Response to Schade

To pump or not to pump?

In the editorial published in the November issue of Diabetes Care, entitled “To Pump or Not to Pump” (1), Dr. David Schade provides an excellent review of the recent history of the “intensive insulin therapy” approach for the management of type 1 diabetic patients and the gradual development of continuous subcutaneous insulin infusion utilizing an external insulin infusion pump (CSII). Surprisingly, despite the overwhelming evidence that CSII is superior to some multiple insulin injection (MDI) programs, …