Recently, I was asked to choose an insulin pump. For someone who has lived with Type 1 diabetes for decades, that should have felt like uncomplicated progress. A pump can automate parts of insulin delivery, but it must receive reliable information from the glucose sensor. My concern was simple: my sensor sometimes loses connection overnight and does not always alert me. If the sensor cannot communicate properly, what information will the pump act on? I raised the question because I wanted the technology to work safely, not because I was resisting change. Yet it reminded me how easily a patient who asks too many questions can be seen as anxious, awkward or difficult. We are often praised for taking...

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