Insulin pump therapy is a tool. Like all tools, it offers those who us
e it an opportunity to build something of value. It represents an impr
ovement in the short- and long-term prospects for the patient with a c
hronic and, as of today, still incurable disease. Like all tools, the
pump demands certain skills and knowledge for appropriate use, Never h
as the ability to learn these skills and knowledge been more accessibl
e. Books, monographs, instructions, and symposiums are readily availab
le and necessary to help physicians and patients embark on the use of
this therapy. The clear and lasting message from the Diabetes Control
and Complications Trial is that the mission of physicians who care for
patients with diabetes is to improve blood glucose control; the goal
is to approach normal values while holding true to the idea of causing
no harm, Insulin pump therapy offers the clinician the ability to ach
ieve that goal in appropriately selected patients.