In addition to insulin given by a syringe or pen device, the most advanced option is an insulin pump. These are small devices, about the size of a cell phone, that deliver insulin continuously through narrow tubing that inserts just under the skin. Prior to eating, you simply administer an additional amount of insulin that will offset the intake of carbohydrates. Pumps are programmed to meet individual needs and, with training and practice, can be valued technology in helping you manage your diabetes. Like all medical decisions, this is one you should make with your doctor.