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Tandem — Device Guide | Juicebox Podcast
Device Guide · Automated Insulin Delivery

Tandem

Two pumps, one algorithm. The t:slim X2 is the established touchscreen pump; Mobi is the smallest durable AID pump in the world, controlled entirely from your phone. Both run Control-IQ — and the newer Control-IQ+ technology now cleared for type 2 diabetes.

📱 t:slim X2 & Mobi · Control-IQ+ · Now Cleared for Type 2

Device specifications change frequently — always verify current information directly with the manufacturer before making any decisions. Full disclaimer.

Juicebox Podcast · Tandem Diabetes Care · tandemdiabetes.com
Apple Podcasts Spotify

New to Tandem? Start here.

What Is Tandem?

Two Pumps, One Algorithm

Tandem Diabetes Care makes two automated insulin delivery pumps that share the same underlying algorithm. The t:slim X2 is the established touchscreen pump — a rechargeable, slim device with an on-pump color touchscreen. Mobi is the newer pump: the smallest durable automated insulin delivery pump in the world, with no screen, controlled entirely from a smartphone app. Both run Tandem's Control-IQ technology, and the newer Control-IQ+ is now FDA-cleared for type 2 diabetes as well as type 1.

Which Pump?
On-pump touchscreen Rechargeable Control-IQ+ (T1D & T2D) Dexcom G6/G7, Libre 2 Plus/3 Plus Phone bolus (t:connect) 300-unit cartridge
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Touchscreen Pump

The t:slim X2 has an on-pump color touchscreen for bolusing and settings — the established Tandem experience. Slim, rechargeable, and updatable via software (Tandem pioneered remote software updates for pumps).

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Rechargeable Battery

No disposable batteries — the t:slim X2 charges via USB, typically topping up during daily routines. A few minutes of charging adds meaningful runtime.

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Control-IQ+

Runs Control-IQ+ technology — predictive automation adjusting basal and delivering automatic correction boluses. Now cleared for both type 1 and type 2 diabetes.

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CGM Options

Works with Dexcom G6, Dexcom G7, and FreeStyle Libre 2 Plus / Libre 3 Plus — giving patients meaningful CGM flexibility within an established AID system.

World's smallest durable AID pump Phone-controlled (no screen) Control-IQ+ technology Dexcom G6/G7, Libre 2 Plus/3 Plus On-pump button for quick bolus 200-unit cartridge
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Tiny & Durable

Mobi is the smallest durable AID pump in the world — small enough to tuck into a pocket, clip discreetly, or wear in a variety of ways. Durable (not disposable) with replaceable cartridges.

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Phone-Controlled

Mobi has no screen — it's controlled entirely from the Tandem Mobi app on your phone. Full bolusing, settings, and automation management happen from the app.

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On-Pump Quick Bolus

Despite having no screen, Mobi includes an on-pump button for delivering a quick bolus without the phone — useful when the phone isn't handy.

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Same Algorithm

Mobi runs the same Control-IQ+ automation as the t:slim X2 — so the therapy behavior is consistent across both Tandem pumps. The difference is form factor and control, not the algorithm.

Tandem's bet is that different people want different hardware for the same therapy. t:slim X2 for those who want an on-pump touchscreen; Mobi for those who want the smallest possible pump run from their phone — both driven by the same Control-IQ+ algorithm.

— Juicebox Podcast Tandem Guide
For Clinicians · Quick Reference

Tandem — Quick Clinical Summary

Two Pumps, One Algorithm

t:slim X2: touchscreen, rechargeable, 300-unit cartridge. Mobi: smallest durable AID pump, phone-controlled, 200-unit cartridge, on-pump quick-bolus button. Both run Control-IQ+.

Control-IQ+ (T1D & T2D)

Predictive basal adjustment plus automatic correction boluses. Control-IQ+ is now FDA-cleared for type 2 diabetes in addition to type 1 — a meaningful expansion of the eligible population.

CGM Compatibility

Dexcom G6/G7 and FreeStyle Libre 2 Plus / Libre 3 Plus. Confirm current cleared pairings and age indications for the specific pump and region before prescribing.

Settings Still Matter

Standard programmable settings (basal, ICR, ISF/correction factor, DIA, targets) drive Control-IQ+. Your tuning matters as with any programmable AID pump. Software updates delivered remotely via t:connect.

