What's an insulin pump?

An insulin pump is a small device that delivers a continuous supply of insulin into the body. The insulin flows from the pump through a plastic tube (cannula) that is inserted into the body and taped in place. Insulin is delivered at two rates: a low, steady rate (called basal rate) for continuous daylong coverage, and extra boosts of insulin (called bolus doses) to cover meals or when extra insulin is needed. The body is getting insulin a lot more like it would if the pancreas was working. The pump runs on batteries and can be worn clipped to a belt or carried in a pocket.

To pump or not to pump...
As with everything, there are pros and cons about using an insulin pump if you have Type 1. On the plus side being on an insulin pump offers more flexibility‹sleeping in, more eating options, staying up late. Being on the insulin pump means no daily shots, you insert the cannula only every two or three days. You feel better most of the time, which means you have fewer complications from your diabetes in the long run.

On the other hand, being on the insulin pump means responsibility. You need to be on top of taking care of your diabetes. You have to test regularly--at least four times a day. You have to know what your diabetes is doing and how you are feeling. Not only do you need to know how to program your pump, you have to be able to tell if there¹s something wrong ‹batteries dead, cannula has a kink, you have an infection or get disconnected from the tubing. Also, pumps are gadgets and can be broken if not treated properly.

Talk it over with your parent(s) and your diabetes team. They'll help you decide if the insulin pump is right for you.