{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:42:39Z","timestamp":1792258959239,"version":"4.4.0"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"abstract":"<jats:p>Insulin pumps are durable, high-cost medical devices that support continuous subcutaneous insulin infusion and automated insulin delivery. Despite their utility, access to insulin pumps in the United States remains uneven across socioeconomic strata, insurance types, and racial and ethnic groups, and is far more limited internationally. Meanwhile, functional pumps accumulate through predictable lifecycle events such as device upgrades, therapy discontinuation, and patient mortality, without a defined pathway for reuse. This commentary contends that coordinated redistribution of functional pumps is an actionable, near-term equity intervention and sustainability strategy, already occurring through nonprofit programs. We outline sources of surplus, the populations most affected by inadequate access, how redistribution can be operationalized safely, and the stakeholder roles and governance needed to implement a pump redistribution pathway.<\/jats:p>","DOI":"10.1177\/19322968261493576","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:55:46Z","timestamp":1791982546000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Redistributing Insulin Pumps for Patients Facing Access Barriers"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7969-8629","authenticated-orcid":false,"given":"Benjamin","family":"Lalani","sequence":"first","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiv S.","family":"Patel","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihewa","family":"Gaula","sequence":"additional","affiliation":[{"name":"DCT Mvumi Hospital, Dodoma, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanvi","family":"Mandadi","sequence":"additional","affiliation":[{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"},{"name":"University of Michigan, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditi","family":"Vannela","sequence":"additional","affiliation":[{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Nagle","sequence":"additional","affiliation":[{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Cournoyer","sequence":"additional","affiliation":[{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"},{"name":"Yale School of Nursing, Orange, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"Khandekar","sequence":"additional","affiliation":[{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"},{"name":"Drexel University College of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Polly","family":"Bevan","sequence":"additional","affiliation":[{"name":"Pump Avenue Foundation, Scottsdale, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anahita","family":"Dua","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Department of Surgery, Heart and Vascular Institute, Massachusetts General Hospital, Boston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0210-655X","authenticated-orcid":false,"given":"Nestoras","family":"Mathioudakis","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes &amp; Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2263-9783","authenticated-orcid":false,"given":"Marie E.","family":"McDonnell","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Hypertension, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.13994"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31142-0"},{"issue":"1","key":"e_1_3_3_4_2","article-title":"Diabetes technology: standards of care in diabetes-2026","volume":"49","author":"American Diabetes Association Professional Practice Committee for Diabetes","year":"2026","unstructured":"American Diabetes Association Professional Practice Committee for Diabetes. 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