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Gary Scheiner says

Good question.  A lot has to do with the age of the child, and the skills/abilities of the parents.  Any child can use a pump, no matter how young, if he/she does not pull out the infusion set, either accidentally or intentionally.  But the parents must have a good handle on carb counting, using I:C ratios, keeping detailed records, and understanding what basal/bolus concepts are about.

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