How to Pick an Insulin Pump
Insulin pumps are designed to make diabetes management easier and more automated than ever before. Many pumps can now adjust insulin delivery automatically based on continuous glucose monitor (CGM) readings. This is often called automated insulin delivery (AID).
The best pump for you depends on a few key things: whether you want tubing or not, how comfortable you are with technology, what CGM you use and how your insurance covers pump supplies. Below is a clear, easy-to-understand look at the top insulin pump options available in 2026.
Omnipod — Best for Tubeless Convenience
1. Omnipod 5 (AID, tubeless)
Omnipod 5 is one of the most popular insulin pumps because it is completely tubeless. The pump comes as a small pod that sticks directly to your skin and delivers insulin automatically. It works with Dexcom CGMs and can adjust insulin levels throughout the day and night.
This option is best for people who don’t want tubing, live an active lifestyle or want something discreet under clothing. It's usually covered through pharmacy insurance rather than medical equipment coverage. This often means lower upfront costs and predictable monthly copays, especially for Medicare users.
2. Omnipod DASH
Omnipod DASH is also tubeless, but it does not automatically adjust insulin. You control all dosing yourself using a handheld device. It's best for people who want a tubeless pump but prefer full manual control.
3. Omnipod GO
The Omnipod GO is designed for people with type 2 diabetes who mainly need steady background insulin rather than full pump features.
Tandem — Best for Screen and App Control
1. Tandem t:slim X2 with Control-IQ
The t:slim X2 is a tubed insulin pump with a touchscreen. It uses Control-IQ technology to automatically adjust insulin using CGM data. This option is best for people who are comfortable with tubing and want a proven automated system with a clear screen and strong customer support.
2. Tandem Mobi
The Tandem Mobi is much smaller than traditional pumps and is designed to be controlled mainly through a smartphone app. It holds less insulin than the t:slim X2 but is very lightweight. It's best for people who want a small pump and prefer using their phone to manage insulin delivery.
Costs vary based on insurance, but many users pay far less than the full retail price once coverage is applied.
Medtronic MiniMed 780G — Best for Medtronic Users
The Medtronic MiniMed 780G is a tubed insulin pump with automated insulin delivery using Medtronic’s own CGM system. It's a good option for people who already use Medtronic products or want an all-in-one system from a single company.
Pricing depends heavily on insurance, and Medtronic often offers upgrade programs for existing users.
Beta Bionics iLet — Best for Simplicity
The Beta Bionics iLet Bionic Pancreas is designed to reduce daily decision-making. It requires very little setup and minimizes carb counting. It's a great option for people who feel overwhelmed by diabetes math or want a simpler approach with fewer manual adjustments.
Sequel twiist — Best for Newer Technology Options
The Sequel Med Tech twiist pump is a newer insulin pump system designed to work with modern CGMs and automated insulin software. People who are interested in newer pump technology and future-focused features may enjoy this option.
Understanding the Cost of Insulin Pumps
Without insurance, insulin pumps can be expensive. The pump itself may cost several thousand dollars, and supplies add ongoing costs. With insurance, however, most people pay significantly less.
Tubeless pumps usually have monthly supply costs, and tubed pumps often have a higher upfront device cost plus ongoing supplies.
Always check both your pharmacy and medical insurance benefits to see what's covered.
Quick Matching Guide: Which Pump Fits Which Needs?
- No tubing and automatic insulin = Omnipod 5
- No tubing, manual control = Omnipod DASH
- Touchscreen and proven automation = Tandem t:slim X2
- Small pump with phone control = Tandem Mobi
- All-in-one Medtronic system = MiniMed 780G
- Simplest setup with less math = iLet
If you're not sure what type of insulin pump to get, discuss your options with your healthcare provider. They will be able to help you find the best match for your individual needs.
Keep reading to learn how to better manage diabetes with your diet.