Last of the Mohicans
With Smiths on the rocks, I had to make a decision to either go home with the girl I brought to the dance, or….
It was not an easy call.
I’ve worn OmniPod and liked it a great deal, but I’m a klutz and kept knocking pods off. I lost three in one day and my wife reminded me that in all my years of tethered pumping I never pulled out a single set. I also had some issues that I think were caused by the two wireless devices. I’d lose telemetry between pod and PDM. It shouldn’t matter, you don’t necessarily need to have your PDM with you; but in my case it would lock up, crash, and I’d have to reset everything, including date and time, and put a new pod on. It was a pain in the ass. That said, I’ve got quite a few patients on Pods and lovin’ them.
Animas looks pretty sexy. Nice shape. Color screen, not that you need one on an insulin pump. I like the Ping concept. Tethered pump, but controllable from the glucometer. Kind of best of both worlds in terms of no pod problems but off-the-belt control. You could even wear the pump under clothing. But I’ve never worn one. I have asked at least three times to try one out… but it never happens. Not going to commit myself for a life-time to something I haven’t road-tested. I’m told by my various spies that insurance plans are increasingly starting to refuse to replace out-of-warranty pumps. As long as it works, you are stuck with it. That also means when you break down, and you will, you’ll be pumpless for quite some time while you fight with your insurance for a new one. Animas wise, I was also worried that while Pres would probably pay for the pump, they would not cover the strips (One Touch) that would make the Ping so much fun to play with.
Med-T is too big a pain in the ass to use, and the CGM features I adore from the Guardian aren’t part of the package yet. If the next-Gen pump ever comes out and has Guardian-like features I could happily learn to deal with any shortcomings to have one box on my belt; but at this point it is not worth it.
And bottom line, the Cozmo pump rocks. It is the only pump that calculates insulin on board in an intelligent manner. It has the awesome disconnect feature that replaces missing basal while unhooked. It tells me how many carbs to eat to get out of a hypo without rebounding when the shit hits the fan. It is reliable and rugged. The menus are simple, clear, and direct. Even though it is an endangered species, I love it enough to take the last one. I know that I’ll be fully supported for exactly 1, 460 days. And then I’ll be on my own. Maybe some smart lean little company will come along and manufacture Cozmo pump cartridges for us until the last duct-taped Cozmo bites the dust. Who knows? I may be Cozmo pumping for a decade. Maybe until the cure, but I doubt it.
You may think I’m crazy. But I’m happy take that last Cozmo pump, thank you very much.