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Tandem Diabetes Care — Products t:slim X2 · Mobi · Control-IQ+ · tandemdiabetes.com

Sources

tandemdiabetes.com — Products (t:slim X2 & Mobi) tandemdiabetes.com — Tandem Mobi tandemdiabetes.com — Control-IQ+ Technology (T1D & T2D)
Getting the Most from It

Control-IQ+, Settings & Choosing Between Pumps

Because both Tandem pumps share Control-IQ+, the therapy behavior is consistent — the practical decision is about hardware and control style. Here's how the algorithm works and how to think about which pump fits.

t:slim X2 vs Mobi
Featuret:slim X2Mobi
ControlOn-pump touchscreen + phonePhone app (no screen) + quick-bolus button
SizeSlim touchscreen pumpWorld's smallest durable AID pump
Cartridge300 units200 units
AlgorithmControl-IQ+Control-IQ+
CGMDexcom G6/G7, Libre 2 Plus/3 PlusDexcom G6/G7, Libre 2 Plus/3 Plus
PowerRechargeable (USB)Rechargeable (charging tray)
Control-IQ+ uses CGM data to predict glucose ~30 minutes ahead and adjusts basal insulin delivery to keep glucose in range — increasing basal to head off highs, decreasing or stopping basal to prevent lows. It also delivers automatic correction boluses when it predicts glucose will exceed a threshold, targeting a set correction point. It uses your programmed settings (basal, ICR, correction factor, DIA) as its foundation, so those settings still matter. There are activity modes — Sleep and Exercise — that shift the algorithm's behavior for those states.
Sleep mode uses a tighter target range and does not deliver automatic correction boluses — designed for stable overnight control. Exercise mode raises the target to reduce insulin delivery and lower hypoglycemia risk during activity. Sleep can be scheduled automatically; Exercise is toggled manually around activity. Using these modes appropriately is one of the biggest levers a Tandem user has for dialing in their results.
Control-IQ+ technology received FDA clearance for use in type 2 diabetes, expanding automated insulin delivery to a much larger population that has historically had fewer AID options. The underlying approach — predictive basal adjustment and automatic corrections — is the same, applied to the needs of insulin-requiring type 2 patients. For clinicians, this opens AID as an option for appropriate T2D patients; confirm current indications and coverage.
Tandem pioneered remotely updatable pump software — meaning a pump a patient already owns can gain new features via a software update rather than requiring new hardware. This is how many t:slim X2 users moved from Basal-IQ to Control-IQ and then to Control-IQ+. It's a meaningful long-term ownership benefit: the pump can improve over its lifespan. Update availability depends on the pump model and region.
For Clinicians · Choosing & Optimizing

Fitting the Pump to the Patient

When t:slim X2 Fits

Patients who want an on-pump touchscreen and the ability to operate the pump fully without a phone. Larger 300-unit cartridge suits higher-TDD patients. Established, familiar Tandem experience.

When Mobi Fits

Patients who prioritize discretion and the smallest possible pump, and are comfortable managing therapy from a phone. On-pump quick-bolus button covers phone-free moments. Smaller 200-unit cartridge.

Settings Optimization

Control-IQ+ leans on good foundational settings. Review basal, ICR, correction factor, and DIA. Reinforce correct use of Sleep and Exercise modes — misuse or non-use is a common reason results underperform expectations.

CGM & Data

Confirm CGM pairing (Dexcom or Libre) and data-sharing setup (t:connect). Consistent CGM data quality directly affects algorithm performance. Verify current age indications and cleared pairings before prescribing.

Sources

tandemdiabetes.com — Tandem Mobi tandemdiabetes.com — t:slim X2 tandemdiabetes.com — Control-IQ+ Technology
Deep Dive

The Algorithm, the Evidence & the Full Picture

Tandem's Control-IQ has one of the deeper clinical evidence bases among commercial AID systems, and the platform's remote-update model and dual-pump strategy make it distinctive. Here's the fuller picture for clinicians and power users.

