diff --git a/homeassistant/components/twitch/__init__.py b/homeassistant/components/twitch/__init__.py
index 5882b1da74d..60c9dcabb36 100644
--- a/homeassistant/components/twitch/__init__.py
+++ b/homeassistant/components/twitch/__init__.py
@@ -17,7 +17,7 @@ from homeassistant.helpers.config_entry_oauth2_flow import (
     async_get_config_entry_implementation,
 )
 
-from .const import DOMAIN, OAUTH_SCOPES, PLATFORMS
+from .const import CLIENT, DOMAIN, OAUTH_SCOPES, PLATFORMS, SESSION
 
 
 async def async_setup_entry(hass: HomeAssistant, entry: ConfigEntry) -> bool:
@@ -46,7 +46,10 @@ async def async_setup_entry(hass: HomeAssistant, entry: ConfigEntry) -> bool:
     client.auto_refresh_auth = False
     await client.set_user_authentication(access_token, scope=OAUTH_SCOPES)
 
-    hass.data.setdefault(DOMAIN, {})[entry.entry_id] = client
+    hass.data.setdefault(DOMAIN, {})[entry.entry_id] = {
+        CLIENT: client,
+        SESSION: session,
+    }
 
     await hass.config_entries.async_forward_entry_setups(entry, PLATFORMS)
 
diff --git a/homeassistant/components/twitch/const.py b/homeassistant/components/twitch/const.py
index fc7c2f73487..b46bf8113b4 100644
--- a/homeassistant/components/twitch/const.py
+++ b/homeassistant/components/twitch/const.py
@@ -17,5 +17,7 @@ CONF_REFRESH_TOKEN = "refresh_token"
 
 DOMAIN = "twitch"
 CONF_CHANNELS = "channels"
+CLIENT = "client"
+SESSION = "session"
 
 OAUTH_SCOPES = [AuthScope.USER_READ_SUBSCRIPTIONS, AuthScope.USER_READ_FOLLOWS]
diff --git a/homeassistant/components/twitch/sensor.py b/homeassistant/components/twitch/sensor.py
index 9a936981f24..1107513080a 100644
--- a/homeassistant/components/twitch/sensor.py
+++ b/homeassistant/components/twitch/sensor.py
@@ -20,12 +20,13 @@ from homeassistant.components.sensor import PLATFORM_SCHEMA, SensorEntity
 from homeassistant.config_entries import SOURCE_IMPORT, ConfigEntry
 from homeassistant.const import CONF_CLIENT_ID, CONF_CLIENT_SECRET, CONF_TOKEN
 from homeassistant.core import HomeAssistant
+from homeassistant.helpers.config_entry_oauth2_flow import OAuth2Session
 import homeassistant.helpers.config_validation as cv
 from homeassistant.helpers.entity_platform import AddEntitiesCallback
 from homeassistant.helpers.issue_registry import IssueSeverity, async_create_issue
 from homeassistant.helpers.typing import ConfigType, DiscoveryInfoType
 
-from .const import CONF_CHANNELS, DOMAIN, LOGGER, OAUTH_SCOPES
+from .const import CLIENT, CONF_CHANNELS, DOMAIN, LOGGER, OAUTH_SCOPES, SESSION
 
 PLATFORM_SCHEMA = PLATFORM_SCHEMA.extend(
     {
@@ -50,6 +51,8 @@ ATTR_VIEWS = "views"
 STATE_OFFLINE = "offline"
 STATE_STREAMING = "streaming"
 
+PARALLEL_UPDATES = 1
+
 
 def chunk_list(lst: list, chunk_size: int) -> list[list]:
     """Split a list into chunks of chunk_size."""
@@ -96,7 +99,8 @@ async def async_setup_entry(
     async_add_entities: AddEntitiesCallback,
 ) -> None:
     """Initialize entries."""
-    client = hass.data[DOMAIN][entry.entry_id]
+    client = hass.data[DOMAIN][entry.entry_id][CLIENT]
+    session = hass.data[DOMAIN][entry.entry_id][SESSION]
 
     channels = entry.options[CONF_CHANNELS]
 
@@ -106,7 +110,7 @@ async def async_setup_entry(
     for chunk in chunk_list(channels, 100):
         entities.extend(
             [
-                TwitchSensor(channel, client)
+                TwitchSensor(channel, session, client)
                 async for channel in client.get_users(logins=chunk)
             ]
         )
@@ -119,8 +123,11 @@ class TwitchSensor(SensorEntity):
 
     _attr_translation_key = "channel"
 
-    def __init__(self, channel: TwitchUser, client: Twitch) -> None:
+    def __init__(
+        self, channel: TwitchUser, session: OAuth2Session, client: Twitch
+    ) -> None:
         """Initialize the sensor."""
+        self._session = session
         self._client = client
         self._channel = channel
         self._enable_user_auth = client.has_required_auth(AuthType.USER, OAUTH_SCOPES)
@@ -129,9 +136,17 @@ class TwitchSensor(SensorEntity):
 
     async def async_update(self) -> None:
         """Update device state."""
-        followers = (await self._client.get_channel_followers(self._channel.id)).total
+        await self._session.async_ensure_token_valid()
+        await self._client.set_user_authentication(
+            self._session.token["access_token"],
+            OAUTH_SCOPES,
+            self._session.token["refresh_token"],
+            False,
+        )
+        followers = await self._client.get_channel_followers(self._channel.id)
+
         self._attr_extra_state_attributes = {
-            ATTR_FOLLOWING: followers,
+            ATTR_FOLLOWING: followers.total,
             ATTR_VIEWS: self._channel.view_count,
         }
         if self._enable_user_auth:
@@ -165,7 +180,7 @@ class TwitchSensor(SensorEntity):
             self._attr_extra_state_attributes[ATTR_SUBSCRIPTION] = True
             self._attr_extra_state_attributes[ATTR_SUBSCRIPTION_GIFTED] = sub.is_gift
         except TwitchResourceNotFound:
-            LOGGER.debug("User is not subscribed")
+            LOGGER.debug("User is not subscribed to %s", self._channel.display_name)
         except TwitchAPIException as exc:
             LOGGER.error("Error response on check_user_subscription: %s", exc)
 
diff --git a/tests/components/twitch/__init__.py b/tests/components/twitch/__init__.py
index ba49390ebdf..3fa7d96337e 100644
--- a/tests/components/twitch/__init__.py
+++ b/tests/components/twitch/__init__.py
@@ -153,6 +153,7 @@ class TwitchMock:
         self,
         token: str,
         scope: list[AuthScope],
+        refresh_token: str | None = None,
         validate: bool = True,
     ) -> None:
         """Set user authentication."""