Published online September 1, 2008
PEDIATRICS Vol. 122 No. 3 September 2008, pp. 682-683 (doi:10.1542/peds.2008-1896)
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LETTER TO THE EDITOR

Safety of Insulin Pumps, Even in Adolescent Use, Depends on Thorough Patient Selection, Evaluation, and Education: In Reply

Judith U. Cope, MD, MPH
Office of Pediatric Therapeutics,
Food and Drug Administration,
Rockville, MD 20857

We appreciate Ms Exelbert's comments and applaud her success with the use of insulin pumps in the pediatric population. Although our article examined pump technology, specifically insulin pumps and patient-controlled analgesia pumps, we recognize that many factors can influence successful treatment outcomes. Both patient- and device-related factors are important.

We agree that candidates for the pumps should be carefully screened, and we commend you on your evaluation process. We also agree with the need for a comprehensive educational approach, a need that is underscored by our findings. To ensure successful outcomes, we believe that all health care professionals should participate in such an approach so that their patients fully understand how their prescribed pumps work before use.

PEDIATRICS (ISSN 1098-4275). ©2008 by the American Academy of Pediatrics

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