Sex with an insulin pump is a hot topic on diabetes websites. T1 blogger Kerri Sparling, who has written about pump sex in her blog SixUntilMe.com, says it’s definitely a popular conversation among T1 women’s discussion groups, with FAQs like “How do you deal with wearing a device when naked?”, “Do you disconnect a pump during intimacy?”, and “Does the pump get in the way, physically or emotionally?”

Andrea Z., a 38-year-old single business executive and pump user (who prefers not to give her last name), admits that she’s gotten a few “interesting reactions and facial expressions” from boyfriends when the pump is exposed during sex, but the awkward moment is usually fleeting.