Oh, I’m with you on this one, @mike. Here, they wait for problems to arise, then you get to go on a carb counting course, then you get a pump if wanted/needed. (I went on the course in order to get a pump. No-one else on the course wanted a pump, just better control.) I’ve carb counted all my life, and was astounded to hear that some of the newbies on the course didnt know that you had to ‘match’ insulin to carbs – they thought it just kind of sorted itself out, and you couldnt eat puddings because they didnt sort out. Our DSNs are doing their best to get everyone who wants on Carb courses, but they can only bend the rules, not break them.