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Message: <blockquote data-quote="Deleted member 527103" data-source="post: 2629990">In addition to the comments above, I would also emphasise how important it is to master MDI before moving to a pump. I would suggest there at east two reason for this- with a pump you have no "spare" background insulin. Therefore, you ahve to be much more accurate with your carb counting. - pumps can fail. This does not happen very often but it is never at a convenient time. Therefore, you need to be confident that you can quickly revert to MDI under stress if it happensWith a year of MDI experience, your DSN may not be willing to take the risk with regards pumps at the moment. It is not a reason to avoid the conversation but something to bear in mind. I would also familiarise yourself with the benefits of pumping and be able to "sell" why it would help your diabetes management if you can adjust your basal every 30 minutes or dose 0.05 units. And remember, pumps require time and brain investment. When I started pumping, working out my basal pattern, learning about combo boluses and suspended or temp basal was like learning about diabetes management all over again. And if you don't intend to use these features, you are missing out a huge amount on the value of a pump.  It is not my intention to put you off. I am so much happier with my pump. It really helps me keep a much closer management of my diabetes and has significantly reduced my hypos.</blockquote>

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