tenfoot
It is not that I don't update, I just take control of when it happens, and always use an imaging utility beforehand as abacab suggests. I think the idea that 'windows must be updated to the very latest version every second of the day' is not only overstated, it almost inevitably leads to workflow interruption.
I agree with this comment. Taking control is the key. I like Windows 10, but MS has apparently lost control of quality control, and is now depending on the community to effectively beta test all of their patches and upgrades.
The monthly patch roll-up model no longer allows you to pick and choose from the monthly patches. In the past I would wait a week or so after patch Tuesday. With Windows set to check but not download and install updates, if I heard about a troublesome patch, I would hide it until MS issued a revision. If I felt it was otherwise all clear, I would take a system image, then install the remainder of the updates. Now you have to take the whole bunch, and if there is a busted patch, you have to roll the whole thing back.
Also with the Windows 10 semi-annual upgrades, i.e. Anniversary Update, etc., I have heard that it is best to wait several months until the upgrade is well baked. Then based on feedback from the community, hopefully the majority of issues have been fixed. There is usually nothing in these upgrades that one needs to go rushing forward into, unless one wishes to beta test the latest MS features for MS, at the risk of your DAW's stability. The Anniversary Update is actually running a Windows Installer. I have noticed a lot of comments about software activations and other settings being reset as a result. It is very much like a fresh install of Windows in that regard.
The monthly update roll-ups will include security patches as well as recommended updates, so it probably makes sense to pay attention to them. But the major upgrades can be deferred with various techniques as long as you wish, depending on your Windows version.
And starting with the MS October updates, the cumulative roll-up model has been applied to Windows 7 and 8.1 ...