Tempo Pen
Tandem t:slim X2
Summary
The Tempo system enhances management with multiple daily injections because it tracks data in real-time and offers personalized dosing recommendations. This system combines the Dexcom G6/G7 CGM with smart insulin pens for more time in range.
The Tandem t:slim X2 is rechargeable, has a touch screen, and can be updated on a home computer.
*Control IQ+ Technology now available for ages 2+
Components
Receiver
Smart button and sensor readings displays dosage information directly on smart mobile device.
Controller
Smart button records daily injections and sends them to the compatible app.
Sensor
Sensor uses a thin, flexible filament inserted just under the skin to measure glucose levels every 5 minutes. Push-button applicator allows sensor to be placed on the body in one step.
Controller
Compatible smartphone can be used to view and control insulin delivery using the t:connect app.
Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body.
Cartridge
Tubed insulin pumps contain a plastic reservoir that is manually filled with insulin and locked into the pump.
Pump
Touch screen pump connects tubing to a small patch called an infusion set that attaches to the body.
Device Details
Overview
Discreet and modern option for people using multiple daily injections.
Smallest tubed pump. Modern interface resembles a smartphone but tubing may be visible.
Affordability and Access
$$$$
Sometimes covered. Tempo is covered by some commercial insurance companies; typically, users pay $35 out-of-pocket copays for the eight-month device. Prices range from $35- $165. For those without any insurance coverage, the button's full price is $165.
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies and pump provided by DME. Price range; $0-$4000 to start and $0-$300/Month.
Data Monitoring Options
Yes
Data can be easily shared with a healthcare provider through the SMART Visit Report.
Yes
Tandem t:slim mobile app wirelessly uploads cloud-based Tandem Source web application delivering access to recent patient data.
Data View Options
Yes
Dose-related data can be viewed on the TempoSmart mobile app.
Yes
Data is viewed on the pump's main screen and/or on a smartphone with the Tandem t:slim mobile app (available for both iOS and Android devices).
Duration and Storage
8-month button 10-day sensor
Sensor lasts for 10 days, pen button lasts for up to 8 months. Sensors can be stored between 36°F - 86°F, and pens can be kept at room temperature.
3 Days
Pump can be worn for up to 72 hours and works between 40°F - 99°F
Vision / Auditory / Dexterity
NO text to speech
NO vibration alerts
A LOT of dexterity needed
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Light on body. Pens are easy to use and do not remain attached to the body, senor is light on the body.
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
Avoiding Highs and Lows
Limited customizability. System integrates the Dexcom G6/G7 CGM for high or low alerts but requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Comfort
Many components. Have to carry pens and pen needles. CGM is attached to the body.
Smallest tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from.
Easy Insulin Dosing
Dosing recommendations. Displays personalized mealtime dosing recommendations.
Customizable dosing. Bolus calculator available to help figure out doses. Offers smallest increments of basal insulin delivery. Basal in 0.001 increments, bolus in 0.01 increments.
Easy to Use
Simple design. Replaces regular insulin pen. No additional devices to add on.
Rechargeable. Pump has a touch screen display and rechargeable battery.
Fewer Fingersticks
Factory-calibrated sensor. Finger sticks needed for backup only.
Frequent finger-sticks are required.
Privacy
Hideable. Pens are portable but visible when in use. Frequent injections are unavoidable. View recommendations and data on a smartphone.
Discreet. Smallest tubed pump with visible tubing. Ability to bolus directly on a compatible smartphone. Can be clipped to clothing or placed in a pocket to be discreet when needed. Touchscreen of pump looks like normal tech device.