I agree! If my day-to-day life ever becomes highly variable activity-wise, that’s probably when I’d consider switching to a pump (or maybe when they get to a point where the automated ones are a few steps further along than where they currently are).
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It works great for me, I sometimes have to slightly reduce my dose over a couple days at work since I’m more active and my hours are weird but otherwise I can sit in my butt all day one day and climb a mountain the next and have very few problems
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I can’t wait to get to that time in my D life. I’m pretty good at it now, but the fatty meals still challenge me terribly and I can obsess over it instead of enjoying my meal😭
I recently had this problem, too, even on the pump. I’m in the middle of a practicum with highly variable activity levels—some days I walk 20,000+ steps, other days I’m lucky if I hit 3,000 steps—and I had several overnight lows that lasted for more than four hours despite me eating an enormous quantity of carbohydrates and despite backing off on my basal by 10-20%. Even on days I’m not active I can wake up with utterly random lows, such as this morning when I took a nap and woke up at 2.6 mmol/L (Dex missed that one and didn’t alarm). I’m going to ask for a sample of Tresiba at my December appointment, just to give it a try, but I’m seriously doubtful that it’s going to result in super stable blood sugars for me, between changes in activity level, female hormones, variable basal needs throughout the day, illness (and allergies, which my body treats as an illness when they get bad, and which I have to varying degrees 24/7/365), and all the other unforseeable factors that make having adjustable basal rates a godsend.
Keep us posted, you might be surprised. I’ll be really curious to see. I watched another poster on a different forum who was a big fan of pumping trial tresiba, literally actually document that their control was measurably improved while using it vs pumping, then go back to pumping citing that they needed adjustable basal… even though they had actual citable data that they’d just laid out piece by piece that their control was superior with tresiba… sometimes I think that people’s psychological connection to the pump makes them favor it disproportionately… which is understandable I suppose…
My understanding is that said individual went back to pumping in order to use an open APS system and that their control on that system is significantly improved over what they’ve ever had in the past, though. So I can understand that.
Even though I initiatlly went on the pump because I needed adjustable basals, I’d be willing to give it up if Tresiba somehow outperformed my pump. I think the biggest barrier to me giving it up at this point would be that I love the ability to bolus whenever and wherever I am. I can be in the middle of teaching, have my CGM alarm high in one pocket (two vibrations), put my hand into my other pocket and deliver a 0.5 unit touch bolus correction (pump uses vibrations to facilitate bolus programming and delivery confirmation) within 10 seconds without missing a beat and without my student(s) or workshop attendees knowing that I’ve taken any action to manage my blood sugar. I would really miss that ability.
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