Key Takeaways International Expansion Supports Mix: International markets remain less penetrated than the United States and provide room for adoption as Tandem expands direct commercialization. In second-quarter 2026, international sales rose 7% year over year to $75.3 million and pump shipments increased 19% to about 11,000. Direct-channel sales reached about 13% of international revenues compared with 4% a year earlier, despite roughly $3 million of distributor inventory buybacks and destocking tied to ma ...