I'm on a pump but always take backup insulin pens and needles when I travel, so that I can switch to MDI if needed. My QOL with a pump is so much better than it was with a decade+ of MDI.
We really need some version of "permanent prescriptions" for insulin. Not OTC, because then insurance doesn't cover it, but infinitely renewable, so you don't have to go see an endo just to continue living.
Like didn't even warn me of the dangers of hypoglycemia. After I nearly went comatose one time, "oh yeah, we have glucagon you can get if you'd like a prescription". Which is cool after you've been passed out in front of a restaurant, with people looking at you like they're going to hit you with narcan.
One of my secret terrors is getting narcaned by a cop.