Control-IQ was studied in the pivotal DCLP3 randomized controlled trial (Brown et al., New England Journal of Medicine, 2019), which showed increased time in range versus sensor-augmented pump therapy in people with type 1 diabetes, with benefits seen across the day and particularly overnight, and without increased hypoglycemia. A pediatric trial (Breton et al., NEJM 2020) showed similar benefits in children ages 6–13. This body of evidence helped establish predictive-basal-plus-automatic-correction as an effective AID approach. Control-IQ+ builds on this lineage; confirm the most current evidence and indications with the manufacturer.
Rather than replacing the t:slim X2, Tandem positioned Mobi alongside it — same Control-IQ+ algorithm, different hardware. This lets patients choose based on form factor and control preference without changing the underlying therapy. t:slim X2 offers an on-pump touchscreen and larger cartridge; Mobi offers the smallest durable pump with phone-first control. For a practice, this means Tandem can fit a broader range of patient preferences with a consistent algorithm and data platform, simplifying training and support across both devices.
Tandem's pumps support both Dexcom (G6, G7) and FreeStyle Libre (2 Plus, 3 Plus) CGMs, which is meaningful for patients whose insurance favors one platform or who have a strong sensor preference. This cross-platform support is relatively uncommon among AID systems and gives Tandem flexibility that can matter for access. Always confirm the exact cleared CGM pairings and age indications for the specific pump and region, since interoperable clearances expand over time.
The FDA clearance of Control-IQ+ for type 2 diabetes is part of a broader movement to bring automated insulin delivery to the much larger insulin-requiring T2D population, which has historically had fewer AID options than T1D. For appropriate insulin-using T2D patients, this opens access to predictive automation and automatic corrections. As with any expansion, confirm current indications, eligibility, and payer coverage, and set expectations based on the individual patient's regimen and needs.
  • Which pump (t:slim X2 or Mobi) fits the patient's control preference and cartridge/TDD needs.
  • Current cleared CGM pairings (Dexcom vs Libre) and age indications for that pump and region.
  • Indication (T1D vs T2D) and coverage for Control-IQ+ in the patient's situation.
  • Software update path and t:connect data-sharing setup for clinic review.
For Clinicians · Full Reference

Tandem — Complete Clinical Summary

t:slim X2

Touchscreen, rechargeable, 300-unit cartridge. Full on-pump operation plus phone bolus via t:connect. Remotely updatable software. Runs Control-IQ+.

Mobi

World's smallest durable AID pump. Phone-controlled (no screen), on-pump quick-bolus button, 200-unit cartridge, charging tray. Runs Control-IQ+.

Control-IQ+ Algorithm

Predictive basal adjustment (~30-min horizon) plus automatic correction boluses. Sleep and Exercise activity modes. Cleared for T1D and T2D. Uses standard programmable settings.

CGM Compatibility

Dexcom G6/G7 and FreeStyle Libre 2 Plus / Libre 3 Plus. Confirm current cleared pairings and age indications per pump and region.

Evidence Lineage

Control-IQ pivotal RCTs (DCLP3, Brown et al. NEJM 2019; pediatric Breton et al. NEJM 2020) showed TIR gains vs SAP without increased hypoglycemia. Control-IQ+ builds on this lineage.

Data & Updates

t:connect app and web for data review. Tandem pioneered remote pump software updates — pumps can gain features over their lifespan. Availability varies by model/region.

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Tandem Diabetes Care — Products (Official) t:slim X2 · Mobi · Control-IQ+ · tandemdiabetes.com
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Control-IQ+ Technology (T1D & T2D) How the algorithm works · indications · tandemdiabetes.com

Sources

tandemdiabetes.com — Products (t:slim X2 & Mobi) tandemdiabetes.com — Tandem Mobi tandemdiabetes.com — Control-IQ+ Technology (T1D & T2D) Brown et al., NEJM 2019 — DCLP3: Control-IQ Pivotal Trial (T1D) Breton et al., NEJM 2020 — Control-IQ in Children Ages 6–13
⚠️ This content is for educational purposes only and is not medical advice. Information on this page is drawn from Tandem Diabetes Care published product information (tandemdiabetes.com) and peer-reviewed clinical literature (including the DCLP3 pivotal trial, Brown et al., New England Journal of Medicine, 2019). Device capabilities, software features, CGM compatibility, indications, and coverage change frequently — always verify current details with the manufacturer and your prescriber. Always consult your healthcare provider before making changes to your diabetes management. Full disclaimer.

Juicebox Podcast · juiceboxpodcast.com · Research compiled from Tandem product documentation and published clinical literature.

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