Obtain a Good Blood Glucose Control With the Paradigm Real Time System

Inclusion Criteria: * Patient has signed informed consent form prior to study entry. * Patients have been diagnosed with Type 1 DM at least 12 months prior to inclusion. * Patients should have been received diabetes care from the investigator of each center at least 3 months prior to inclusion. * Patients have been treated with multiple daily injections and use rapid Insulin Analog for their meal prior to study entry. * Have an HbA1c value ≥ 8 %. * Pediatric patients must be aged between 2 and 18 years old and adult patients be aged between 19 and 65 years old. * Patients must perform at least 3 self-monitoring blood glucose finger-sticks daily. * Patients from PRT group must be willing to wear sensors and transmitter connected to the pump Paradigm® Real-Time for up to 24 weeks and to change sensors, insulin infusion sets and reservoirs every 3 days (\~60 times during the study period ). * Patients from CSII group must be willing to wear an insulin pump, change insulin infusion sets, and reservoirs every 3 days (\~60 times during the study period ). * Patient is required to use the Paradigm® Real-Time system at least 70% of the time during the study period. * Patients in both groups are required to wear at the beginning and the end of the study a CGMS for 3 days. and to perform 6 self-monitoring blood glucose finger-sticks daily during the 3 days. * Patients must be willing to undergo all study procedures, to receive a technical training to understand how to use the Paradigm® Real-Time System or the Insulin Pump depending of the randomization. * Patients must agree to receive a training on how to adapt their insulin doses to their meals, how to calculate and apply corrective treatment. Exclusion Criteria: * Hearing or vision impairment so that alarms cannot be recognized. * Alcohol or drug abuses other than nicotine. * Allergy to sensor or components of the sensor. * Allergy to insulin infusion set or components of the insulin infusion set. * Patient is pregnant or of child-bearing potential during the study. * Patient does not have a reliable support person or the patient is unwilling to comply with the provisions of the protocol. * Patients suffering from cancer, heart failure, kidney disease and other chronic debilitating conditions. * Patients participating in other device or drug studies will be excluded. * Patients may participate in this study only once.