I’ve been a Type 1 diabetic for 63 years now, and have used insulin pumps for over 26 years of it, started in December 1993. Reason I started was because they had just released the DCCT (Diabetes Control and Complications Trial) 1 year early. Main thing in that was that by gaining tighter control, particularly with an insulin pump, could not only stop developing diabetes complications, it could in many cases reverse them. So after the first 6 months when I felt confident that I knew how to use it my control started improving markedly, and my A1c reflected it.
I’ve ALWAYS used tube pumps, starting with Minimed, then Animas, and now my new Tandem t:Slim X2. I was concerned about using a pod pump for 2 reasons: expense can be tremendous since the entire pump is replaced every few days, and that can really add up if it doesn’t work right when you mount it. A REAL problem if I lost my medical insurance , which happened at times since.
The other thing is that I worked around machinery, sometimes needing to squeeze thru tight places where the pod might stop me cold. A hose could be worked through anywhere, and the pump could be pulled free to get thru somewhere if needed.
Also people worry about catching the hose on something and ripping out the infusion set base if it catches on a handle or something. I had quite an experience with that 1 day early on. I was standing on a frame taking the top off a material tank but didn’t realize that the hose had looped around the clamp in front of me. When I jumped a foot or so down I found myself facing 2 vibrating white lines, my 43" hose, which had just stretched to about 49" long.
After looking at it, finding no leaks, and still able to pump insulin through it I just kept working the rest of the day, then went home and changed it. So will it ALWAYS rip out the base, NO.
Another note, I always get the longest 43" hose so that it won’t restrict me, particularly when doing my daily tactical maneuver in the smallest room in the house. I can just drop what I need to and not worry about it, since the pum can rest on the floor with no problem. You would probably do that maneuver rather more often, for obvious reasons.
It can also get interesting in the summertime, when I wear shorts. THEN I need to run the hose all the way around my waist to avoid having the hose hand down by my knee with no cloth to keep it trapped, which could get very confusing, and rip out the base before I realized what was happening.