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Insulin Pump Advantages — RACP Paediatrics MCQ

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ModerateEndocrinologyInsulin Pump AdvantagesRACP Paediatrics

A 14-year-old boy with T1DM wants to start an insulin pump. What is the key advantage of insulin pump therapy over multiple daily injections?

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Correct answer: D — More precise basal rate delivery and ability to programme variable basal rates, improving glycaemic control and flexibility

Insulin pump therapy provides a continuous subcutaneous infusion of rapid-acting insulin with programmable basal rates (matching circadian insulin needs) and bolus doses for meals. Advantages include improved HbA1c, reduced hypoglycaemia, and greater lifestyle flexibility. However, DKA risk may be increased if the pump fails/is disconnected.

Reference: ISPAD – 2024 – Insulin Pump Therapy