To examine the clinical impact of insulin pump therapy for children with type 1, de Bock et al (2010) conducted a retrospective analysis of a six-year cohort of children from the Starship paediatric diabetes database compared with the whole T1DM population and with an equal number of non-pump patients matched by age, sex, ethnicity and duration of diabetes. From the total group of 621 children, 75 were started and remained on pump therapy for 12 months. From their comparison the authors concluded that ‘in a pump-naïve regional paediatric population, insulin-pump therapy for T1DM was safe and effective, and associated with sustained improvements in HbA1c and lower risk of hypoglycaemia’.