Someone told me about this site: http://www.overtonfitness.com/spibelt.php It's called a SPI belt (Small Personal Item) and is marketed to athletes. It is pretty small but stretches to accommodate quite a few items. We bought one last week and Emily loves it! If only her pump is in it, it form-fits around the pump, so it's not bulky. But she can easily add a lancing device and strips with no problem--and less bulk than the larger pump-packs that can hold these items. You're supposed to be able to add up to 5 things. The other nice thing is that it doesn't bounce when she's in PE or outside playing (that was a huge complaint of hers with traditional pump packs). And, it's only $20! And it's not "cutesy", so may be more accepted by older kids or pumping kids who compete in non-contact sports. Anyway, I always like reading reviews of items here and wanted to share this great find.