As I said before, if you can handle clips with your dry gloves, it should not be a problem to manipulate the needle. Like everything else, it is just about getting used to.Tks did you tried it in cold water using big drygloves? Knob look very tiny and it's between the 2 hoses ....
That being said, I don't understand why nobody (except KISS for a few units) doesn't come out with a bigger or at least more "touch -friendly" needle valve.
I used to dive that one and it was "easier"