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    • 11 hours, 51 minutes 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.
    • 11 hours, 53 minutes 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.
    • 11 hours, 53 minutes 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?
      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.
    • 11 hours, 53 minutes 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’m uncomfortable not knowing when and when it isn’t being used, but I’m not sure why really. A “singer” named Benny Rivers popped up in one of my feeds. I really liked the music, until I found out it was a total AI fabrication. Then I was uncomfortable. Why? I felt “taken”, like someone pulled a fast one on me, pulled the wool over my eyes. I liked the music less then. I didn’t like that I couldn’t find a tour date, things like that. But I was most uncomfortable not truly understanding why it made me uncomfortable. The music was still enjoyable.
    • 13 hours, 28 minutes ago
      Natalie Daley 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.
    • 13 hours, 29 minutes ago
      Natalie Daley 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.
    • 13 hours, 31 minutes ago
      Natalie Daley 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".
    • 13 hours, 34 minutes ago
      Natalie Daley 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 am comfortable using AI as a helpful tool, while fully cognizant of hallucinatory tendencies. If I may paraphrase a famous writer about a week ago analyzing universities (as well as AI): “the over-intellectualized nature of academic culture—the idea that all inquiry should be depersonalized, dispassionate, data-driven, objective. Being a good person is more about having the right emotions, perceptions, and intentions toward others in the concrete circumstances of life than it is about logic-chopping games and dry dissertations.” 𐚁
    • 14 hours, 39 minutes ago
      Kathy Hanavan 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 the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 14 hours, 39 minutes ago
      Kathy Hanavan 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.
    • 14 hours, 39 minutes ago
      Kathy Hanavan 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 am comfortable using AI as a helpful tool, while fully cognizant of hallucinatory tendencies. If I may paraphrase a famous writer about a week ago analyzing universities (as well as AI): “the over-intellectualized nature of academic culture—the idea that all inquiry should be depersonalized, dispassionate, data-driven, objective. Being a good person is more about having the right emotions, perceptions, and intentions toward others in the concrete circumstances of life than it is about logic-chopping games and dry dissertations.” 𐚁
    • 15 hours, 17 minutes ago
      John Barbuto 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".
    • 15 hours, 18 minutes ago
      John Barbuto 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 the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 15 hours, 20 minutes ago
      John Barbuto 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.
    • 15 hours, 21 minutes ago
      John Barbuto 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.
    • 15 hours, 22 minutes ago
      Mike 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?
      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.
    • 15 hours, 45 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      Sure, if you can call it a plan to flush with liquids and take electrolytes and insulin as needed.
    • 15 hours, 45 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      Inject. Inject. Inject. All other considerations are secondary, tertiary, or way down the list. Why would anyone ever rearrange the deck chairs on the Titanic? Might as well strike up the band to play Nearer My God to Thee!. ☹
    • 15 hours, 46 minutes 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?
      With all the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 15 hours, 46 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      It would depend on the symptoms and vary.
    • 15 hours, 48 minutes 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 am comfortable using AI as a helpful tool, while fully cognizant of hallucinatory tendencies. If I may paraphrase a famous writer about a week ago analyzing universities (as well as AI): “the over-intellectualized nature of academic culture—the idea that all inquiry should be depersonalized, dispassionate, data-driven, objective. Being a good person is more about having the right emotions, perceptions, and intentions toward others in the concrete circumstances of life than it is about logic-chopping games and dry dissertations.” 𐚁
    • 15 hours, 48 minutes 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?
      With all the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 15 hours, 48 minutes 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?
      2 It already is. But needs to be checked occasionally. I don't want a person inside me every five minutes.
    • 15 hours, 52 minutes ago
      KCR 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.
    • 15 hours, 57 minutes 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?
      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.
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    If you have used a diabetes pump in the past, have you ever switched from pumping back to MDI (Multiple Daily Injections)?

    Home > LC Polls > If you have used a diabetes pump in the past, have you ever switched from pumping back to MDI (Multiple Daily Injections)?
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    Do you currently use any of the following insulin pumps?

    Ray Burgett

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    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. 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. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. 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. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

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    30 Comments

    1. Annie Wall

      I’ve mostly been pumping since 1995, took a pump “vacation” two years ago because I had so much scarring from nearly 25 years of infusion sets. I used the InPen for two years and now I’m back to pumping on the Tandem t:slim with Control IQ, using TruSteel. Much happier using fast acting insulin for basal than one shot of long acting.

