Pump Comparisons.....All about pumps/companies

[Dewey]

As mentioned, several friends here have suggested we make a thread to detail some of the highlights & lowlights of each pump & company. This is an excellent idea, as it will allow new & prospective pumpers to find answers to questions they may have.

That said, I ask that you please read this post entirely (or at least the First part!!) before submitting a reply:

In this thread, I ask that there be NO competitor bashing/slandering and absolutely NO "pump wars." What I'm trying to do is gather lists from fellow users who've used one or more pumps. In their posts, they should detail the pump's/company's pros & cons (with ones they’ve had experience with). In a way, it should be objective, but being somewhat subjective (i.e. giving props to one's company of choice) is fine, provided nobody steps on anyone else's toes. We must remember that what may work for one pumper (or soon-to-be pumper) may or may not work for another. Be helpful, but remain respectful. Thanks, and let’s get started!

Listed below are some of the highlights & lowlights of each pump/company I’ve had experience with:

DELTEC/Smiths Medical Pros:

1. User friendly & customizable through PC (can name pump and add emergency info.)
2. Large display screen
3. Universal Luer Lock connection - can use almost any infusion set
4. Can set reminders (BG & Bolus)
5. Comes with Freestyle Flash meter, which attaches to pump
6. Good customer service
7. Can download/upload data to/from pump
8. Upgrades often done free & "in the field" - no getting "refurbs"
9. Can insert used battery
10. Easy to find AAA batteries. They now have Lithium AAA available! YEA!
11. Cool colors available
12. Sturdy pump
13. Offers a variety of bolus options (Standard, extended, combination), and IOB feature
14. Can change Insulin to sugar factor and other features (I.e. IOB), "on the fly"
15. Waterproof
16. Has time and current insulin rate on "screen saver"
17. Can customize delivery and other settings (i.e. set Boluses to deliver from over 1 to 5 mins)
18. Can correct for high sugars based on user-determined input of Insulin to sugar ratios (I.e. how many points will one unit of insulin decrease blood sugar)

DELTEC/Smiths Medical Cons:

1. If alkaline AAA batteries are used, the battery life may not be as long
2. No remote
3. Some do not care for feel of the pump (some say it’s shaped oddly)
4. The software needs to be upgraded so better charts & graphs can be made/used (as Koblenz has mentioned in the past)

ANIMAS Pros:

1. Extremely small pump
2. Large display screen
3. Very user friendly (and cool sounding alarm tones, lol)!
4. Universal Luer-Lock connection - can use almost any infusion set
5. Can set bolus reminders & BG test reminders
6. May soon be able to customize (pending release of software & upgrade)
7. Working on release of Micro-Pump (end of 2007)
8. Longest Battery Life of all pumps (8 weeks or more) AA Lithium
9. Offers Normal, CarbSmart, EasyBG, and Combo boluses
10. Can set desired insulin delivery speed (normal or slower)
11. Excellent customer service!
12. Cool color covers (and customizable ones! )
13. Can adjust contrast (good for users with vision problems!)
14. Working with Lifescan to release CGMS (possibly for use in conjunction with pump)
15. Waterproof
16. Can customize battery type being used (i.e. Lithium, Alkaline, etc...) and can insert used battery without “alarming”

ANIMAS Cons:

1. No Remote
2. No Monitor to link to yet...
3. Software not customizable yet
4. Some users have complained of stinging when blousing (due to swift delivery), but can be remedied with an extended or combo bolus)

MINIMED Pros:

1. Comes with meter, 522/722 work with the CGMS - communicates via RF
2. Has remote (sold separately)
3. Can choose to either use 515/522 with 1.8ml res. or 715/722 with 3ml
4. Has “Indiglo” backlight
5. Small pump
6. Cool colors available
7. Has clock and battery life on "screen saver"
8. Now has pump to sensor communication (instead of using separate meter)
9. Battery life decent
10. Sturdy pumps
11. Insulin On Board feature (IOB) (customizable on 515/715 & 522/722)
12. Multiple bolus options (regular, dual wave, square wave - similar to Cozmo's)
13. Now offers “skins” to put on pumps
14. Has multiple bolus options (Dual Wave, Square Wave, Normal, etc.) & Bolus Wizard
15. Has IOB (insulin on board feature)
16. More good features with each new release…
17. Can set reminders (for Blood Glucose & Bolus)
18. Easy to find AAA batteries.

