[Subby]

You difficulties with Lantus sound typical. I found that I would have 6 hours it covered well, then massive lows, or with other dosages, 6 hours pushing low, then spiralling highs... and terible problems with activities, I'd suddenly "soak" up the Lantus in the system. This is just the limitation of MDI, if your basal profile is quite variable through the day. One can fiddle with timings and split doses of long acting, etc, (and for some people this works) but otherwise, variable basals is a whole other level, for many a godsend. I predict you would really benefit from the pump to improve these issues.

I understand your take on CGMS, it's a fair enough point (although I'm not sure it's trustworthy enough yet as a "backup warning system"), but bear in mind that you can make great progress with just the pump and variable basals alone, (with some work put in to "get it right") to the degree than hypos and hypers from basal fluctuations are far less likely and much less severe. With careful testing periods you could probably virtually eliminate your overnight problems. But do remember, at the least 6 BG tests through the day are desirable, none of this (or CGMS) gets rid of the annoyance of testing.