Client must have one or more of the following:

1. Diagnosed type 1 diabetes as documented by a general practitioner, pediatrician or endocrinologist.
   
   • And
2. Experiencing wide fluctuations in blood glucose levels
   
   • Or
     
3. History of severe hypoglycemia or hypoglycemia unawareness.
   
   • Or
     
4. Inability to achieve optimal diabetes control in order to prevent complications as evidenced by a HbA1c > 0.07 (Canadian Diabetes Association clinical practice guidelines 1998)
   
   • Or
     
5. Difficulty coping with multiple daily injections (at least 3 daily injections) for long-term intensive treatment of diabetes.
   

The following are conditions associated with success in insulin pump therapy and therefore must be demonstrated prior to initiation:

1. Self-monitoring blood sugar levels 4 or more times per day. Consistent recording of results in a logbook.
   
2. Motivated to strive for optimal diabetes control.
   
3. Adequate base of support (family members, friends or community agency)
   
4. Adequate financial resources or support in place to sustain long-term insulin pump therapy.
   
5. Recognition and treatment for pre-existing medical conditions.