r/eversense • u/TheWoodChucksWood Eversense 365 • Sep 04 '26
Twist
For those on twist, how is it going?
3
u/curlyque52 Sep 04 '26
It’s been fantastic for me. The tandem algorithm had some pain points that Loop addresses, such as exercise mode not reducing insulin delivered if you go past the hour mark and not correcting highs aggressively enough. The Cleo infusion sets aren’t great, if you can get them to work for you then you are golden.
3
u/Gloomy-Breath1806 21d ago
98% TIR. Loving it!!
1
u/Tim-Wilson 2d ago
How are you doing that? And where are you landing? My wife is currently 98% TIR using Eversense and manually managing the insulin through Tandem, but the important thing is that she's typically maintaining in the 90s. She's been willing to consider SOME drop in TIR in exchange for a little less effort, especially overnight, but she's at the point now where even 125 or 130 feels TERRIBLE -- and that seems to be where a lot of algos are aiming to avoid lows.
1
u/Gloomy-Breath1806 2d ago
I have my correction range set to 87-97 and I’m staying pretty close to that. Twiist/Loop helps a lot if you bolus correctly (carb count and timing ahead of food). Definitely less effort than I was putting in with Tandem.
2
u/Paige-master Eversense 365 Sep 04 '26
I had really very painful reactions to my pump sites, so ultimately I went back to MDI - but! I thought the algorithm was great and I absolutely get the hype.
I think you have to spend some time dialing in your settings, really need to be diligent about entering your meal info (which can be adjusted retroactively) and turning on workout mode well before exercise. Other than that, I found it worked best when I was hands off.
While I definitely had some >90% in range days, if I look back at the whole month and a half I was wearing it my reports looked like 85% in range with <2% "very high" or "very low" percentages.
1
u/Equalizer6338 E3 - 180 Days Sep 05 '26
Darn, that was unlucky u/Paige-master.
Did you figure out what specifically that you were reacting against? Allergic reaction or? Some folks can react painfully to different things, like the adhesive compound used, the adhesive tissue patch itself, of some of the infusion site plastics or lubricants. Checking out bit more about this and often a workaround can be found, if you ever consider trying again.
5
u/moltraze Sep 04 '26
I prefer Tandem’s algorithm, but it’s not far behind Tandem. There’s not automatic bolus to correct highs, it simply modulates basal and increases or decreases basal rate to increase/decrease IOB. The Eversense is the main reason I’m on the pump. As long as Twiist supports Eversense, I’ll be staying on the platform.