The process to initiate insulin pump therapy is a long one. The child’s endocrinologist must first give medical approval before the process can begin.
The first step in starting insulin pump therapy is for the parents (and the child if they are old enough) to attend an insulin pump information session. During this session, we explain the basic principles of pump therapy, as well as the criteria for starting a pump, and all necessary preparatory steps and requirements.
If the family decides to go ahead with a pump, our nutritionist will meet with them to teach advanced carbohydrate-counting. This process may continue over several months.
The family is responsible for choosing the pump they wish to purchase and organizing the financial arrangements with the pump manufacturer and their private insurance company (if any). The family must also organize the care plan for school – that is, identifying who will be responsible for supervising the child’s extra glucose testing, the insulin for meals and snacks, and the general management of the pump.
When properly set up, insulin pump therapy is now recognized as the optimal treatment modality to control diabetes and minimize the long term risks of cardiac, renal, neurological and visual complications of the disease. It can also provide a more flexible and “normal” lifestyle for those who would otherwise need multiple insulin injections and a strict meal plan.
However, the insulin pump is not for everyone, and it does not automatically guarantee better control of a child’s diabetes. Our staff will help you make the best decision for your child and family, and support you along the way.