I get the JAMA, don't read it much. Usually skim it for cardiac articles. This week's issue had an article which compared about 30,000 young German/Austrian/Luxembourg Type 1 diabetics, average age was only 14.5 years of age (82% were over 11), had disease average of 7 yrs. So these were pretty young diabetics. Half on MDI, half pumpers. They pulled out about 20k of "matched" diabetics into the 2 groups and compared them for: all hypos, severe (coma) hypos, DKA episodes, severe DKA episodes, and A1C's. The pump group had about 30% fewer total hypos, 20% fewer hypo "comas", 15% fewer DKA episodes, and 15% fewer severe DKA's. But only 7.3% of the MDI patients had any hypo in the last year they kept track (pumpers only 5%). The pumpers' A1C was 8.0% and the MDI's was 8.2%, only 2.5% higher. They regarded the differences as significant. Being an MDI person for over 30 years I thought that both groups did pretty darn well. Pumpers used 15% less daily insulin. MDI's used about 1U/kg of insulin which is what I was always told was the average. I mean some of the pumpers (2%) were under 5 years old!