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    • 9 hours, 45 minutes ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 10 hours, 43 minutes ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 10 hours, 50 minutes ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 11 hours, 49 minutes ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 11 hours, 53 minutes ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 12 hours, 55 minutes ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 12 hours, 57 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    • 12 hours, 57 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 12 hours, 58 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      For Minimed, the dedicated reader is the pump.
    • 12 hours, 58 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I chose "dedicated reader". That reader is my pump, a Minimed 780G.
    • 12 hours, 58 minutes ago
      Marthaeg likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 1 hour ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 1 day, 1 hour ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 1 day, 1 hour ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Here's my concern. I've used AI when meeting new clients to take notes of my meetings while I'm talking with the client. Ostensibly, this frees me up from having to jot down notes while talking - allowing me to give my full attention to the conversation. (Very good benefit of AI) Then, when reviewing the notes, AI literally fabricated scenarios that weren't discussed (AI Hallucinations are a very bad side effect). Not knowing when AI will fabricate a fact pattern gives me great concern that AI will fabricate a glucose reading and then act on that hallucination. AI has great potential, but it's not ready yet.
    • 1 day, 7 hours ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 7 hours ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 day, 8 hours ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 8 hours ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      Extremely. I have a certificate in Medical Billing & Coding.
    • 1 day, 11 hours ago
      Kathy Hanavan likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 1 day, 12 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Roughly half my lows are caused by my auto correct system now. I expect AI hallucinations to make it worse. I have enough hallucinations when I'm low and need non-hallucinatory help. We all need more info on this subject to make better decisions. As my favorite 80's AI robot (Johnny 5) said, "Need input."
    • 1 day, 12 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I'm not comfortable for many reasons: 1) AI hasn't proven respects boundaries, quite the opposite, too many reports of AI tend to view its responsibilities and decisions as NOT mine; 2) the companies behind AI systems do likewise in not respecting my data as mine and jumble it in with their own; 3) AI systems haven't proven themselves as reliable parties regarding data and actions. There are many more; AI systems have a long way to go before I entrust one with dosing strategies while I'm awake, let alone while I'm asleep!
    • 1 day, 12 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’ve done a large 2 week focus group through Syracuse University on AI. I’ve also been watching shows on European news about AI and medical issues. AI still has too many glitches when it comes to medical issues.
    • 1 day, 12 hours ago
      Lawrence S. likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 2 days, 8 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 2 days, 8 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
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    If you use an insulin pump, have you switched from a tubeless pump to a pump with tubing? Share more about this change in the comments.

    Home > LC Polls > If you use an insulin pump, have you switched from a tubeless pump to a pump with tubing? Share more about this change in the comments.
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    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. 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By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. 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    42 Comments

    1. Tod Herman

      I have no desire to switch back to a tubed pump, which I originally started on. The tubeless pump does not waste hardly any insulin when priming (my old one took 17 units to prime the tubing). AND, I don’t have to wear it on my belt or waist band.

      Having said that, I miss going scuba diving and being able to just pause the pump and unclip the tubing from the cannula.

      1
      2 years ago Log in to Reply
    2. Molly Jones

      I tried out Omnipod quite a while ago before it allowed for the small amounts of insulin delivery I required.
      I then switched back to Medtronic and went on to use Tandem. It was nice to have no tubing.
      They now have the insulin delivery I need along with control-IQ.
      If it is suggested, I may try it out again.

      2 years ago Log in to Reply
    3. Kristen Clifford

      I’ve only ever had a tubing pump

      1
      2 years ago Log in to Reply
    4. Rosalind Kopfstein

      I have always used a pump with tubes for 30 years

      1
      2 years ago Log in to Reply
    5. Janelle Stallkamp

      I love the freedom of not being tethered to a tube. I finally can wear dresses after all these years!

      1
      2 years ago Log in to Reply
      1. Kathy Hanavan

        I’m not wild about having a pod sticking out of my body but love the tubeless!!

        1
        2 years ago Log in to Reply
    6. Janice B

      Switched to OmniPod 5 – love being tubeless just wish Tandem had an option.

      2
      2 years ago Log in to Reply
      1. Anita Stokar

        They will eventually have a tubeless, but who knows when…….

        2 years ago Log in to Reply
    7. Jane Cerullo

      Went from Medtronic to Omnipod then to mdi for three years. Am now in process of getting tandem X 2. A little on the fence but will try the control IQ. Will see. MDI is easier for travel.

      2 years ago Log in to Reply
    8. JanP

      I used an Omnipod 5 for a few years. I like it but I’m older and my skin is a little loose so it became very uncomfortable and I bled a lot. I switched to a Minimed g780 and I love that it is an almost closed loop system. A lot less work and I’m 95% in range now. I am just having trouble getting used to the tubing. I do miss the Dexcom CGM. The one on the Medtronic is not as accurate.

