I agree… constant adjustment is a nightmare, a never ending rat race that can’t ever be won… a basal insulin that, at least to a large extent, frees one from that headache is a godsend.
I don’t dispute that some people have more variable profiles than others… but even within those I believe there is a baseline that can be met with a consistent basal, and excursions outside of that basal can be treated as needed, whether preemptively if they’re predictable, or reactively if they’re not, with bolus… chasing around basal profiles throughout life is in my opinion very detrimental to quality of life. Some people manage to do it very well, but they are a tiny minority…
I believe that, in my experience, tresiba is vastly more conducive to quality of life as a T1 diabetic than other basal options…