Pump It Up! Choosing the Best Insulin Pump for your Child or Teen
If your child or teen has Type 1 Diabetes , you’ve probably heard about insulin pumps as an alternative to multiple daily injections (MDI). While the idea of switching to a pump can feel overwhelming at first, many families find that it offers more flexibility, better blood sugar control and fewer injections.
If you’re new to insulin pumps, don’t worry- we’re here to break it all down in a clear and supportive way! In this guide, we’ll explain what an insulin pump is, how it works, the different types currently available and how to choose the right one for your child.
What is an Insulin Pump and How Does it Work?
An insulin pump is a small, electronic device that continuously delivers insulin to help manage blood sugar levels. Unlike injections, which require multiple daily doses, a pump provides a steady background (or basal) insulin throughout the day and allows for extra doses (boluses) at mealtimes or when blood sugar is high.
How does an insulin pump work?
It holds insulin- The pump contains a small reservoir (for tubed pumps) or a pre-filled pod (for patch pumps) filled with rapid-acting insulin (such as NovoRapid, Humalog, Apidra, etc).
It delivers basal insulin- The pump provides a continuous trickle of insulin throughout the day and night, mimicking how a healthy pancreas would normally work.
It delivers bolus insulin- At mealtimes or when extra insulin is needed, a programmed dose (bolus) can be delivered at the touch of a button.
It’s programmed to fit your child’s needs- Pumps can be customised to deliver different insulin amounts at different times of the day, depending on activity levels, growth spurts and hormonal changes.
How is an Insulin Pump Attached to the Body?
Pumps deliver insulin through a small tube called a cannula, which sits just under the skin. The cannula is inserted using a special applicator and is changed every 2-3 days to prevent infections and ensure good insulin absorption.
There are two main ways insulin pumps are attached to the body:
Tethered (Tubed) Pumps- These pumps use an infusion set with a small tube connecting the pump to the cannula. The pump itself can be clipped onto a belt, worn in a pocket or placed in a special pouch.
Patch (Tubeless) Pumps- These pumps stick directly to the skin and don’t require tubing. Insulin is delivered through a tiny cannula under the skin, and the pump is controlled via a wireless device.
Types of Insulin Pumps: Tethered vs. Patch
When choosing a pump, the first decision is whether to go for a tethered (tubed) pump or a patch (tubeless) pump.
1. Tethered (Tubed) Insulin Pumps
These pumps connect to the body via a thin tube and deliver insulin from a small device worn on a belt, in a pocket or clipped to clothing.
Best for:
Children who are happy carrying a small device with tubing
Those who want a pump that can integrate with a Continuous Glucose Monitor (CGM)
Parents who prefer a pump with a physical screen and buttons
Things to Consider:
The tubing can sometimes get caught on clothing or pulled out
Some models are waterproof, but others may need to be removed for swimming
Popular Tethered Pumps:
Medtronic MiniMed 780G-Works with CGM and adjusts insulin automatically to prevent highs and lows.
Tandem t:slim X2- A sleek touchscreen pump that integrates with CGM and allows for remote software updates.
Ypsomed mylife YpsoPump- A lightweight, compact pump with simple touchscreen controls and smartphone connectivity.
2. Patch (Tubeless) Insulin Pumps
Patch pumps stick directly to the skin and deliver insulin without any tubing. A separate controller or phone app is used to adjust settings and deliver bolus doses.
Best for:
Active children who don’t want to deal with tubing
Children or Teens who prefer a more discreet option
Families looking for a waterproof pump that can be worn while swimming
Things to Consider:
The entire pump needs to be changed very few days (instead of just the infusion set)
Some models don’t integrate with CGM, so a separate device may be needed
Popular Patch Pumps:
Omnipod DASH- A completely tubeless, waterproof pump controlled via a wireless handset
Omnipod 5- Works with a CGM to automatically adjust insulin levels, helping to prevent highs and lows
How to Choose the Right Pump for Your Child
Every child is different, and what works for one may not work for another. Here are some important factors to consider:
Does your child want a pump with or without tubing? If they are very active or don’t want to manage tubing, a patch pump might be best. If they’re happy with a small device and want more settings, a tubed pump could be a better fit.
Do you want CGM integration? Some pumps (like Medtronic MiniMed 780G and Tandem t:slim X2) work with a CGM to automatically adjust insulin delivery. Others require manual adjustments based on separate CGM readings.
Is waterproofing important? Patch pumps (like Omnipod) are fully waterproof, while some tethered pumps are only water-resistant and may need to be disconnected for swimming.
How easy is it to use? Some pumps have touch screen controls, while others use buttons. Consider what your child will find easiest to manage.
What does your diabetes care team recommend? Your healthcare team can help guide you based on your child’s needs, lifestyle and NHS funding availability.
How to Access an Insulin Pump
NHS Funding
In the UK, insulin pumps are available on the NHS for children and teens who meet certain criteria. Your diabetes care team will assess whether a pump is suitable and which models are available in your area. If your child qualifies, the pump and essential supplies will be provided at no cost.
Private Purchase
If your child doesn’t meet NHS criteria or you want a pump not available through NHS funding, you can purchase one privately. Keep in mind that this can be expensive, with upfront costs and ongoing supply expenses. Always consult your diabetes care team to help determine if a pump is suitable and which model would be best.
Final Thoughts
Choosing an insulin pump is a big decision, but it can offer your child greater freedom and improved diabetes management. Whether you opt for a tubed or tubeless pump, CGM integration or a waterproof model- the most important thing is finding the right fit for your child or teen’s needs and lifestyle.
If you’re feeling unsure, talk to your diabetes care team, reach other to other parents for advice and take your time exploring the options. No matter which pump you choose, you’re giving your child the tools to manage their diabetes with confidence- and that’s what truly matters!