      2 years ago Log in to Reply
    9. terrih57@msn.com

      I switched or tried the OmniPod a year ago but went back to tandem. I liked it for vacation/beach time but prefer tubed for now.

      2 years ago Log in to Reply
    10. Mary Boudousquie

      I switched from a tandem to an Omnipod for a few months. Love it except that now I have to carry a bulky PDM. Waiting for training of my new iLet bionics pump.

      2 years ago Log in to Reply
      1. Kathy Hanavan

        Me too! Looking forward to seeing how life feels without carb counting….

        2 years ago Log in to Reply
    11. Sheri Marcus

      I just switched from the Omnipod 5 to the iLet Bionic Pancreas pump about 6 weeks ago and it is working great! My A1C has dropped drastically.

      2
      2 years ago Log in to Reply
      1. Kathy Hanavan

        I am just going to make this change at the end of the month. Can you say more?

        1
        2 years ago Log in to Reply
    12. Sean Wolff

      switched from omnipod to a tandem in 2016. Horrible results tried every possible type of insert with no luck, sugars all over the place time in range was 10%. After fighting with tandem for over 6 months returned to the omnipod eros system and was much happier time in range with omnipod was 65%. Now on OP5 and time in range is around 85%. Omni is it for me lol

      2 years ago Log in to Reply
    13. Ernie Richmann

      I started with a Medtronic pump. My next pump was Omnipod and my current pump is a Tandem pump.

      2 years ago Log in to Reply
    14. Donna Condi

      I got the original Omnipod as my first pump in 2012. I thoroughly enjoyed the freedom it gave me. However, when the warranty was up and I began hearing about the Tandem pump with Basal IQ I jumped on it! My husband compared it to the Tesla of pumps in that you get new software updates rather than replacing it when new features are added. And then they added CIQ and I could not be happier about what this pump has done with my A1C, TIR and less stress in dealing with my diabetes.

      2 years ago Log in to Reply
    15. Ken Raiche

      I’ve got to admit the way that question is asked doesn’t really fit the answers provided. Wouldn’t it just been simpler to ask if you’ve switched your pump recently? if so which way did you go. From tubeless to tubing, tubing to tubeless. I’m looking at possibly changing or switching from tubing to tubeless if and when it becomes available in Canada Omnipod 5 currently on a Tandem. I truly hope that I’m making the right decision and the reason for wanting to switch is I’m fed up of the appendage.

      4
      2 years ago Log in to Reply
    16. JOAN ULMER

      I have always used pumps with tubing. I tried to go to Omnipod but the month cost was prohibitive. I currently use Tandem pump. Several months ago a tandem rep showed me a new pump thats very small, can wear on arm with long or short tubing. Waiting to see that Tandem product. I do not like tubing as I have pulled out set many times.

      1
      2 years ago Log in to Reply
      1. Anita Stokar

        That pump that is very small with the short tubing is out now. It is called the Tandem Mobi. If your warrantee is out, or when it expires, you should be able to get that. I believe you can also do a trial run with it before you decide.

        2 years ago Log in to Reply
      2. Anita Stokar

        Correction on my part. I believe it is out to the public, but am not 100% sure. I know there was a limited release, just not sure on a total release to the public.

        2 years ago Log in to Reply
    17. Bob Durstenfeld

      I am grateful to have a pump that takes some of the management load . Tubing has never bothered me.

      1
      2 years ago Log in to Reply
    18. Bea Anderson

      Oops. Answered same, but I did switch from tubed to tubeless pump.
      Tubeless is wonderful. But carrying my iPhone and the ‘controller’ is very troublesome!!! Also tubeless gives less info than my other. And the company is not forthcoming with updates and info regarding things promised.

      1
      2 years ago Log in to Reply
    19. Edward Geary

      Yes, I tried Omnipod and enjoyed the freedom from the tubing, however, I later experienced a succession of problems with the adhesion, pod failure and loss of insulin, and Bluetooth connection. Ultimately I waited out my warranty and went back to Tandem.

      1
      2 years ago Log in to Reply
    20. Trina Blake

      AS another person mentioned, I am not interested in the Omnipod because it requires that I carry (yet) another device. My Dexcom is integrated with my pump (Tandem X2 -with BIQ – don’t want CIQ – I like setting my own targets, having access to temp basal). When I was working I was on call a lot. We had smartphones before they were consumer products. By the time they became consumer products I was over it. I feel the most free when my phone is at home and I am ot!

