There are several pumps available in the US right now - Omnipod, Animas Ping, Minimed Revel, t:slim, and Accuchek combo.
Some things to consider about each:
Minimed Revel - This is the only pump that currently has an integrated CGM. It's an extremely reliable pump, and Minimed has been doing insulin pumps for a long time. It has Carelink, which is a great online software system for managing data. It also comes in two sizes - one that holds 180 units and one that holds 300 units. I am about as rough on my pump as a 14 year-old boy and I have the Revel. It has definitely withstood every bit of abuse I have thrown its way! The pump is water resistant, BUT NOT waterproof. Basal and bolus increments go as long as 0.025, which is important if your son is very insulin sensitive.
Animas Ping - The Ping holds 200 units of insulin. It is the ONLY pump on the market that is completely waterproof. The Animas Vibe is the next model that is supposedly coming out next year and will be integrated with Dexcom. It also has low basal and bolus rates of 0.025. The meter it comes with can also function as a remote, which I know a lot of folks love. This video does a great job of comparing the Ping to the Revel (http://www.youtube.com/watch?v=2M0KeIqdYro). Anecdotally, it does seem to me that the Ping is a little less durable than the Revel (based on the number of people I've seen on this site who have needed their Ping replaced). But it seems to be a pretty solid pump. If your son spends a lot of time around water, this is the pump to go with.
Omnipod - I know a lot of people love the tubeless aspect of the Omnipod, and if tubeless is your son's top priority, this is the one to go with. HOWEVER, the pods can and do fail. Right now, the pods are fairly large (although I think they are coming out with smaller pods very soon, if they haven't already). Each pod holds 200 units of insulin. I know some people have complained about the way the system works (because the pod expires after so many days, and it's easy to waste insulin if a pod fails). My endo would not recommend the Omnipod for me because I have a tendency to go into DKA very fast and the pods just have a lot of issues. That said, if tubeless is THE most important thing, this might be the right pump for him. I will say that I am very active and the tubing on my pump has never bothered me. The pods are waterproof, but the PDM that communicates with the pods is not.
t:slim - This pump is very new. It just came out last year and has only been in widespread use for several months. The cool factor is definitely there, but it is tubed and doesn't really offer features that are mind-blowingly better the Revel or Ping (IMO). The touch screen is nice, but would make me nervous. Also, I'm wary of any new company. Pumping can require a lot of support and this company hasn't been around long enough to prove that they can do this. Also, the pump looks cool, but I would question its durability, especially around a 14 year-old. The pump uses rechargeable batteries, so your son would have to remember to charge it (other pumps use batteries you can just throw away, which is less environmentally friendly, but easier). Also, I don't think the t:slim is waterproof. But if coolness is a factor for your son, and you think it would encourage compliance, you might want to consider this one.
Accucheck Combo - I don't know much about this pump, but I do know the meter works as a remote (similar to the Ping) and it has the largest capacity (I believe 315 units).
Some things you want to consider when selecting a pump:
- lifestyle (does your son plays sports or spend a lot of time around water?)
- what will motivate him to comply with pump therapy (cool factor, something without tubes, etc)
- Total daily dosage - if your son is really insulin resistant (common in teens) and has a huge TDD, he's gonna need a larger reservoir.
- CGM - is he using a CGM now? Does he want to use one? If so, is his preference to have an all-in-one device? For me, the less I have to carry around, the better!
I would recommend narrowing it down to 2 or 3 pumps and then getting information from each company. Make sure you look at all the features and consider whether they match your son's lifestyle. There is no one perfect pump. It's about finding the pump that is right for the individual user.