New smart insulin pump could simplify diabetes management

NCT ID NCT06853990

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This completed trial tested a new automated insulin delivery system called twiist in 307 adults with insulin-treated type 2 diabetes. The system combines an insulin pump, a continuous glucose monitor, and a smart algorithm to automatically adjust insulin. The main goal was to see if it improves blood sugar control (HbA1c) compared to the participants' usual insulin therapy.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

twiist insulin delivery system (insulin pump, CGM sensor, and algorithm)

What this could lead to

If it works, this could offer a more convenient and effective way to manage blood sugar for people with type 2 diabetes who need insulin.

What could go wrong

This is a single-arm trial without a comparison group, so results may not be definitive. The device may not work for everyone or could have technical issues.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

type 2 diabetes mellitus

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Boston Medical Center

    Boston, Massachusetts, 02118, United States

  • Diabetes & Endocrine Treatment Specialists

    Sandy City, Utah, 84093, United States

  • Emory University

    Atlanta, Georgia, 30303, United States

  • Endeavor Health

    Skokie, Illinois, 60077, United States

  • Endocrine Research Solutions, Inc

    Roswell, Georgia, 30076, United States

  • Henry Ford Health

    Detroit, Michigan, 48202, United States

  • Hoag Memorial Hospital Presbyterian

    Newport Beach, California, 92663, United States

  • IU Health University Hospital

    Indianapolis, Indiana, 46202, United States

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029, United States

  • International Diabetes Center - Health Partners Institute

    Minneapolis, Minnesota, 55416, United States

  • Iowa Diabetes & Endocrinology Research Center

    West Des Moines, Iowa, 50265, United States

  • Joslin Diabetes Center

    Boston, Massachusetts, 02215, United States

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114, United States

  • Mayo Clinic

    Rochester, Minnesota, 55905, United States

  • Naomi Berrie Diabetes Center

    New York, New York, 10032, United States

  • Oregon Health & Science University

    Portland, Oregon, 97239, United States

  • Rocky Mountain Clinical Research, LLC

    Idaho Falls, Idaho, 83404, United States

  • SUNY Upstate Medical University

    Syracuse, New York, 13210, United States

  • Sansum Diabetes Research Institute

    Santa Barbara, California, 93111, United States

  • Scripps Whittier Diabetes Institute

    La Jolla, California, 92037, United States

  • Texas Diabetes & Endocrinology, P.A.

    Austin, Texas, 78731, United States

  • The Ohio State University

    Columbus, Ohio, 43210, United States

  • University Diabetes & Endocrine Consultants

    Chattanooga, Tennessee, 37411, United States

  • University of Colorado

    Aurora, Colorado, 80045, United States

  • University of Maryland

    Baltimore, Maryland, 21201, United States

  • University of Miami

    Miami, Florida, 33146, United States

  • University of Michigan

    Ann Arbor, Michigan, 48109, United States

  • University of North Carolina

    Chapel Hill, North Carolina, 27599, United States

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104, United States

  • University of Washington

    Seattle, Washington, 98109, United States