      2 years ago Log in to Reply
    21. Jennifer Wilson

      I have not switched to a connected pump. I guess I’m spoiled by the flexibility of a tubeless system. My endocrinologist prefers and recommends a tubed system but I told him that I have not experienced the potential issues he explained, so until/unless I have those problems, I prefer tubeless (e.g., wireless).. 🙂

      2 years ago Log in to Reply
    22. ConnieT1D62

      I switched from MDI to a tubed pump in 2001 and since then I have only used a tubed pump.

      2 years ago Log in to Reply
    23. Carrolyn Barloco

      I like the tubing on my T-Slim X2. Otherwise, I’d worry about misplacing my pump. I think of it as my stopwatch on a fob!!😃

      2 years ago Log in to Reply
    24. fletchina

      I have always used a pump w tubing.

      2 years ago Log in to Reply
    25. Kathryn Keller

      Switched from tube to tubeless but not because of the tubes. My daughter was technically too young for Control IQ at the time, so switched so she could Loop. She definitely prefers it now and so nice to bolus from either iphone or watch.

      2 years ago Log in to Reply
    26. Janis Senungetuk

      No, When I was first deciding on a pump, after 60 yrs of MDI, I tried an Omnipod and was very uncomfortable with the weight on my upper arm. I decided on an Animal Vibe and 2 years later a Tandem t:slim X2. Now I’m very interested in both the Modi patch pump with very short tubing and the iLet. As long as the small pump is securely held to my waistband with a strong clip, the infusion set tubing isn’t that much of an issue.

      1
      2 years ago Log in to Reply
    27. Stuart Pelcyger

      Better support and hybrid closed loop system

      2 years ago Log in to Reply
    28. Twinniepoo74

      I switched from a pump with tubing because got tired of my tube getting caught in doors and always plugging myself for baths or to go swimming. I love tubeless pumps better I feel normal again

      2 years ago Log in to Reply
    29. Maggie Morgan

      The omnipod malfunctioned way too often for me and i didn’t like how big it was on my skin. The tandem tslim is amazing and I’ve used it for 6 years now.

      2
      2 years ago Log in to Reply
      1. Cristina Jorge Schwarz

        Same experience I had!

        2 years ago Log in to Reply
    30. Anita Stokar

      I have always used Tandem which has a tube, but the tubes really don’t get in my way. I hesitate going tubeless as I don’t want a pump attached to me that I can’t stick on another place on my body if the first place I put the pump is uncomfortable. I use a metal cannula, so if I stick an infusion sight in an uncomfortable place or the area is just not absorbing my insulin well, I can just take out the cannula and put it somewhere else.

      2 years ago Log in to Reply
    31. Cristina Jorge Schwarz

      My first pump was tubeless. It was a never-ending series of occlusions, failures, highs. After a year, I had switched insurance plans, and was able to got with a tubed pump.

      It has several options for insertion sets: cannula length, angle, and material, plus tube length. Wow, what a difference in control!! The tethered life is totally worth the control. (This manufacturer is coming out with an almost-patch pump, I get to keep my insertion set options with a tiny tube. Perfect for me and can’t wait.)

      2 years ago Log in to Reply
    32. John McHenery

      I started on a tubed Medtronic pump then tried a tubeless Medtrum but quickly decided it had not been a wise change and am now on the tubed MyLife Ypso pump.

      2 years ago Log in to Reply
    33. Karen Tay

      I personally prefer the tubeless due to convenience of it.
      I started with a Medtronic in 1991 and switched to OmniPod somewhere around 2010. Now on Medicare, the cost was too much so I now have the Tandem IQ which I love the accuracy of it but do not enjoy the tubing.

      2 years ago Log in to Reply
    34. KarenM6

      I switched from Omnipod to Tandem.
      I sorta/kinda had to as they discontinued the type of Omnipod I was using. But, I also didn’t like that there were no options for size of cannula and it was painful if placed on a spot that would receive pressure. (Like on a left arm and then sleeping on the left-hand side.)

      2 years ago Log in to Reply
    35. PamK

      i chose “other” because I use a tubed pump, but did try a tubeless pump for @ 3 months. I did not like it. While the no tubing was nice, the tubeless pump does not offer the smaller increments that he tubed pumps do. Whole units of insulin are often too much for me, so the tubed pump works much better at keeping me in control. Also, all of the pumps require more than a 3 day supply of insulin for my needs. With a tubed pump I can just change the infusion set and keep using the insulin that is in the reservoir. With the tubeless pump, it stopped working at the 3 day mark, and any remaining insulin was wasted. This bothered me. One other thing, with the tubeless pump I had a lot more pump failures than with my tubed pump.
      So, overall, I find that the tubed pump works much better for me.

      2 years ago Log in to Reply

    If you use an insulin pump, have you switched from a tubeless pump to a pump with tubing? Share more about this change in the comments. Cancel reply

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