Hi @lisa_c1! I stopped using a pump for similar reasons a couple years back. I had trouble with sites working consistently, and it was interfering with my ability to control my blood sugar levels. I didn’t use steel infusion sets though. I found that if I avoided giving large insulin doses in sites then the sites would last longer. Large doses at one time tended to comprise how well the site absorbed insulin later.
The MDI insulins are much, much better than they used to be. I found a lot of freedom when I switched from the pump to injections again. I started with Humalog/Lantus because that’s what my insurance covered. I’m now using Humalog/Tresiba, and recently started using Afrezza. Afrezza is amazing!
Tresiba is a very convenient long-acting insulin because it lasts several days. You still take one shot/day, but it layers several days of insulin. I think this helps stabilize blood sugar levels. If you have varying basal rates on the pump, Tresiba may not be the best fit though. I found that my basal rates weren’t working consistently when I was using the pump because I had trouble with my sites, so Tresiba was a much better match for me- even though I had varying basal rates when I was on the pump! Everyone is different though.
Levemir is another long-acting insulin that I’ve heard works pretty well. This might be a better fit if you have varying basal needs because it doesn’t last as long.
When I went on MDI to take a pump break, I expected I would take a few months off then switch back. MDI has been so much better for me though! I love not having the tubing attached to me all the time.
For most people, a good A1c is very possible on MDI. Are your basal rates on your pump very different throughout the day?