I’ve been pumping 7 years and have had a very different experience from some of the previous comments. Never once did I feel compelled to clip it to my waist, felt the need to bolus in a restroom because of where the pump was stored, went out of my way to wear pants/shorts/girdle to accommodate it, nor ever let the pump dictate my sleeping attire. Fot the most part, it lives in my cleavage. It’s my favorite spot for it! It’s convenient, accessible, I can easily see my screen when I want, it doesn’t inhibit the ability to use the restroom and dress/undress, and the tubing becomes an absolute non-issue under my clothes. I can wear anything I want, really, even dresses. Only once did I have a problem with the neckline on a gown (very rare occasion to dress up!), and I found an easy solution fixing the pump to the dress lining. It’s generally clipped to the bridge of my bra, and if I’m not wearing one of those, I just clip it to the neckline of a tank top/cami. And you if you want to carry in a pocket instead, no need for special alterations. You can clip a tiny hole in the fabric and dab a little Fray-Check (fabric glue for exactly that purpose) around the cut edges.
Sleeping is also not a problem. Usually when I go to bed, it’s still in my cleavage , but it often finds it’s way loose in the bed with me with zero issues whatsoever. If you roll over, the pump will roll with you. I do occasionally get an alert because I’m sleeping on top of it and blocking the Dexcom communication.
Seriously, the tubing is only worrisome before you start pumping. Once you’ve actually lived with it for a little while, you’ll stop noticing it.
Pumping was a simple choice for me. I’m a terrible diabetic when I have to take multiple daily injections. I’m lucky if I responsibly take all the mealtime boluses, and extra corrections are highly unlikely. 27 years of injections and it never got any easier for me. With pumping, the current technology is amazing. If really minimizes the burden of being T1 so I can live a nearly normal life, while still exceeding the ADA guidelines. I’m struggling to come up with a negative. I quite like being a cyborg.
And there’s a lot of misinformation out there about insulin and it needing to be refrigerated. You’re supposed to refrigerate the unopened vials/pens for long-term storage, but the one you’re using doesn’t need it. If you read that folded up paper they stuff in the box with your insulin, it will tell you that it’s good for 28 days at room temp. It’s actually even more heat tolerant than that. Every single time an insulin pump goes through FDA review they have to prove the safety and efficacy of the insulin inside it. I don’t know about other pumps, but Tandem’s has an alert to notify you if it does actually get too hot, so you never need to be worrying needlessly about temperature. In fact, freezing temperatures are way more damaging to insulin than warm temps.