In-Depth Tandem X2 Insulin Pump Review and Resources
Discover the Unique Advantages & Possible Limitations of the Tandem X2

Considering the Tandem X2 Insulin Pump?
The Tandem X2 is a feature-rich insulin pump known for its sleek design, touchscreen interface, and compatibility with advanced technology like Control-IQ and Basal-IQ. It’s designed to help reduce highs and lows while giving users more confidence and flexibility in daily management. Like any device, it comes with notable advantages as well as potential limitations. In this guide, we’ll explore both so you can determine if the Tandem X2 is the best fit for your diabetes care.
Advantages
Advantages of The Tandem X2
- Algorithm performance based on user settings – customizable
- Bright, full-color touchscreen
- Compatible with iPhone for remote viewing and bolus delivery
- Rapid number entry/fastest bolus entry
- Compatible with Dexcom G6 or G7 and Libre2+
- Charges; No disposable batteries
- Can calculate boluses up to 50 units
- Site-change reminder w/customizable day & time
- Graphic on-screen history display
- Temp basal up to 250%, 72 hrs
- IOB & time remaining displayed on home screen
- Missed bolus reminders customizable by day of the week
- Alert for high temperatures
- Secondary “profiles” for unique basal and bolus dosing
- Limited unintended insulin movement with changes in pump position/cabin pressure
Disadvantages
Potential Disadvantages of Tandem X2:
- Small buttons can be difficult to activate; screen goes blank if buttons missed 3x
- Unlock procedure required to perform any programming
- No attached clip (must put in a case that has a clip)
- Tubing connector looks “medical,”
- Extra confirmation steps with all programming
- Weak vibrate mechanism
- No meter link
- Requires charging 1-2x/week
- Lengthy and user error-prone cartridge and tubing fill process.
- Has more occlusion issues with Fiasp Insulin than other pumps
Who is a good fit for the Tandem X2 ?
Tandem X2 is good for these users:
- Tandem’s Control IQ is great for those who have variable basal needs day to day (varying activity levels, wide hormonal swings, steroid or BG altering medication use) As it allows for multiple profiles to change basal and correction factors while still in automated mode
- Users who lean on extended bolus use as it is the only FDA-approved Hybrid Closed Loop system
- Users who prefer to have an empowered and active hand in their diabetes management
- Users with a need to know their insulin on board
Tandem X2 is NOT good for these users:
- Users with vision deficits may need additional workarounds to use a fully touch screen-based system
More Tandem Mobi Resources
For more information on the Tandem X2 check out what our clinicians have shared:
- My Personal Review of Tandem Diabetes’ Control IQ (CIQ) hybrid closed loop system, by Alicia Downs, RN, MSN, CDCES, BC-ADM – IDS Director of Patient Care and Education
Control IQ basics, by IDS Director of Patient Care and Education, Alicia Downs
Control IQ Optimization, by IDS Director of Patient Care and Education, Alicia Downs
Strategies to apply for people using Tandem’s Control IQ during exercise, by IDS Director of Patient Care and Education, Alicia Downs
Insight on Tandem’s Control IQ Update – Including tips, tricks, and user experience info, by IDS Director of Patient Care and Education, Alicia Downs
Your Partner in DIABETES COACHING
Ready to take your child’s Diabetes care to the next level? Schedule a talk with our team. We offer remote Diabetes Management, or if you’re looking for an in-person diabetes educator near Philadelphia, visit our office in Wynnewood, PA.