As the resident pump hater I don’t see any reason to disagree with this study, but I have extreme personal bias and hatred towards the pump due to horrible experiences with infusion sets bending and the pump overall being defective and not trustworthy. It failed almost every day, left me with possibly permanent scar tissue due to running out of space (due to infusion set failures, which may of caused the permanent scar tissue) in one week or so of use let alone the whole 2 weeks (I can’t inject in my right side of my tummy, haven’t been able to ever since i used the pump and I only used it for weeks worth of time and haven’t used it for 4 years, one attempt recently lead to a hyperglycemic episode because it didn’t work and I HAVEN’T injected there in years!!!) . I also always regret not getting a dexcom or something at the same time, I feel PERSONALLY using a pump with a cgm is really …risky and dangerous due to the lack of all day coverage insulin like lantus leading to dka really easy if your site fails. I still totally WISH i didn’t fall for the basically peer pressure on the internet to feel that was the only way to manage my diabetes when I was new…as it wasn’t. Have had great luck with MDI, have always had an a1c in the 5.5-5.8% range, rarely go hypo (did that all day when I was on the pump, when it worked. Novolog is a crappy basal for me, even on the lowest setting, when 10 units of lantus would keep me good all day???) rarely go hyper either.
I agree with the following things: Pumps are expensive, pumps put you at risk for dka way easier than mdi (lantus, tresiba, etc will cover you even with an imperfect dose , if you use a pump and it fails you have no insulin coverage, huge dka risk, especially if you’re using it without a dexcom or libre that is just asking for trouble) not to mention just hyperglycemia as well (which I see as more dangerous and avoid in every way possible) ,they are more wasteful (if the infusion set fails, you have to redo EVERYTHING!) , they’re more likely to fail and you may or may not get insulin from them at some point because how flawed teflon is as an infusion set (metal infusion sets are way safer but still carry the same scar tissue risk), also the scar tissue from pumps make it harder to deliver insulin and it’s less likely you’ll easily scar yourself up with injections as it’s something smaller and easier to rotate around.
I wouldn’t tell anyone to stop using the pump, but I basically feel like it was a major detriment to my health so I’m glad to see at least a few others being like nope I didn’t like it either , and more studies backing it up that mdi is safe for a lot of people , and not everyone needs a pump.