MINIMED Cons:

1. Remote available (which is a pro), but may be a little steep to some on price ($150)
2. Not Waterproof
3. Some have experienced customer service issues from time to time
4. Complaints about inability to use meter/pump communications on flights. (not a big deal, but may be frustrating to some users).

The cons I’ve listed for each pump/company were discussed at one time or another. Most of the cons have never been a major issue for me, but they may be a factor for some users...Again, I'm trying to be objective as possible, but some of the pros are things that either I or others have experienced personally from each company.

Feel free to ask questions and add your own lists - but remember, play nicely please! :secruity:

[Funnygrl]

Two other things I really liked about Cozmo:
1. Can memorize boluses for certain situations (ie, pizza: 70/30 split over 4 hours) and same for temp basals (ie, running, 25% for 30 minutes).
2. Stores literally everything in the history.

One thing I don't like:
No good carrying case when cozmonitor is in use.

Some charts that compare pumps:

Google Base: Insulin Pump Comparison (http://www.google.com/base/a/1232483/D7204852549494882525)

Compare insulin pumps for diabetes (http://diabetesnet.com/diabetes_technology/insulin_pump_models.php)

Integrated Diabetes Services - Diabetes Management (http://integrateddiabetes.com/pump_c.shtml)

http://www.diabeteshealth.com/media/pdfs/Pump-Reference-Guide-0506.pdf

Pump Manufactors
Accu-chek (http://www.disetronicusa.com)
Animas (http://www.animascorp.com)
Deltec (http://www.cozmore.com)
Nipro (http://www.niprodiabetes.com)
Omnipod (http://www.myomnipod.com)
Minimed (http://www.minimed.com)

[flash]

What is a Luer Lock and how can you use any infusion set with it ?
Does Cozmo have the luer lock and can I use my mini med quick sets
on the cozmo pump, or a pump with the luer locks ?

Flash

[Dewey]

What is a Luer Lock and how can you use any infusion set with it ?
Does Cozmo have the luer lock and can I use my mini med quick sets
on the cozmo pump, or a pump with the luer locks ?

Flash
Hi Flash,

Pictured below are the Standard Luer Lock connectors (on infusion sets) and the MM Paradigm series connector on MM's Quick Sets:
http://i22.photobucket.com/albums/b325/Dewey_B/infusionsetdiff.jpg
I also want to point out that with the recent creation of the "ThinSet Reservoirs" (for Paradigm pumps), MM pumpers can now use Luer Lock sets as well. :thumbsup:

The Cozmo does use Standard Luer lock sets & MM Quick Sets can be used with it, provided they have the standard connection, as pictured on the left (i.e. sets made for 50x series of MM pumps).

Hope this helps! :)

[flash]

Thank you Dewey ! I think I'm getting it, the Mini Med Reservoirs were too wide to fit the Luer Locks on various infusion sets. Does the Luer Lock help in the delivery of insulin or is it just that you can use different infusion sets with various insulin pumps ?

Flash

[JediSkipdogg]

Does the Luer Lock help in the delivery of insulin or is it just that you can use different infusion sets with various insulin pumps ?

The Luer Lock is a very common medical connection used everywhere in the medical community. It's because it's so simple with just a twist that you don't have to worry about it "unsnapping" so to speak. Minimed use to use the standard Luer Lock but in my opinion, wanted to keep customers from leaving them once Animas and Minimed came into the market, so they switched to the proprietary connection. People who liked MM would stay with them and upgrade their pump and be forced to choose a new infusion set. Then they would like that set and be forced to stay with MM.

In my opinion, there is really no advantage of one over the other. They both work quite well. If you asked me 2 years ago, I would have said stay away from the Proprietary Minimed Connector as they only had a handful of infusion sets to work with it. Now, they have seen their drawback as people left them, so they are making more and more sets and one company has created the Luer Lock insulin cartridge for Minimed. There is still a larger amount of infusion sets in Luer Lock and some that more like than others, the Inset is one, which is a 90 degree canula and inserter all in one. So no more having to remember to take your inserter with you.

Just my 2 cents on the issue.

[flash]

Thankyou Jedi and Dewey, I understand it much better now !

Flash

[barbarac]

Thanks. Good charts and lists. I didn't know I could adjust the contrast on my animas--can see much better now!! Thanks.

