[squidsdc]

I'm surprised that no one has mentioned this yet, as all the posts above are well thought out and very true. I've been on MDI for many, many yrs, most recently with Lantus+Humalog for 4-5 injections per day and I have been pumping for 3 yrs. I was opposed to the pump originally because I didn't want something "attached" to me all the time. And if it wasn't going to do any better than what I was getting with MDI, why switch? Well, I think the advances in pump therapy finally swung my vote over. And now that I am on the pump (you just try to take it away from me--hah!) the biggest plus is the fact that I no longer have to design my life around the peaks and valleys of my insulin. As others have mentioned, even though there are no supposed peaks with Lantus, there is still the effect of it combined with the boluses of Humalog. For example, on a daily basis I would have to make sure I ate something before 11:50 am, or else I'd start to really plummet. If for some reason lunch was delayed, I was in big trouble. And then when my sugar dropped, I would have to eat more to get it back in line. With the pump, I can always suspend my basal if I need to, or reduce the amount of basal insulin if I will be exercising. The control over one's life is so much better. And the thought process does become second nature. I am definitely doing more finger sticks now that I am on the pump, but it is not something I fear or detest...it is a great tool to help me know what is happening in my body so I can do the best I can to try to have consistent blood sugars. But that's a whole different thread!