# Starting twiist pump on Medicare **URL:** \ **Category:** Insurance\ **Created:** [April 17, 2026, 6:21pm UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996 "2026-04-17T18:21:24Z")\ **Posts on this page:** 7\ **Page:** 3
**Author:** ![TomH](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/tomh/32/9063_2.png) [@TomH](https://forum.fudiabetes.org/u/TomH)\ **Post date:** [July 29, 2026, 11:58am UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996/41 "2026-07-29T11:58:59Z")
@John58 As you have the Eversense installed and have experience with the O5, have you considered trying the Loop DIY AID? I believe the Eversense is now available to all Loop users and know the O5 is supported with dev version. Just a thought, you know what works best for you… ---
**Author:** ![John58](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/john58/32/147_2.png) [@John58](https://forum.fudiabetes.org/u/John58)\ **Post date:** [July 29, 2026, 4:56pm UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996/42 "2026-07-29T16:56:23Z")
@TomH Loop DIY is probably a good next step. Right now I’m trying to get everything nailed down for some travel, returning late September. Trying to start DIY Loop now would be cutting it too close. I’ll be most confident on the trip using the Omnipod 5 with the factory software. Before I start DIY Loop I’d like to see a comparison of Tidepool loop (used on the twiist) to the DIY. There were a few features on Tidepool loop that were confusing. ---
**Author:** ![jbowler](https://avatars.discourse-cdn.com/v4/letter/j/e274bd/32.png) [@jbowler](https://forum.fudiabetes.org/u/jbowler)\ **Post date:** [July 29, 2026, 10:26pm UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996/43 "2026-07-29T22:26:55Z")
> [@John58](#): > > It’s my understanding the Tidepool loop software resides and runs on the iphone. It’s possible that I am mistaken though. That’s the principle but for twiist it is in the pump, so the pump does not need the mobile to control it. Likewise for the O5; the 'pod contains an algo which makes decisions about insulin dosage based on the “iCGM” input. In both cases the “iCGM” connects directly to the pump. The TidePool model separates out three parts: > **[Automated insulin dosing | Tidepool](https://www.tidepool.org/automated-insulin-dosing)** > > Automating insulin — Continuous innovation for people with diabetes. With automated insulin dosing, we intend to demonstrate Tidepool's commitment to connectivity, convenience, and continuous improvement. The AI is the “iAGC”; here’s the official definition from the elected government of the US people: > **[Federal Register :: Request Access](https://www.ecfr.gov/current/title-21/chapter-I/subchapter-H/part-862/subpart-B/section-862.1356)** Individuals have access to the link I posted above, despite the Robot Preview. ---
**Author:** ![John58](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/john58/32/147_2.png) [@John58](https://forum.fudiabetes.org/u/John58)\ **Post date:** [August 9, 2026, 7:05pm UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996/44 "2026-08-09T19:05:05Z")
> [@TomH](#): > > have the Eversense installed and have experience with the O5 As it turns out, I could not tolerate my brief foray back to the Omnipod 5. After a terrible few days on one pod I started back on twiist pump using the replacement pump sent to me by Sequel. The Tidepool loop software on the twiist is far ahead of the Omnipod 5 algorithm, especially dealing with two things the Om5 never did well for me: correcting a post meal high BG with a soft landing and creating a smooth transition to flatline overnight while sleeping. So far all is well with the replacement pump. I’m planning to use the twiist pump /Eversense CGM combo on my upcoming trip, carrying 10 pods and two Dexcom sensors as partial backup if the twiist goes kaput, also a months worth of Lantus and excess vials of Novolog as manual backup in case circumstances require MDI. ---
**Author:** ![Terry](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/terry/32/12077_2.png) [@Terry](https://forum.fudiabetes.org/u/Terry)\ **Post date:** [August 9, 2026, 7:24pm UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996/45 "2026-08-09T19:24:00Z")
Good luck on your trip, @John58! ---
**Author:** ![TomH](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/tomh/32/9063_2.png) [@TomH](https://forum.fudiabetes.org/u/TomH)\ **Post date:** [August 11, 2026, 2:14am UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996/46 "2026-08-11T02:14:54Z")
@John58 Sorry you had the issues, but glad you found what works well for you, particularly with your trip. Planning supplies for a long trip brings a whole new perspective to the saying, “May you live in interesting times!’ Hope your planning pays off! ---
**Author:** ![John58](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/john58/32/147_2.png) [@John58](https://forum.fudiabetes.org/u/John58)\ **Post date:** [September 7, 2026, 5:52pm UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996/47 "2026-09-07T17:52:59Z")
Time to check in from Stockholm… the Eversense 365 has been flawless and the twiist pump has been almost flawless. I put them both through their paces with a bike trip around Denmark (surprisingly hilly, should have rented the e-bike) for 2 weeks and now visiting with family in Sweden for a while. The only problem I have had was when I attempted infusion sites on my thighs, resulting in multiple site failures and intolerable high BG for a few days…but other than those few days the selected d-tech has worked well. The odd aspect of this is my first few weeks on twiist pump were mostly using thighs as infusion sites and all was well. Since then I have not had a successful infusion site on a thigh despite numerous attempts. Oh well, we live and (eventually) learn. [Previous page](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996.md?page=2)