Insulin pumps in children and adolescents

Insulin infusion pumps, or continuous subcutaneous insulin infusion, have been an increasingly popular choice of management for type 1 diabetes in children and adolescents. Real advantages and manageable risks make this method a good option in selected patients and families. Prepump education and preparation are important. Basal and bolus functions of the pump allow flexible and individualized therapy. Adaptations for sports, holidays, and other schedule variations can be handled sensibly. Certain special situations, such as pregnancy, surgery, and sick days are well handled with pump therapy.