Yeh there's always the exception that proves the rule.
I've never met anyone who's changed back except on these forums and I worked as a GP with special interest In diabetes and knew the lead consultant for Diabetes pump therapy in Liverpool that at the time was one of the few centres that offered the service and covered the West Midlands, Wales and most of the North Western HA's and he told me NOBODY had changed back from pump therapy.
Admittedly that was 5 years or so ago and I've been retired for the last 10, so I'm sure these mythical beasts exist but pretty rarely. Incidentally, I did say "not many' change back. I didn't say no one does.
From my experience with the dawn phenomenon, the only thing that resolved it was the pump. I've tried monotard, leo mixtard, ultratard, glargine in single bolus and split bolus. None of which coveted it and most of the time I ended up having to time my meals to coincide with the lows I got as a result.
Guess it depends how bad the DP is. Not sure why you're so against pumps - especially if it hasn't been tried
I loved my pump... thoroughly tested and tried before having to give it up. Ended up in A&E so many times when two separate hospitals... including a leading one in Cambridge insisted I kept trying pumps...tried 3 different ones and practically every cannula..
Was very, lean and muscly... still am.
Incidentally, with Medtronic when their cgms fail, they ask your weight.... why?? Is there a certain weight of people that cgms could fail more for?
I am very pro pump...but for some of us it is not the best tool.
Its ok trying different basals in split scenarios... but that is not identifying or working to when you need your peaks actioning most... thats working to the NHS guideline...... not to our individual bodies....
Only by realising when you need peak insulin and less insulin etc do you stand a chance of looking at the different types of insulin to suit it....
I was lucky, I had my pump basal profile photographed and could see the hige rises needed in morning that went from 0.37 up to 1.35 units within 2 hours and then dropped off.... and evenings till 3am need much, much less. By timing Insulatard around this with its peaks of actually working and when it is out of my body, then it was me that established that I needed a very small dose of tresiba to carry me through..
If doctors just keep doling out the standard instructions and cant help beyond this thinking for looking at different regimes for peaks and troughs other than pumps... its pretty poor in my thoughts. I had to look up insulatard and all the different insulins... not my specialist consultant..
I am very much for pumps but honestly, the people I know are real, and not virtual from forums. One teenager in particular was really upset by feeling different with pump and living... really quite horrible to be honest, especially as I had helped her and mum to go on the pump... another young lady, laye teens went from mdi to pump, hated it, and also had difficulty afterwards going back to MDI because she had been made to feel so bad by consultants and nurses.. she then gave up with going to hospitals..lost every ounce of caring for herself as she considered she had been made to feel a failure, as 1) every body raved about pumps and how lucky at the time she was to get one, 2) she was then nagged by her dad and her hospital about giving up pump, made to feel bad about going back to MDI and just gave up looking after herself.
This is all withon last 3 years...thats just youngsters- let alone people like me whose skin just rejects the cannulas for the first 15 hours, and causing absolute total hell for me with hypers and having specialists just pushing me through hell and back...
Sorry steering off.
We are all individual... but I dont think the true peaks of DP and waking phen are really appreciated by hospital staff and the drops that can occur before them... these can be hard to deal with on the standard split doses....