For long-term patients with a pump option. All patients with insulin deficiency are suitable for insulin pumps, but not all. Currently, clinicians consider more medical indications, but rarely choose the right patient from economic, sociological and psychological perspectives. Clinically, we often encounter patients with pumps who have unsatisfactory glycemic control, such as glycated hemoglobin above 7.5%, or some pump purchasers who find it inconvenient to use subcutaneous insulin injections. Therefore, it is very important to have a detailed communication with patients who have clinical indications for insulin pump application before using the pump. A systematic patient-physician communication should involve an understanding of the patient’s motivation, expectations, needs and prior preparation with the pump [4]. Motivation involves the following aspects: 1) the source of information about the patient’s idea to bring the pump, whether it comes from the introduction of people around the pump or from hearsay, or from the recommendation of the doctor. At present, most patients in China are recommended by their doctors, and many of them lack in-depth knowledge of the pump. If it is through the introduction of people with pumps around the patient generally has a strong perceptual understanding, if it is hearsay often has a bias in understanding, such as insulin pump will automatically adjust the amount of insulin injection, etc.. 2, whether the patient has a strong desire to strictly control blood glucose, the patient’s idea of strict control of blood glucose comes from a deep understanding of the dangers of diabetes complications and a correct understanding of quality of life, so helping patients understand the dangers of diabetes is undoubtedly the most important stick of diabetes education, after dismantling the patient’s fluke psychological defense to build the patient’s confidence to overcome the disease is the second step of diabetes education, tell the patient I often quote the famous words of Hall, the former Olympic swimming champion diabetic of the United States: “Diabetes is not terrible, as long as you control your blood sugar strictly, you can still have a healthy life” to encourage patients. When the patient seeks to better control blood sugar, the doctor can introduce the advantages and disadvantages of insulin pump. Here, we emphasize the concept that the use of insulin pump is not only good for blood sugar control, but also good for improving the quality of life, but the premise is that the patient must go through a long and difficult learning of diabetes and insulin pump. At present, the domestic medical and nursing community generally has a low awareness of the insulin pump is conducive to improving the quality of life, and one possible reason is the lack of knowledge of the flexible application of the advanced functions of the insulin pump. 3. The degree of patient recognition of having a pump as an identifiable symbol of a diabetic patient. Many patients do not want to be recognized as a diabetic patient in social life, so they refuse to use the pump and monitor their finger blood glucose frequently in front of the public. This kind of patient often his compliance is poor, that is, it is difficult to make good control of blood glucose even with a pump, so it is not suitable to bring a pump. For expectations: attention needs to be paid to eliminate some patients’ excessive or wrong expectations, such as insulin pumps can automatically adjust the amount of insulin very convenient to use; no need for diet and exercise therapy; blood sugar will definitely be well controlled after using insulin. In insulin pump education, we should firmly establish the concept that the initial use of insulin pump may be more complicated than subcutaneous insulin injection, but once we learn to apply it flexibly, it can lead to better blood glucose control and can significantly improve the quality of life, for example, two different basal rate patterns can be set for those who sleep on holidays and those who usually work in the morning, patients who exercise at a fixed time can set the basal rate for a specific day. The pattern can be set for patients who exercise at regular times, and different high-dose patterns can be used for meals out and meals at home during the week. Once the patient learns the skills of these advanced functions, the patient will have a feeling that the blood sugar is in his own hands, which is the free realm of blood sugar control. For demand analysis: Due to the asymmetry of information exchange between doctors and patients, whether or not to choose pump as a treatment means in China currently depends largely on doctor-led, and the firmness of doctor’s attitude should be decided according to the strong indication of clinical use. For strongly recommended indications physicians should actively explain to patients the need and benefits of the pump with a certain tendency, for general indications should be fully communicated with the patient to the patient-led situation. Strongly recommended clinical indications include: brittle diabetes with large blood glucose fluctuations, asymptomatic hypoglycemia, dawn phenomenon that is difficult to control; irregular work schedule, unable to eat on time; general recommended indications include type 1 diabetes and type 2 diabetes with insulin deficiency in addition to the above cases. For the preparation before bringing the pump: it means that the patient should have the initial knowledge and practical ability of diabetes self-management including the handling of hypoglycemia and hyperglycemia, insulin injection, etc. This can be based on some foreign rating scales to evaluate whether the patient is suitable to start using the pump In foreign countries, doctors generally recommend patients to use three injections of short-acting and one injection of long-acting insulin injection mode before using the pump to better experience the basal rate and mealtime high The principle and characteristics of the application of the dose and the effect of diet on blood glucose. Therefore, choosing the right long-term patient with a pump is the first step to the success of the doctor’s treatment with the pump, I was told by a professor during my clinical training in a foreign diabetes center that “for a long-term patient with a pump, glycosylated hemoglobin greater than 7.5% is unacceptable, either you have chosen the wrong doctor or the wrong patient “I was always impressed by this statement.