Pediatric Candidates for Insulin Pump Therapy

  • Children and families who are interested in pump use and willing and able to understand and use the technology.
  • Children/Teens with elevated A1c on injection therapy.
  • Children/Teens with recurrent, severe hypoglycemic episodes.
  • Wide fluctuations in glucose levels, regardless of A1c.
  • Children and teens whose current treatment is not compatible with lifestyle needs.
  • Presence of microvascular complications (such as eye, nerve or kidney disease) and/or risk factors for these complications.
  • May be of benefit in specific populations: athletes, very young children, patients with pronounced dawn effect, patients with pronounced needle phobia, ketosis-prone patients.

The Appropriate Candidate/Caregiver will demonstrate the Following:

  • Reasonable expectations of pump therapy including that is requires as much time if not more as injections.
  • Motivation to achieve improved blood sugar control.
  • Checks blood sugar a minimum of four times daily (but optimally 6+ times per day).
  • Competency with carbohydrate counting.
  • Good working knowledge of basic diabetes education- including how to test and treat hypoglycemia, how to follow-up hyperglycemia, sick day guidelines and when to call the provider.
  • Interest in technology and willingness to undergo pump training.
  • Willingness to wear a pager sized device on their person attached via tubing at all times (with the exception of one company that offers a tubeless system but requires wearing the reservoir "pod" at all times).
  • The manual dexterity (or family member with) to insert insulin pump sites and press buttons on the pump.
  • The visual acuity to properly insert pump sites and read pump screen.
  • Expectations of frequent follow-up with diabetes provider(s).
  • Does not have current untreated anxiety, depression or other cognitive issues that may interfere with ability to appropriate manage insulin pump therapy.
  • An insulin pump is NOT the answer for patients who demonstrate limited diabetes education and/or poor self- management or for patients who expect the pump to "take over" diabetes care.