#319: Pump or Pen: Which One Actually Gives You More Freedom

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In today's episode, I break down one of the biggest debates in Type 1 diabetes: Insulin Pump vs. MDI. But instead of comparing the features, tech, and tools — I flip the discussion completely. Because it’s not really about which method is better — it's about which one supports your personality, your lifestyle, your mental bandwidth, your confidence, and your understanding of insulin.

I explore why some people thrive on a pump and others feel more confident with injections, why technology can sometimes increase mental load instead of reducing it, and most importantly: why no device can fix diabetes without strategy, awareness, and ownership.

This episode is an empowering, reflective coaching-style breakdown that will help you make a decision based not just on tech — but on who you are.

🔑 Key Takeaways

• Why choosing between MDI and pump has more to do with self-awareness than features.
• Technology does not reduce decision-making — it only changes it.
• Pumps don’t give you control — you create control with understanding, not devices.
• Why starting on MDI often builds stronger decision-making skills.
• When pump switching is motivated by FOMO, burnout, or false expectations.
• Why doctors talk about technology, but don’t teach you mindset, ownership, or insulin strategy.
• The most important question to ask:
  👉 Does this tool support my confidence — or steal it?
• You can make either method work — if you understand your insulin, mindset, habits, and needs.

About the Host

I’m Coach Ken Kniss, founder of Simplifying Life With Diabetes and host of The Healthy Diabetic Podcast. I help people living with T1D cut through the overwhelm, confusion, fear, and distrust in their daily decisions, so they can feel confident and live without consistently worrying about lows, their body image, or long term complications.

🌐 Website: SimplifyingDiabetes.com
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Podcast Disclaimer: Nothing that you hear on The Healthy Diabetic Podcast should be considered medical advice or otherwise; please always consult your medical TEAM before making any changes to your Diabetes management.

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