I have had diabetes for 25 years and have only ever once had my A1c around 7. I have been running with 9+ for the past 5 years and am getting scared as new complications are starting to creep up. I have a thorough understanding of insulin to carb ratios and carb counting, I just lack control when it comes to sticking to a meal plan or taking extra insulin if i snack.

Based on your experiences with pumping is it the answer I'm hoping it will be? I have major reservations about having something attached to me all the time. And am extremely phobic about dropping low and passing out which is why I probably am not as aggressive with my insulin as I should be.

But I've come to the point where I don't want to have a shorter lifespan because I'm too stubborn to do something about it now. Any feedback would be greatly appreciated.

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For me, I did ok for a long time but, in retrospect, I struggled a lot. The pump put it all in one place, insulin, clock, food/ carbs and then logged it intelligibly. I was in a pretty decent place at the time, I had started to work out a lot and lost some weight and felt good. I never gave MDI w/ 'log/ Lantus a try and went from R/NPH to pumping, in 2008. I was able to get a handle on diabetes pretty quickly. It was also about the same time that I discovered message boards (the ADA one...) and hung out online picking stuff up through osmosis and my own trial and error but it fell into place very quickly.

I don't think that it will be a huge benefit if you want to hide behind fear of lows as a reason for eating without bolusing. Lows are a good thing to be wary of but they are also part of what we can run into and it's important to approach them with confidence. And jelly beans...

(I know they organic crowd loathe HFC in jelly beans, there's other options out there...)

I agree with alot of what others are saying here. I also know that MDI is not for everyone, my daughter and i were both doing MDI and getting no where. we were so fed up and frustrated that we both started on a pump, the results after months of adjustments were amazing. my daughter was 14 yrs old and i was diagnosed at 15 yrs old, but a pump was not in my budget and insurance was a joke at that time. we both had insurance to cover the pumps we chose, no we did not get the same one. I had to work with 2 sets of adjustments and learn 2 separate pumps while dealing with the problems when they would arise and get the trouble shooting instructions. I find for us the pumps were a god send, we both had the determination to be in control just not the right amounts at the right times and the pumps did that for us. we hated shots so the pump was easy to use for meals and snacks. getting a teenager to manage an over whelming amount of information and still willing to cover snacks is not an easy task. good luck in your choice, but the reasons for using a pump need to be for improving your control and determination to stick with it.

I had T1 for 22 years before I got on the pump and I am now at 26 years. And I have finally got it under control or at least have the tools to do so.On the pump my A1C has been usually been under 7.5. It is so hard after 20+ years to always remember or want to stick yourself with every morsel that goes through your mouth. With the pump you have the flexibility to eat or not. To have a taste and stop or decide you want the full meal. I regularly fast with my church on the pump.

You should be directed to a pump class in the beginning to understand the equipment and adjust your basal rate.

I am a huge fan. I am 37, a busy mom and business owner, and I my quality of life is so much better

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