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Message: <blockquote data-quote="Katharine" data-source="post: 10255" data-attributes="member: 7958">Hi Sarah,The information was given to me in November 2006 when we were considering a spirit pump. We did the insertion experiments over the Christmas school holidays and by the end of them we had tried all the different types of insertion cannulas and were sure it wasn't a goer.I know that some people pump very successfully -eventually - but there are downsides to the pump and I am listing some of those downsides which may not be your personal experience but which are the personal experience of other pumpers who eventually abandoned them. Ketoacidosis can occur overnight if the cannula falls out, gets kinked or the pump malfunctions. There is no residual insulin depot under the skin with a pump which can act as a buffer to prevent ketoacidosis if something goes wrong when you are sleeping. If something happens during the day you have a decent chance of spotting it when you test before the next meal but that won't happen if you are asleep through the night.There are pros and cons to many aspects of diabetes management. What matters is that the individual gets an informed choice.</blockquote>

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