<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001238913</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001438133</issuerCik>
      <issuerName>TANDEM DIABETES CARE INC</issuerName>
      <secFileNumber>001-36189</secFileNumber>
      <issuerAddress>
        <com:street1>12400 HIGH BLUFF DRIVE</com:street1>
        <com:city>San Diego</com:city>
        <com:stateOrCountry>CA</com:stateOrCountry>
        <com:zipCode>92130</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>858-366-6900</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>BLICKENSTAFF KIM D</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Board of Directors, Chair Emeritus</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Cowen Execution Servioces, LLC</name>
        <address>
          <com:street1>1633 Broadway 48th Floor</com:street1>
          <com:city>New York</com:city>
          <com:stateOrCountry>NY</com:stateOrCountry>
          <com:zipCode>10019</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>30000</noOfUnitsSold>
      <aggregateMarketValue>900000.00</aggregateMarketValue>
      <noOfUnitsOutstanding>159577</noOfUnitsOutstanding>
      <approxSaleDate>11/21/2024</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>08/18/2020</acquiredDate>
      <natureOfAcquisitionTransaction>Purchase</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Tandem Diabetes Care Inc</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>7020</amountOfSecuritiesAcquired>
      <paymentDate>08/18/2020</paymentDate>
      <natureOfPayment>cash</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>05/17/2022</acquiredDate>
      <natureOfAcquisitionTransaction>Purchase</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Tandem Diabetes Care, Inc</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>2800</amountOfSecuritiesAcquired>
      <paymentDate>05/17/2022</paymentDate>
      <natureOfPayment>cash</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>11/10/2020</acquiredDate>
      <natureOfAcquisitionTransaction>Purchase</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Tandem Diabetes Care Inc</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>6048</amountOfSecuritiesAcquired>
      <paymentDate>11/10/2020</paymentDate>
      <natureOfPayment>cash</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>08/11/2020</acquiredDate>
      <natureOfAcquisitionTransaction>Purchase</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Tandem Diabetes Care, Inc</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>14132</amountOfSecuritiesAcquired>
      <paymentDate>08/11/2020</paymentDate>
      <natureOfPayment>cash</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Kim Blickenstaff</name>
        <address>
          <com:street1>12400 High Bluff Drive</com:street1>
          <com:city>San Diego</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>92130-3077</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>common</securitiesClassTitle>
      <saleDate>11/20/2024</saleDate>
      <amountOfSecuritiesSold>10000</amountOfSecuritiesSold>
      <grossProceeds>300000.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>11/21/2024</noticeDate>
      <signature>/S/ Kim D Blickenstaff</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