[Dewey]

This was asked about in another thread, so I just wanted to share some pics of the Animas/Cozmo, side by side:

http://i22.photobucket.com/albums/b325/Dewey_B/DELTECANIMAS.jpg
http://i22.photobucket.com/albums/b325/Dewey_B/PumpComparisonPic1.jpg

Per the second picture, the Cozmo seems to be a little thicker than the Animas, but I assure you, not by much. Per the first one, you can see that the Animas is a little wider across the front. Really, there's not a lot of difference between the two in size, if the meter part isn't worn on the Cozmo.

That said, Animas is working on the release of the Micro Pump, which should be out by Q4 of 07 (barring any problems). Cozmo/Smiths Medical is also planning to release (in the very near future - by year's end) upgraded pumps that will have software integrated for use with the Abbott Navigator CGMS system (which will also be released soon).

Again, I cannot stress enough that it is ALL about personal preference. What may work for one, may or may not work for others.

[Funnygrl]

Dew, when you say the Cozmo will work with the Navigator, will that be in a Paradigm 522 kind of way, or how?

[Dewey]

Dew, when you say the Cozmo will work with the Navigator, will that be in a Paradigm 522 kind of way, or how?

I think it will be similar to the 522 type system, but not sure how the two will work together. Since I've not seen a physical image of how the two will communicate, I can't really give better detail.

[melissata]

If you feel like putting any more pictures here, I sure would love to see the Cozmo WITH the meter attached. I haven't seen a Cosmo since they first came out, and there was no meter then. If you don't want to take a picture can you tell me how much thicker it makes the pump? 1/2 inch, 3/4 inch...Thanks.

[egi]

I think the meter adds less than 0.5" (unfortunately our insurance doesn't
cover the Freestyle, so we can't use it if we don't want to pay the $1000
a year difference from the One Touch).

You might want to find out if your insurance cover the Freestyle test strips
the same way it covers whatever you are currently using.

[melissata]

Thanks, I did ask when I called, but I had a dimwit, that would only tell me that they covered "most of them". It is new insurance and doesn't start until January, so I will need to be sure that they cover the strips. I may call the durable medical that I am going to be using. They will know for sure.

[Dewey]

If you feel like putting any more pictures here, I sure would love to see the Cozmo WITH the meter attached. I haven't seen a Cosmo since they first came out, and there was no meter then. If you don't want to take a picture can you tell me how much thicker it makes the pump? 1/2 inch, 3/4 inch...Thanks.

Sorry it took so long (had to look in my archives to find the pics I snapped, lol), but here's a pic of the Cozmo with meter attached (on left & without on right):
http://i22.photobucket.com/albums/b325/Dewey_B/COZwithwithoutmeter.jpg?t=1164740120

The second shows a closer-up, but this time, the shot with the meter attached is on the right (rather than the left). Note the black battery cap, made to help hold meter in place:
http://i22.photobucket.com/albums/b325/Dewey_B/COZwithwithout2.jpg?t=1164740165
The meter's no thicker than a couple of sticks of gum, but some do complain that it adds a little extra bulk. Hope these help and sorry it took so long to find them!

[melissata]

Thank you for those pics! It amazes me how thin they were able to make the meter. I have already been in touch with the Cozmo rep, but haven't made an appointment with him yet. How much effort does it take to take the meter off of the pump to make it waterproof? She used to keep her Dtron on for showers. One of the people that I "spoke" to on another board also had insurance that wouldn't cover the meter. All that had to be done was for her doc to write a letter of medical neccesity because it is part of that pump and she was able to get the Flash strips.

[egi]

Which insurance was it?

We got an authorization letter from the clinic and still the insurance would
cover it only at 50% which meant about an extra $1000 a year for us for
using the Freestyle strips verses the One Touch strips.

[FrankDr]

How much effort does it take to take the meter off of the pump to make it waterproof?

You just need to loosen the battery cover, which holds the meter in place, a turn or so and it slides/snaps off easily. I don't let my Cozmo get wet, so I only take the meter off to program/download the pump (since the meter covers the IR port)

[melissata]

Thanks Frank, that sounds easy as pie. And EGI the insuarance was Blue Cross/ Blue Shield. Not sure what state she lives in though.

[egi]

Thanks Frank, that sounds easy as pie. And EGI the insuarance was Blue Cross/ Blue Shield. Not sure what state she lives in though.

Thanks for the info. Interestingly enough, we do have Blue Cross of CA.
I guess I'll have to try again to get a letter of medical necessity from
the Endocrinologist.

