Treatment with pumps, sensors and latest insulins helps optimize glucoses and keep glucoses in optimal range. People who live with type one diabetes are at risk for several complications. In order to improve their life span and lifestyle, optimal insulin management is necessary. Continuous glucose monitors are able to help people live fuller, richer lives without needing to compromise on their other priorities. In addition, pumps can help manage variation in glucose and help relieve some of the burdens of taking care of type one diabetes. Both fear of low glucose episodes or “attacks” and a feeling of being unable to control hyperglycemia can cause diabetes-related distress. Being able to become fertile, have children, and maintain good sexual health are all easier with better control of glucoses.