It's been a long time since I posted here! Leah is now in college and coming up on 10 years with D. Still using the Dexcom, the Share, and Nightscout when the Share isn't cooperating. I wanted to share that a few months ago she changed her routine by supplementing her pump (omnipod) insulin (apidra) with a shot of Levemir each morning, with the idea of reducing the dependence on the pump. Around 20 units worked well in stabilizing her BG during the day. She then started taking some levemir also at bedtime that worked well. After a few weeks of this, she stopped using the pod altogether and for the past two months has been on MDI only, taking levemir morning and bedtime, and apidra as needed (using pens for both types of insulin). While not having the pump means that she can't make micro adjustments, overall her BG control has been great. There is less volatility during the day and night, and many nights the BG stays in the 70-120 range without corrections. Based on the dexcom data, if I had to guess, her a1c would still be around 6 like before. Even though she won't correct, say, a 120 down to 100 like she might with the pump, there are also fewer spikes above 250 and none of the need for the large, repeated boluses that were sometimes needed with the pump to bring down stubborn highs. Usually one apidra bolus using the pen is all that's needed. I recall being skeptical of MDI years ago, but am pleasantly surprised to see how well it's working for her. And of course, she enjoys not wearing the pump. The CGM remains an important part of the solution, especially on MDI where basal can't be turned off like a pump.