Hey Jay,
My pump functions on it's own. I have a refill every eight weeks and it is all calibrated so I do nothing. If I need some extra, I have a Personal Manger device that allows me to give myself a bolus or extra dose of medication and then shuts me out for an hour. I only use these if I wake up stiff and with the weather changing, using it almost every morning. It has given me such a new quality of life that I never knew was possible again.
Thank's for the shout out. I will see my Rheumy on Monday and talk about my feet and my swollen fingers and toes (sausage digits).