[melissata]

I guess I'll have to try again to get a letter of medical necessity from
the Endocrinologist.[/QUOTE]

Yes, I would fight it for sure. It is part of the pump that they paid for and it makes no sense not to utilize that feature. I would appeal if the letter of medical neccesity doesn't work. What do you have to lose?

[Funnygrl]

Learn about what pump therapy is here:

Insulin pump - Wikipedia, the free encyclopedia (http://en.wikipedia.org/wiki/Insulin_pump)

What is Insulin Pump Therapy? (http://www.minimed.com/pumptherapy/whatispumptherapy/index.html)

Insulin Pumps - Type 1 Diabetes - American Diabetes Association (http://www.diabetes.org/type-1-diabetes/insulin-pumps.jsp)

Animas Corporation - About Pump Therapy (http://www.animascorp.com/learningcenter/lc_abtPumpTherapy.shtml)

Another two sites that do a good job describing pump therapy:

NovoLog®: helpful resources for diabetes patients (http://novolog.com/new_consumer/pathway-pump.asp?s=ds&h=330)

children with DIABETES - Insulin Pump Therapy (http://www.childrenwithdiabetes.com/pumps/)

[Glow]

These pump comparisons have help a lot, Thanks. I am tryng to decide which one is for me. I have narrowed it down to the Minimed Paradigm or the OmniPod. DOES ANYONE HAVE EXPERIENCE WITH THE OMNIPOD?:smile:

[trifona]

Here's a couple of comparison pictures I took when my new pump came in:

http://i7.photobucket.com/albums/y283/trifona/IMG_1697.jpg

http://i7.photobucket.com/albums/y283/trifona/IMG_1698.jpg

[Funnygrl]

Thanks Trifona! I imagined the dtron was much bigger than that, but it looks similar compared to the paradigm.

[trifona]

Thanks Trifona! I imagined the dtron was much bigger than that, but it looks similar compared to the paradigm.

Exactly why I always had to sigh when people would say that its was too big. Just a tad longer really. The only really noticeable thing about the D-Tron is its weight, considerably denser than either the HTron or the Minimed. Probably due to its first generation retractable metal piston rod. On the Paradigm the rod is plastic, which I'm sure saves weight and $$.

The D-TronPlus was a great, easy to use pump.

[Funnygrl]

This is the same chart as the first chart in post #2, but I have updated it to include the Cozmo upgrade, more info released on the Accu-chek, and more info on the Dana.

Google Base: Insulin Pump Comparison, revised 12/14/06 (http://base.google.com/base/a/1232483/D1905608721199184984)

[Worldcrzr]

I too have Blue Cross of California and use the Cosmo monitor. Blue Cross only pays for Accu Chek strips normally but when my doctor wrote the prescription for the Free Style, the pharmacist simply coded the insurance that the Free Style was medically necessary for the insulin pump. Blue Cross pays 100% for 300 strips monthly for no co-pay. The medical necessity code is the key to having most insurance companies pay for the Free Style.

[rudi]

The pictures of other pumps is so helpful to me. Thanks. I have some really basic questions as I am new to pumps. So far I love my pump; my life is better than it was before. Now, about all the extra tubing. I get frustrated with the "bathroom" issues. so girls, how do you deal with it all? Is it always a tucking technique? Do you disconnect? I have bought a hard side clip, a soft case that goes over a belt and that stupid velcro case that straps around you at night. They all suck in some way or another. There doesn't seem to be a lot out there for misc equipment, or am I missing a website somewhere? My job is also very physical, with lots of lifting, squatting, kneeling (Grocery manager in a food co-op) and I do get worried about the abuse this machine takes. Any pointres from anyone would be well received. Another question. What about any other quick sets for the Minimeds. Obviously, some stuff is not interchangable. I have gotten frustrated when I have screwed up an insertion, or just want to change a resevior. What am I missing here?

[Funnygrl]

I use the long tubing and when I go to the bathroom just leave it clipped to my pants and have enough tubing. I tuck the extra tubing in my pants or pocket. At night I just let the pump "float" in bed freely. No, if you have a Minimed the sets aren't interchangable. The other pumps can use all the sets though. You might want to try the silhouettes.

[typeone]

You said:
"Cozmo/Smiths Medical is also planning to release (in the very near future - by year's end) upgraded pumps that will have software integrated for use with the Abbott Navigator CGMS system (which will also be released soon)."

