Having an insulin pump: What are the pros and cons?

The cons which stand out for me, firstly, is the risk of DKA, which in other terms is known as diabetic ketoacidosis. And I think it is an important thing to remember and to also inform patients that their basal is mimicked by micro bolusing every hour on a pump. And they do not have that background basal as what they would have had if they used multiple daily dose injections. So if they experience recurring high glucose levels they do need to intervene and act upon those appropriately. So that is definitely one of the cons that stands out. Cons that a lot of the people living with diabetes report is for example something always being attached to you, the tubing that may be kinked or you know sort of ripped off just by playing with your children or those kind of things. But I think the pros especially with the latest data and with the latest information that we have from closed loop is very good glycemic control giving flexibility. These days we have the automated basal, the automated corrections, and you know a little bit more flexibility regarding management and improved control as well. We do control well with MDI as well, but I do think there are a lot of pros to the use of pumps in patients living with diabetes.