Insulin Pump Use During Sports: Detachment Options and CGM Placement
From: JP
I was wondering what pumps can be detached during a sporting contest and reattached after the game? Also, for the Insulet Omnipod, are there two entry points for the CGM and the pump? Thanks for your time.
Reply from John: Which Insulin Pumps Can Be Detached for Sports?
Hi JP,
Any insulin pump that uses an infusion line (commonly called a tubed pump) can typically be detached for athletic activities and reattached afterward. This includes pumps like the Tandem t:slim X2 and the Medtronic 780G. These systems allow the pump and tubing to be disconnected about 4 inches from the infusion site while the infusion set itself stays securely in place.
The Omnipod insulin pump, however, is a tubeless system that must remain attached at all times. It cannot be temporarily removed during sports or showers.
Best Infusion Sets for Active Lifestyles
For contact sports and high-motion activities, we recommend using a 6 mm steel needle infusion set. These low-profile sets stay in place better than many alternatives when combined with additional adhesive supports, such as IV3000 or Tegaderm tape. These adhesives secure the set and prevent dislodgement during intense movement or sweat-heavy conditions.
CGM and Pump Insertion Sites: What You Need to Know
Both the Omnipod and other insulin pumps require a separate site for the continuous glucose monitor (CGM). The CGM sensor and transmitter are placed at a different site from the pump infusion set. CGM transmitters have a taller profile and may need to be secured with sports tape or waterproof adhesive patches to prevent them from coming loose during exercise.
Tips for Preventing Infusion Site Complications
Whether you use a line pump or an Omnipod, it’s important to rotate your infusion and sensor sites. Repeated use of the same area can lead to lipohypertrophy (the buildup of fatty tissue) and scarring. This can reduce insulin absorption and delay action, especially problematic during physical activity.
Using a line pump for sports may offer more flexibility in site placement, especially for contact sports, where the ability to disconnect the pump reduces the risk of damage or discomfort. For less intensive activities, either pump type can work well with the proper securement methods.
Conclusion: Choosing the Right Pump for Your Sport
If you’re actively involved in sports and want the option to detach your insulin pump during games or training, a tubed pump may be a more versatile option. The Omnipod system is an excellent option for many people; however, it must remain in place during physical activity and may require additional taping to ensure security.
Both pump types require separate CGM insertion sites, and both benefit from the use of strong adhesives and proper site rotation to minimize complications.
Best regards,
John