Insulin Pump Therapy or CSII (Continuous Subcutaneous Insulin Infusion) is a treatment option for people with Type 1 diabetes. Insulin is controlled by a small device about the size of a pager, which is usually clipped to your clothing. Insulin is delivered from the reservoir in the pump though thin soft tubing (a catheter) to a cannula which is inserted under the skin normally somewhere on your abdomen. Insulin Pumps operate with fast acting insulin only and can be disconnected for up to 1 hour for sport etc.  A pump does not monitor your blood glucose.

The user or carer programs the pump to release variable amounts of basal insulin dependent on your personal needs. Bolus doses are given with food. Carbohydrate counting and frequent blood glucose monitoring are necessary to operate a Pump Therapy safely and effectively.

A pump device is the closest substitute available for your body making and delivering its own insulin. New smaller devices e.g patch or nano pumps are in development.

With work a pump can enable you to have tighter control over your blood glucose levels, most people will experience less swings and a reduction in their HbA1c after commencing pump therapy which also reduces the likelihood of diabetic complications. 

Pumps currently available in Scotland;

Animas 2020

Animas Vibe

Medtronic Veo

Roche Accu Chek Spirit Combo

(The Dana R and OmniPod may be available in some areas)