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Gary Scheiner says

Major "cons" to pumping are:  cost (deductibles/copays), inconvenience of having to wear the pump around all the time (albeit this is minimal), minor inconvenience and occasional discomfort of infusion set insertions, and risk of extreme high BGs and DKA in the event of a mechanical problem.
 
The "pros" are extensive:  ability to fine-tune basal insulin to meet the body's needs, ability to make temporary adjustments to basal for unique events; ability to deliver mealtime doses over an extended period of time (for slow-digesting foods); bolus calculator built right into the pump; historical record/download-ability might eliminate need for written records; ability to dose in very small increments; convenience of not having to give a shot at every meal/snack, and so on, and so on.
 
But keep in mind that just "going on a pump" does not automatically mean better control and a more flexible lifestyle.  It takes extensive  education and a clinician who knows how to help you fine tune all of the settings.

Gary is a Certified Diabetes Educator who has had diabetes for more than 25 years.  He and his team of CDEs provide diabetes management "coaching" for children and their families via phone and the internet, with an emphasis on pump therapy, CGM, and intensive insulin management.  For information, call 877-735-3648,

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