I have to agree with Mary. To me, the risks of using a pump would far outweigh the benefits, for something like CAH.  It’s different for something like diabetes, when you are talking about injecting insulin several times a day, as well as doing finger sticks several times a day. 

 

With that said (and while we are all putting in our two cents), I’d also like to add that I don’t think the biggest problem with CAH is deliverying medication.   It’s monitoring treatment, i.e. trying to agree on what hormone levels are optimal at any given time. First, we’ve got to decide what the goals of treatment are.  Then, we can figure out how best to achieve those goals. 

 

In other words, the problem---to me---isn’t that it is so difficult to take a couple of pills a day.  It’s that no one can agree on what constitutes "good control," "undersuppression," or "oversuppression."  So, even if someone could develop a pump or a patch....what’s the point if we can’t agree on exactly what it is that we want such a device to do???