagnosis grounded him in 2015 and forced him to step away from the cockpit. Through years of advocacy, legal challenges, and advances in diabetes technology, John helped pave the way for pilots with type 1 diabetes to regain their right to fly. The conversation explores the emotional toll of losing a passion, the role CGMs played in changing FAA policy, and the strict medical requirements pilots with diabetes must meet today.

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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*30-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

I sat down with MiniMed's CTO to explore the new app-controlled pump, the MiniMed Flex and walk through its redesigned app ecosystem. We also discussed the next-generation Vivera algorithm, designed to reduce or potentially eliminate the need for meal boluses while improving time in range for users. And in a surprise reveal, MiniMed gave us an early look at the upcoming tubeless patch pump called "MiniMed Fit", sharing details about its design, reusable components, charging system, and development timeline.

Learn about Omnipod 5 (sponsor)*

Learn about the Eversense 365 CGM

Join: Diabetech Newsletter (free) | Diabetech All Access

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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Katie Beth Hand, patient 9 in the Eledon trial, received an islet cell transplant in January 2026. She is now living a "functionally cured" life, but every 21 days she requires a transfusion of an immunosuppressant called Tegoprubart which stops her body from attacking the newly implanted islet cells. In this conversation, we get into how the trial works, what it feels like to stop taking insulin after years of type 1 diabetes, and the complicated emotions that come with this new normal.

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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Dexcom has heard the community's concerns around sensor accuracy, connectivity, adhesive performance, and transparency. In this episode, I sit down with Dexcom CEO Jacob Leach and CTO Peter Simpson to discuss how the company is addressing those concerns, improving the Dexcom G7, and working to rebuild trust with users. We also get an exclusive look at the future of Dexcom, including enhanced algorithms, improved reliability, the upcoming Dexcom G8, and advancements in continuous glucose monitoring like multi-analyte sensing and potassium tracking.

Learn about Omnipod 5 (today's sponsor)*

Learn about the Eversense 365 CGM

T1D Exchange Registry Sign up  (US residents only)

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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

Sending a child to school with type 1 diabetes should be easier in 2026. In this episode I break down why it remains one of the most stressful parts of managing the disease. I sit down with Dr. Taylor Inman, a physician and parent of a child with type 1 diabetes, to unpack the major gaps in school-based diabetes care despite widespread use of CGMs and insulin pumps. We explore how outdated policies, lack of training, and limited support systems are forcing families into constant crisis mode, sometimes even pushing parents out of the workforce. We also dive into her national survey data, revealing how common these challenges are across the U.S. and what needs to change.

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Dr. Taylor Inman's Survey

DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

We break down why exercise can be one of the most challenging parts of living with type 1 diabetes. We dive into how different types of workouts affect blood sugar, how to prevent highs and lows during exercise, and how to use insulin pumps, CGMs, and diabetes technology more effectively while staying active. Gary shares practical strategies for adjusting insulin, timing carbs, using exercise mode, and preparing for cardio, weightlifting, endurance training, and sports. We also talk about the fear of hypoglycemia during workouts, why blood sugars can spike or crash unexpectedly, and how to build more confidence and consistency with exercise and diabetes management.

Learn about the Eversense 365 CGM

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Integrated Diabetes - work with Gary and his team

Send in YOUR questions about  Hypoglycemia

T1D Exchange Registry

Gary's Exercise Handout

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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

We break down why exercise can be one of the most challenging parts of living with type 1 diabetes. We dive into how different types of workouts affect blood sugar, how to prevent highs and lows during exercise, and how to use insulin pumps, CGMs, and diabetes technology more effectively while staying active. Gary shares practical strategies for adjusting insulin, timing carbs, using exercise mode, and preparing for cardio, weightlifting, endurance training, and sports. We also talk about the fear of hypoglycemia during workouts, why blood sugars can spike or crash unexpectedly, and how to build more confidence and consistency with exercise and diabetes management.

Learn about the Eversense 365 CGM

Learn about Omnipod 5 (today's sponsor)*

Integrated Diabetes - work with Gary and his team

Send in YOUR questions about  Hypoglycemia

T1D Exchange Registry

Gary's Exercise Handout

Join the Diabetech Newsletter

Follow Diabetech: Instagram | Tik Tok | YouTube | Facebook | Threads

DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care. 

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.