Where did you hear this? I can't find any information which links Cozmo to the Abbott Navigator, but I sure hope it's true, since I use a Cozmo.
:deal: typeone

[Dewey]

You said:
"Cozmo/Smiths Medical is also planning to release (in the very near future - by year's end) upgraded pumps that will have software integrated for use with the Abbott Navigator CGMS system (which will also be released soon)."

Where did you hear this? I can't find any information which links Cozmo to the Abbott Navigator, but I sure hope it's true, since I use a Cozmo.
:deal: typeone
I spoke to both Abbott & Smiths Medical reps at a Diabetes Symposium, and each said the same thing. They intend on linking one to the other (at least that is their intentions) with the implementation of the new software. Of course, the year's end ('06) has come & gone, but hopefully soon...Still impatiently waiting...

[Mama Belle]

I have read through this thread and have a question that I don't think was really addressed. I know that with the Minimed pathway program you can upgrade your pump during the warranty if a new pump comes out (for a fee). Does Cozmo have the same type of thing? Their literature says the upgrades are free, but refer to software and not the pump itself. My daughter is soon to start on the pump (hopefully April) and we are leaning towards the Cozmo, but if we get a pump now and a new one comes out next year do they have a program similar to the pathway program, or does their claim of "free upgrades" refer to the pump as well as the software? I am confused.

[Funnygrl]

I have read through this thread and have a question that I don't think was really addressed. I know that with the Minimed pathway program you can upgrade your pump during the warranty if a new pump comes out (for a fee). Does Cozmo have the same type of thing? Their literature says the upgrades are free, but refer to software and not the pump itself. My daughter is soon to start on the pump (hopefully April) and we are leaning towards the Cozmo, but if we get a pump now and a new one comes out next year do they have a program similar to the pathway program, or does their claim of "free upgrades" refer to the pump as well as the software? I am confused.
They mean the on pump softwaren(not just computer software). So if a physically different looking pump comes out (like the shape changes, and it has new hardware) that is not likely to be free. However, the Cozmo 1800 was recently released. This is a new pump, with new software. It has a food database, and several new features. I have a Cozmo 1700. I, along with all Cozmo users, are getting the 1800 for free. It's the same thing as the Paradigm Pathway, only FREE!

[Mama Belle]

Thanks!!! That helps me a lot! We can't wait to get her pumping and are pretty excited about the Cozmo.

[Funnygrl]

Thanks!!! That helps me a lot! We can't wait to get her pumping and are pretty excited about the Cozmo.
Awesome! You'll love it, I bet!

BTW, your daughter is too darn cute.

[Mama Belle]

Aww, thanks!

[iron999mike]

By the way, if you order a cozmo now you should get the new pump (1800). So upgrades probably won't be a problem for a while unless they have a problem. I ordered mine on Dec 16th and got it a week later.

The only negative thing about Cozmo's upgrade program is that if you return your pump for an upgrade, they will send you a used (different one) back. They are supposedly tested or what not, but could have some cosmetic defects. I got this information from the Cozmo rep when I got my pump because I was just going to get the old model in purple (a color they are discontinuing) and upgrade the software when it came out. I decided to get the new pump and black instead because of this information.

[Funnygrl]

By the way, if you order a cozmo now you should get the new pump (1800). So upgrades probably won't be a problem for a while unless they have a problem. I ordered mine on Dec 16th and got it a week later.

The only negative thing about Cozmo's upgrade program is that if you return your pump for an upgrade, they will send you a used (different one) back. They are supposedly tested or what not, but could have some cosmetic defects. I got this information from the Cozmo rep when I got my pump because I was just going to get the old model in purple (a color they are discontinuing) and upgrade the software when it came out. I decided to get the new pump and black instead because of this information.
My current pump is a refurb. I sent my old pump back with a huge scratch on it. My current pump is spotless. And it works perfectly. They do not have cosmetic defects. A rep told me they only ship perfect looking pumps.

So you have the 1800 now?

[iron999mike]

My current pump is a refurb. I sent my old pump back with a huge scratch on it. My current pump is spotless. And it works perfectly. They do not have cosmetic defects. A rep told me they only ship perfect looking pumps.

So you have the 1800 now?

Well that is good news. I didn't want to take a chance. Really wanted purple though, darn.

I have the 1800 now yes. I got it on Dec 27th and started pumping on Jan 9th. I am a new pumper though and wasn't getting an upgrade. I am just guessing, but I am thinking the upgrades take longer as they probably put an priority on new customers. In there defense though, I am sure a mass operation upgrading all those pumps takes a while too.

