If you find
@Tom86 that trying - with difficulty - to achieve good control on MDI is having an adverse effect on your quality of life (a lot of hypos, nighttime hypos - is what you've said) then you have a good case.
I had 'excellent' control, according only to my HbA1c. My pre-pump HbA1c was 44. But I was in a spiral of failed attempted perfection. It massively affected my quality of life - and the crushing thing is, I had no idea. I thought that half a life (as a result of my diabetes taking over the other half) was as much as I could expect, what with spending so, so much time and effort on managing it (at the expense of my career and my family life). I thought that was what I was supposed to be dealing with and having to put up with. That was the deal. Suck it up. 'That's life'.
Now I've had a pump since October last year, after nearly 30 years of obsessively tight control (hypos, or if higher than 7, beating myself up massively and hating, hating the feeling that I wasn't within target). It had been - with hindsight -
ridiculous.
I wrote a succession of letters and sent them to my DSN. It took a while, but she ended up putting my point across to the powers that be, and has remained incredibly supportive ever since.
Pumping has made such a difference to me. HbA1c last count was 42 - but never mind that - I am starting to consider that having a normal life might just be something I might one day achieve. And I'm doing great so far. Work's going okay, my family have heaved a huge sigh of relief - and today I ran my first parkrun.
I feel like a winner-to-be.