Well, if the question is whether pumping can improve your already excellent alc, then no, probably not, or not by much. Your endo is correct that you would do well on pump because your are correctly counting carbs & calculating correct insulin doses. Your educator is right in that pumping probably cannot improve upon your a1c but is wrong in that pumping offers a level of convenience that many diabetics really love. You always have insulin loaded and ready to deliver vs syringe/vial (although an insulin pen is a good improvement over syringes if you don’t need precision down to the half unit). For some, a pump is more essential because they have DP or other variations in their daily basal requirements which a pump can easily correct. Who should decide whether you should pump? You. I don’t understand the “too little insulin” comment you got. Overall I’d listen to your endo and ignore the other. As far as the lows you are getting, that is probably fixable on shots by observing how much insulin you take for the food you eat & your activity level. If the lows are due to your body having different basal requirement throughout the day or night, then pumping is much better than shots. For me Lantus works very well but I have to watch out for a 30 pt drop that occurs within 5 hours after taking it.
