There are undoubtedly some different aspects to consider when you are trying to decide which insulin pumps suits your son or daughter the best. They have smaller bodies so even thinking about where they might wear their pump is different.
Some aspects you are probably considering
|How big are insulin pumps and where would my child wear it?||Most insulin pumps are around the size of a pager.|
Children wear insulin pumps clipped to their belts just as adults do. Some also wear them in pouches around their waists, or even in harnesses on their backs. There are some fantastic pouches and holders available for us and other manufacturers on the internet when you start googling. There are many made especially for babies, toddlers and then older children.
|What happens at school or nursery?||Your Diabetes team in the Hospital will be in contact with your child’s school/nursery to make sure that they are trained and aware of what system your child is using.|
Companies with the dedicated training personnel can also help with this training and support.
There are also some features like preset boluses, preset temporary basal rates or remote blousing that can help make meal or snack times easier.
|Where will my child wear their insulin pump at night?||This is one of the most common concerns and understandable as such. Some children use clothes with pouches built into them, like the Lenny tank top that Medtronic supply. We find that most children leave their insulin pump loose to follow them around the bed though or have them clipped to their pyjama bottoms.|
|What happens if my child’s insulin requirements change?||This is one of the aspects to consider when you are deciding which pump to choose. Pre-filled cartridges can seem convenient for example, but cannot grow with your child over the four years that they are using their insulin pump. Using insulin pumps with different cartridge sizes may be more appropriate.|
|Do you want to be able to Lock the Keypad?||Aspects to look for may include a Keypad Lock or Menu Block to ease your worry about accidental button presses|
|Dosing Accuracy||The accuracy of dosing is very important for children because insulin increments tend to be so minimal with children, but make a big difference to managing their diabetes.|
|What Safety Features do you Need?||It’s going to be important to consider the range of alerts and alarms that the insulin pump you choose features. Does it alert you to an occlusion quickly? Does it self-test for malfunctions? Will I hear the alarms from our bedroom? Does the insulin pump I am choosing use an anti-leak P-Cap design to be a safer option?|
|Support When you Need it||As important as the insulin pump that you choose, is the support that the manufacturer can offer you. Things to consider are 24hour telephone support, the number of representatives that the company has for support and what background and clinical registration those trainers have. The replacement pump service being able to deliver a replacement insulin pump to you when you need it is incredibly important. How quickly can they deliver and where to?|
|How much do you want to Impact Every Day Life?||What activities does your son or daughter like to do? It may be worth thinking about things like your holidays and jumping in and out of the sea. Is a waterproof insulin pump important?|
|Do you worry about Hypoglycaemia?||Can your child tell you when their sugar levels are starting to go low? Do they know when they are going low? If hypos is something that you worry about, during the day or night, Continuous Glucose Monitoring might be something worth considering.|
You may not want to use it straight away, but it is important to have this as something accessible, so that it’s there on your insulin pump if you need to use it anytime in the 4 years that you have it. Especially with a feature like SmartGuard® which is actually helping children to prevent hypoglycaemia.