Pediatrics & Insulin Pumps

Insulin pumps are commonly used among children with diabetes due to their ability to help regulate blood sugar levels. Insulin pumps are durable and water resistant. As with any medication or medical device, you want to be certain your child and his teachers are knowledgeable about the use of the pump.

Boluses

• A child that gives boluses independently should still be monitored by an adult to ensure proper dosing. Coordinate with the school nurse so a log of boluses given during school hours is maintained and available for your review.

Cannula Changes

• Address your child's concerns about changing cannula sites independently. Younger children will need adults to change the cannula site. As children get older, try taking turns changing the cannula site until the child is able to do it independently, albeit with adult supervision.

Diet

• An insulin pump provides flexibility with times meals are eaten and even allows for special treats. Administering an extra bolus via the insulin pump for birthday cake allows a child to participate in the festivities and not feel singled out.

School

• Wearing an insulin pump to school presents challenges for both the parents and the child. Consider adopting a Medical Management Plan with your school so all professionals involved are aware of your child's abilities with the pump and steps to take in the event of low or high blood sugar. See the Resources below for an example.

Sports and Exercise

• Insulin pumps are durable. Children can either lower their basal rates during exercise and sports or completely disconnect from the pump so they do not experience low blood sugar levels.