      2
      5 years ago Log in to Reply
    2. Gary Taylor

      The email I received was yesterday’s question. It brought me to the site where I could answer today’s question.

      5
      5 years ago Log in to Reply
      1. AnitaS

        same here

        5 years ago Log in to Reply
    3. Sahran Holiday

      Only inject when I’ve left my Omnipod remote home or a few times in the past when multiple pods failed and blood glucose went dangerously high.

      5 years ago Log in to Reply
    4. connie ker

      Do MDI with correction doses if needed. Lantus and Humalog are the insulins. Why change what works at the senior age of 73. I do have an Abbott Freestyle Libre and scan many times a day and night. My fingers thank me each and every day, even as I type this message!

      5 years ago Log in to Reply
    5. Dave Barden

      The comment box worked for me this with my iPhone SE. But not same as Gary, received yesterday’s email and was taken to a different question, presumably today’s. New gripe: why is column for comments so narrow? It’s not even 10 characters requiring an excessive amount of scrolling and there’s all that empty space right and left😾

      5 years ago Log in to Reply
    6. Dave Barden

      Typo in my reply re. Gary’s; I meant “NOTED same…” but typed “not”. I regret the error🙀

      5 years ago Log in to Reply
    7. Lawrence Stearns

      NO WAY! The insulin pump was an extreme improvement in the quality of my life. I would never voluntarily return to multiple daily injections. My life was out of control on injections. I immediately felt and behaved 1000 percent better with the pump. And, the CGM was another significant improvement.

      3
      5 years ago Log in to Reply
    8. Sharon Lillibridge

      never have and never will

      5 years ago Log in to Reply
    9. Conniekaycox

      Been doing this for 16 months now am a novice lol love my omnipod dash but do take a break sometimes. It is uncomfortable minorly. Awesome to ditch both devices short term and shower and sleep comfortably.

      5 years ago Log in to Reply
    10. Andrea Rueff

      I received my Insulin Pump and have been on it sence December 1997. I have had the pump removed from Aug. 2013 and I had gotten a Traumatic Brain Injury August 24, 2013 and restarted in 2015. I love the pump. I have certain times that I don’t like the pump because of items that I have had to change but those item’s that I had changed are not good. All the issues that I have with my Insulin Pump, I will never give up on it. I absolutely love my pump and giving shots I don’t like tjat at all and do not want to use them.

      5 years ago Log in to Reply
    11. Janis Senungetuk

      Used MDI for 60 yrs. before getting a pump. Now 6 years later I won’t willingly go back.

      5 years ago Log in to Reply
    12. Becky Hertz

      Wish there was an “other” choice. I switched from pump to MDI for about 2 years because I was having absorption issues most likely related to scar tissue. That was years ago before one handed insertion devices and I’m back on the pump with using many more varied sites.

      1
      5 years ago Log in to Reply
    13. Amanda Barras

      It was due to loss of insurance entirely, not just because they didn’t cover my “preferred” pump.

      5 years ago Log in to Reply
    14. George Lovelace

      Spent less than 18 hours on MDI in the past 23 years

      1
      5 years ago Log in to Reply
    15. Kristine Warmecke

      Once I started pumping in Feb. 1997 I didn’t look back. I have no desire to go back to MDI.

      1
      5 years ago Log in to Reply
    16. Christina Trudo

      Like others, I have never looked back….. 30 years and counting. In the early years had one pump failure, replaced within 24 hours.

      1
      5 years ago Log in to Reply
    17. KarenM6

      I have had multiple pump failures requiring replacements and have spent up to about 4 days on MDI while waiting, but I have not intentionally gone back to MDI since starting pump therapy in 1996.

      5 years ago Log in to Reply
      1. Ahh Life

        Identical with my experience. I even started with a Medtronic pump in 1996. Prior to that I had 35 years of MDI, probably 40,000 to 45,000 injections. The new micro-micro-micro pen needles are soooooooo good, however, that those of you doing MDI don’t realize how good you have it.

