Lets be honest, diabetes does not lend itself to the kind of spontaneity that sex requires. The checking of the blood sugar prior to ‘getting it on’, the disconnecting of the pump etc does require having an understanding and open partner. So lets be honest here, if you are having sex with them, you really shouldn’t be settling for anything less.
Staying connected or disconnected to your pump during sex is a personal decision, it really is up to you. I would recommend disconnecting your pump during sex, but not for more than an hour. The last thing you want is to be getting tangled up in pump tubing, when you should be getting tangled up in your partner! For those of you engaging in a marathon session (you lucky thing), you need to consider the fact that more than likely you will go hypo. It may sound a bit military to approach sex the same way you would an exercise regime, but it completely depends on the intensity and length of sex.
It is probably more important that you set a reminder to reconnect the pump after having sex if you disconnect, in case you fall asleep (after sex hopefully, not during…thats not good!)
I often feel an insulin pump during sex is a bit like a threesome or the secret lover that no one wants. It is important at all times to practice safe sex, that for women of child bearing years that pre conceptual care has been discussed regardless of whether you are planning a pregnancy or not (surprises do happen!).
But most of all, sex is to be enjoyed. If you are with someone you love, that you can be open and honest with, they will understand all aspects of your diabetes. And you can never put a price on that….