Type 1 diabetes insulin pump
An insulin pump is an alternative to injections for some people with type 1 diabetes. It can help control the level of sugar (glucose) in your blood.
What does an insulin pump do?
An insulin pump delivers a steady flow of insulin 24 hours a day. It flows through a cannula, which is a very thin plastic tube inserted just under the skin, and is changed every 2 or 3 days.
The pump also allows you to give yourself an extra insulin dose when you are eating, known as a bolus dose.
Insulin pump therapy is also known as continuous subcutaneous insulin infusion (CSII).
The pump itself
There are different types of insulin pump.
A tethered pump which uses a fine tube to connect the pump to the cannula. The pump can be hooked over your waistband, hung on a belt or be kept in a pocket.
A patch pump or micro pump has no tubing or a very short tube and the pump is usually stuck to the skin. You can take it off for short spells for example when showering or going swimming.
Pumps come in varying sizes but are around the same dimensions as a small mobile phone.
Newer systems include constant blood glucose monitoring so that the pump delivers the right amount of insulin depending on the body's needs at that time. These are called sensor-augmented pumps.
Who are pumps recommended for?
The National Institute for Health and Care Excellence says insulin pumps are a possible treatment for children under 12 in England, if it's impractical or not appropriate to give them several injections a day.
NICE says pumps can be used in adults and children over 12 if they get too many episodes of low blood glucose ( hypoglycaemia) from injections or if their HbA1c (glycated haemoglobin, a measure of longer-term blood sugar control) is too high despite carefully trying to manage their diabetes.
In the UK in 2013 around 6% of adults with type 1 diabetes used an insulin pump and around 19% of children with the condition used one.
Your diabetes consultant will decide if you are suitable for insulin pump therapy, if you meet the criteria and demonstrate commitment. You may have to go on a short training course to teach you about dosage and how to work your pump.
Some doctors think it may be especially useful for pregnant women, who need to keep a careful watch on their blood glucose.
Shift workers or people who frequently travel across time zones may benefit from insulin pump therapy.
It may also be useful for teenagers who dislike injecting themselves several times a day, but who don't mind testing their blood glucose regularly or dealing with a pump.