Book excerpt: The insulin pump has opened a whole new world for people with diabetes­­more flexibility in what and when they eat and better blood sugar control, too. Smart Pumping integrates this new successful technology with the physical and psychological aspects of diabetes care, and helps patients adopt the insulin pump into their self-care regime. This book combines a comprehensive medical approach toward intensive diabetes management and pump therapy with a patient-centered appreciation of the real-life challenges and frustrations. Howard Wolpert, M.D., is an instructor in medicine at the Harvard Medical School Joslin Diabetes Center and is also in charge of the pump clinic there. He has written extensively on the use of insulin pumps.