        5 years ago Log in to Reply
    18. ConnieT1D62

      I have switched to MDI for a month at a time on a few rare occasions as a pump vacation to give my insertion sites a rest – and have only done so since using Dexcom as my CGM. However, it is unlikely that I would ever go back to living life with T1D without a closed loop pump/cgm system. I like not having to do the carb ratio and insulin onboard math all the time. The Tandem X2 with CIQ keeps my TIR between 80 to 92% (~88%) most of the time.

      5 years ago Log in to Reply
    19. Carol Meares

      I put “yes” #1 because I just went to MDI because I had a my tslimx2 go down and had to stop using it until I could get hold of someone at the company so I decided to go MDI for a couple weeks to determine if I wanted to go back to MDI and also further develop and refine my backup plan. I get frustrated with my tslim control iq. I wish I could go back to basal iq on which I did so much better: I am now back on the pump because I rely on the iob algorithm in my daily insulin calculations and also need the ability to give small amounts of insulin to adjust my bg.

      5 years ago Log in to Reply
    20. M C

      The only time I might do an injection will be on one of the days thinks are going wonky with the pump… Otherwise, no. Although I am tired of being attached to the contraption, the amount of control the pump has provided me is the factor that will keep me continuing to use a pump.

      5 years ago Log in to Reply
    21. PamK

      I would switch back to MDI, but my doctor told me not to. She did not believe me when I told her my control was better on MDI. I’ve got a different doctor now, and he understands that sometimes MDI is better. We’re working together to try to get the pump settings to work for me, but if he can’t he will let me go back to MDI. So, time will tell!

      5 years ago Log in to Reply
    22. Britni

      I tried using the Omnipod for 11 months and then went back to MDI. It malfunctioned often enough that I went over 500 more in that one year than in all the rest of my life. My blood sugars were such a mess that my A1c actually came down but my time in range decreased, too. And on top of all that I was often in physical pain from the pod. The insertion sites almost always became inflamed and painful, a couple times so badly that I had to remove the pod early. And if I wore it on my stomach the corners would often jab into me every time I had to bend over or carry something heavy (I work outdoors, constantly moving, bending, twisting, lifting, carrying, etc.). I actually have a new scar from the corner of a pod cutting into my skin. I started using the Omnipod thinking a pump would give me more flexibility and peace of mind while at work, but instead I was in pain and sick all the time. It wasn’t worth it.

      5 years ago Log in to Reply
    23. Mary Dexter

      Bubbles, bubbles caused lots of troubles. Figured if I was going to need to take multiple corrections with a syringe to compensate for the bubbles blocking the tubing, I might as well just take my insulin with a pen.
      Both my CDE and the Medtronic rep observed my technique (which had been working) and couldn’t figure out why the bubbles kept forming. Pump never did alarm. Instead, I would notice I had been sitting in the 300s and it was still rising despite dialing in several corrections. I will never use a pump again.

      5 years ago Log in to Reply
    24. Ken Raiche

      Lacking more options, I tend to alternate between pump and MDI every so often. It’s all a question of how I feel.

      5 years ago Log in to Reply
    25. Phyllis Kaplan

      I went on my first insulin pump 21 years ago and have not switched back. The first pump I had didn’t have many features besides basal and bolus (no bolus wizard!) but it afforded me so much flexiblity even then. Now my pump has more features and does more, and I have no plans to go back to MDI, or even a pump vacation. Though, I do of course realize there have been new insulin’s since 2000 that may offer some of the flexibitly those in 2000 didn’t.

      5 years ago Log in to Reply
    26. NAK Marshall

      I’d LIKE to use a pump (probably the Omnipod) but my skin cannot tolerate more than 1 adhesive, so I choose the CGM.

      5 years ago Log in to Reply
      1. NAK Marshall

        Also I now have the InPen that gives me the same lovely data and does the math that the pumps users get. It’s the best thing for my bolus insulin EVER, and requires much less brain power because it tracks everything! ALL MDI-ers should check it out.!!!

        1
        5 years ago Log in to Reply
    27. Cheryl Seibert

      I would never go back to MDI unless forced. I was on 5 shots a day and my poor, thin body couldn’t stand being touched because I was a pincushion. Love my pump even with the frustrations of tweaking the technology to match my brittle diabetes (T1D 55 years)

      5 years ago Log in to Reply

    If you have used a diabetes pump in the past, have you ever switched from pumping back to MDI (Multiple Daily Injections)? Cancel reply

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