I haven't spoken to my D team about this yet, but it looks like come July (when my warranty ends after being on the pump for 4 years) I may not be eligible to pump anymore. According to the guidelines over here: "Insulin pump therapy should only be continued in adults and children 12 years and over if there has been a sustained improvement in the control of their blood glucose levels. This should be shown by a decrease in the person's HbA1c levels or by the person having fewer hypoglycaemic episodes. Such goals should be set by the doctor through discussion with the person or their carer." I'm not sure that there has been a sustained improvement in my BG levels, because around 2 years into D things got a LOT more difficult to 'control'. I don't have the records of my a1Cs here, but I can pretty much remember what they have been: Feb '08 (before pump): 7.5 July '08 (before pump): 7.9 December '08: 6.4 July '09: 6.5 December '09: 6.7 July '10: 7.1 December '10: 7.4 July '11: 7.3 December '11: 7.7 Whether or not those are the exact numbers, it was basically that pattern.. They went down for a bit, then things went harder to control, my TDD went up, I became ketone prone and lost hypo-awareness. Although I never honeymooned, I think that that was the point where my body lost even more endogenous insulin production. In the breaks I've had from pumping my BGs are INSANE, and I believe that if I went back to MDI it would be incredibly hard to keep my a1C below 8. This post is kind of pointless, really just wanted to vent at the fact that it's all going to be decided by how much my numbers have improved when actually my numbers now are similar to pre-pump, but maintaining similar numbers when so many factors have become more difficult actually means that the pump has been successful, KWIM?