My experience is not too different from those below… my son is 5.5 and he began pumping just a month before he turned 4. The overall difference in lifestyle quality the pump made/makes both immediately and in the long term has been COMPLETELY worth it, but it’s not easy. You’re substituting some complications for others.
I like the advice in this thread about learning your pump fully… the more you know about the pump, your son, and diabetes in general - the less stressed you’ll feel on bad days. Bad days are when the numbers keep going up or won’t come down… or he keeps hitting lows… or in particular, when he’s sick.
Emergency set changes in the middle of the night (2am?) or at public places are my least favorite part about pump ownership… when the set unexpectedly fails (you can tell my multiple high/increasing tests over time despite correction)… it doesn’t matter where you are or what time it is… you have to change the site or get him an injection. In that case, it’s always preferable to us to change the site. The more you get accustomed to the pump and how your son uses it, the less often this sort of thing will happen and the more you’ll be able to anticipate it.
2 weeks should be enough to start - but it may be a very rocky time. Be prepared to be “on call” for another 2-3 weeks after that for whoever your care provider is… and TRAIN that provider heavily!
We took a different approach than Natalie with set changes and I’m glad we did. It works for our son because he’s a generally tough boy anyway… but we only tried emla cream (topical lidocane) for site preparation a couple times before we figured-out that he freaked out anyway and that most of his problem was in his anticipation of the site change and not necessarily in the change itself. Through some discussions with staff and his Endocrinologist we decided to go without entirely. It took months, but he is now accustomed to it… he still occasionally struggles but for the most part he’ll sit still and tolerate it. The key to set changes has always been patience, comfort, love… patience… and patience. For the first few months it would be 1-2 hours for a planned set change process - starting with a warm bath to soften up the old site and through finished and dressed and no longer crying. We can do it now in about 10 minutes if we have to, but we still like to take 30-45 mins including a nice bath… it makes him happier and cleaner skin prior to set change is a superb bonus.
In all this time we’ve only had one very minor infection. Keep it clean, use IV prep wipes… we don’t cover it with anything other than the inset adhesive itself but your son’s skin may vary. As he is so little, we use his butt exclusively. His endo recommended this to us - when he is older and has more trunk bodyfat then we’ll think about his abdomen, etc…
There’s so much to know… I suppose I could ramble forever… what other questions do you have?