My experience switching to a pump (MT, not Omni) was that my expectations were way out of whack. No one said, “Hey, it’s going to take at least a couple of weeks, maybe a month or more, until you’re back to where you were on MDI, but don’t worry because it’s worth the effort.” It definitely was worth the effort for me, but up to the day I switched over I’d only been given happy talk and I thought I’d be all set in a few days. NOPE.
Yup. Part of it is just the nature of the beast: my Lantus DD was about 50u, considerably higher than what I seem to need with a pump. I think that’s generally true for everyone. That said, your team does seem to be pretty far out on the conservative side. This was the main reason my adjustment took so long. They are trained to be VERY cautious, rightly so because a pump is a different beast, delivering insulin in a constant flow, which can stack up unexpectedly if you don’t have things set right. So they are much happier letting you run high for a while as you get things dialed in. They are just going to be very low-averse. For me there came a point where I said, “ya know, I understand this thing pretty well,” cut the cord from my trainers and started tweaking my own settings. But that point would have come a lot sooner now because of one thing:
Do you also have a CGM? THIS IS A HUGE QUESTION.
You didn’t mention it and it tends to be assumed these days, but it seems to be something more automatically associated with pumping than MDI, so if you’ve just switched you may not know how crucial it is. I didn’t get one until I’d been pumping for a couple of years and I’m certain it would have made a gigantic difference in how prolonged the initial adjustment period would have been. If you don’t have one, get one now if you possibly can. If they say “one thing at a time let’s not complicate the transition,” the opposite is the case. It has its own learning curve, yes, but the basics are simple enough and it will make a huge difference in getting your pump settings dialed in.