While attending the European Association for the Study of Diabetes (EASD)meeting in Amsterdam this September, I attended a symposium on insulin pump use in the Netherlands. The symposium was a very practical 'this is how we do it' programme presented by a group of very enthusiastic clinicians including Dr Henk-Jan Aanstoot, Dr Evert van Ballegooiem Dr Roel Hoogma, Hilda van der Heyde and Professor Johann Wiechers. During the individual presentations from clinicians and a person with diabetes who is an insulin pump user, I realised that there are many similarities in insulin pump use in the Netherlands with our own experience in the UK, but I was also aware of some distinct differences ...