Wow, we are starting the saline on Wednesday and just thought this was how everyone did it. That was the way the pump trainer made it seem. We are on MDI and do carb counting for everything so that part will not be new to us. Me and my son were both a little disappointed that we couldn't start with insulin right away but thought that was just how we had to do it. I did let him know that I was told on here, that the saline may sting a bit so he could be prepared. He was not too happy about that.