New Insulin Pumps 2025: Comparison, Compatibility, and More

People living with diabetes who consume insulin know the pain of multiple injections every day. That’s where the automatic insulin delivery (AID) systems come in. These systems are available in tubed and tubeless pump types. While the tubed systems may not sound smart, in reality, even these tubed systems, such as the ILet Bionic Pancreas by Beta Bionics, offer a discreet look and smart features. This blog provides insights into the new insulin pumps along with a detailed comparison between some of the best AID pumps.

What Are Insulin Pumps?

Insulin pumps are small, wearable devices that deliver insulin continuously throughout the day. They replace multiple daily injections and help maintain better blood sugar control. For real-time glucose tracking, most pumps work in connection with Continuous Glucose Monitors (CGMs) devices, e.g., OmniPod 5 works with Dexcom G6, Dexcom G7, and now with Freestyle Libre 2 Plus as well.

Who Can Use Insulin Pumps

Primarily, people with type 1 diabetes, also known as insulin-dependent, benefit the most. But many with type 2 diabetes on intensive insulin therapy can also use pumps. Use in gestational diabetes is less common but sometimes recommended.

Important: Some of the insulin pumps offer auto-adjust technology, where your insulin pump will give you auto auto-bolus if your blood sugar goes high. This feature comes with different names in different insulin pumps and has limitations of use. For example, OmniPod 5 offers SmartAdjust technology with warns you not to use it for anyone under 2 years of age or for anyone who consumes less than 5 units of insulin a day.

Main Categories and Types of Insulin Pumps

Pumps are mainly split into two categories:

1. Tubed Insulin Pumps

• Deliver insulin via a thin tube connected to a cannula inserted under the skin.
• Usually larger, but allow for larger reservoirs.
• Suitability varies, as some tubed pumps may only be suitable for type 1, while others may be suitable for advanced type 2 diabetes as well.
• Examples: Medtronic MiniMed series, Tandem t: slim X2.

2. Tubeless (Patch) Insulin Pumps

• Stick directly to the skin, tubing-free.
• More discreet, easier for active lifestyles.
• Typically, smaller reservoirs.
• Primarily for type 1 diabetes, but increasingly available for type 2.
• Examples: Omnipod 5.

Unsure if you may qualify for an AID system?

Get a free eligibility check with CGM Monitors today and receive your diabetic supplies at your door with no delivery charges (within the USA).

Latest Insulin Pumps in the USA — Specification Table

Individuals living with diabetes and meeting the above criteria may be eligible to claim an automatic insulin delivery pump.

Important Usage Notes & Restrictions

• Medtronic SmartGuard: Not recommended for children under 7 years (FDA cleared age). Also not ideal for patients requiring very low insulin doses (<8 units/day) due to pump precision limits.
• Omnipod 5: FDA approved for kids as young as 2 years, offering flexibility in pediatrics.
• Tandem Control-IQ: A closed loop insulin pump cleared for ages 6 and up, with a robust hybrid closed loop system.
• Insulin pumps are generally not first-line for gestational diabetes but can be considered under endocrinologist’s supervision.

Did you know?
Freestyle Libre 3 Plus Sensor is the same size as Libre 3 and is compatible with some of the latest automatic insulin delivery systems as well.

An Insulin Pump About to Hit the US Market

TWIiST Insulin Pump

• Tubed pump developed for simplicity and flexibility.
• As shared by Medscape, the FDA has cleared Twiist for type 1 diabetics aged 6 and above.
• CGM compatibility and release date are still under review but are anticipated soon.
• May offer competitive insurance options.

Comparing the Latest Diabetes Technology

• Ilet Bionic Pancreas vs Omnipod 5: Ilet promises a more fully automated closed loop system versus Omnipod’s hybrid closed loop. Both use compatible CGMs but Ilet may offer more complete insulin-glucagon control.
• Ilet Bionic Pancreas vs Tandem Insulin Pump: Tandem’s Control-IQ is a proven hybrid closed loop system. Ilet aims to push the boundary further, potentially providing a fully autonomous closed loop insulin delivery system.
• Hybrid Closed Loop System & Closed Loop Insulin Delivery System: These terms refer to pumps that adjust insulin delivery automatically based on CGM readings. They reduce hypo- and hyperglycemia events, improving quality of life.

Did you know?

Libre Rio is the new CGM device with an anticipated release date in late 2025. Expected to integrate with pumps and offer cost-effective CGM monitoring.

Final Thoughts

Choosing the best insulin pump 2025 depends on your lifestyle, insulin needs, and insurance. Tubeless pumps like Omnipod 5 offer freedom; tubed pumps like Medtronic and Tandem provide larger reservoirs and advanced features. In terms of the latest diabetes technology, Twiist seems to be capturing the market with many users waiting eagerly for it to hit the market. Pumps with hybrid closed loop systems represent the latest diabetes technology for better control. Since the 780G has been approved for type 2 diabetics in the Europe, many individuals are wondering if type 2 diabetics can use 780G in the USA anytime soon – here is a link to the detailed report by Medtronic.

Frequently Asked Questions