I really like it compared to MDI, but have a few qualms about how the Cozmo user interface is laid out. They could have done a lot better in my opinion. I don't know if it is different from the 1700, but all the settings are laid out in a linear fashion. So if you want to change one thing, you have to go through the settings page for several others first.

Also why would the vibrate/beep setting require 9 button presses (getting in and out)? :thumpdown

[Funnygrl]

Yeah, that 1700 is set up like that too. For the most part, I don't mind it. I do all my setting via computer, and the options you use a lot (bolusing, temp rate) require very little button pressing.

Do you use the food database or the weekly programming?

[Dewey]

I really like it compared to MDI, but have a few qualms about how the Cozmo user interface is laid out. They could have done a lot better in my opinion. I don't know if it is different from the 1700, but all the settings are laid out in a linear fashion. So if you want to change one thing, you have to go through the settings page for several others first.

Also why would the vibrate/beep setting require 9 button presses (getting in and out)? :thumpdown
Truthfully, other pumps have similar layouts. You have to go to setup in each one to get to the sounds. Now, maybe with Animas it requires fewer button presses, but it's not available on the fly on any pump. Like Funny said, you can also set things up via IR with the computer, which makes it easier. :thumbsup:

I've upgraded in the past, but had my pump upgraded in person. The rep. came & took us out to eat (Score, lol - jk! :D) and upgraded the pump while we all snacked.

I've also had to replace the pump once due to stress fractures on the battery housing. When I got the new one, it looked brand new (just like Funny's) - no scrapes, scratches, etc..

Overall, I love the Cozmo & have had no problems with the service, features or anything on it. It's good that you got the new one. I'm hoping (this has never been said to me, just a personal wish) that in the future, we'll be able to select our colors (i.e. purple, green, blue, ice blue, etc.), regardless of the model we get. That'd be awesome!

[iron999mike]

I (un)fortunately don't have a microsoft computer. I did use my parents comp to mess around on it and program some of my favorite foods and back up my settings. I also managed to delete my blood sugar history. I heard the program wasn't great so wasn't expecting to use it so it wasn't a problem. My schedule is pretty stable at the moment, so i don't use the weekly schedule.

I don't mean to be picking on Deltec specifically. I did do a lot of research before I chose a pump and I still think the cozmo was the best choice. I think that all of the pumps I saw had this problem to some extent. I believe all of the pump companies could do a much better job with there user interface. The computer software is also an disappointment. It looks like it was an afterthought. Again not picking on Deltec, I have heard this is a case for other companies as well.

I am sure they will get better with time, but I am impatient and an perfectionist, and there is no technical reason that they could not have been better now. :hmpf:

[Doug]

Megan from the Insulin Pumpers list put together a nice spreadsheet of the various pumps and features

I converted it to PDF for the masses
Its posted here in PDF http://dfw-iug.org/pump_compare3.pdf
and here in HTML
http://www.insulin-pumpers.org/faq/Page.htm

[elsex3]

New to thread, but one thing smiths medical told me is that there is a great demand right now for this "upgrade" and just be patient, (obviously). But I think one of the greatest things ever about diabetes management, is the introduction of the integrated glucose monitor and pump.. It is the ease of multi testing that will make every pumper a pro! when the navigator comes out and (Im guessing) Talks with cozmo pump, this too will be Amazing.. I have been Type I since 86 and wish I could have had this precision tool the whole trip. But have only have been pumping for 1.5 yrs. LOVE IT!!!

[Lloyd]

Another feature of the Cozmo 1800 which as a T2, I find very useful, is 4 user defined reminders. I set these to remind me to take my oral meds.
I really like the meal Bolus reminder, because it only goes off if you don't bolus during a user defined mealtime (like 5 to 7 PM for example).
-Lloyd

[panda1076]

Here are my thoughts on the OmniPod based on my experience...

Pros:

1. No tubing!!
2. Cannula insertion is automatic--no need for infusion set--just push a button on the PDM
3. Filling and changing pod is easy
4. Pod is a small enough size it's usually not noticeable under clothes
5. PDM replaces the need for the part you'd usually wear on your waist/belt
6. PDM is user-friendly
7. PDM does not need to be with you except when bolusing for meals (basal rates are stored in pod memory)
8. Freestyle meter is built in
9. Uses AAA batteries
10. Can choose to use percents or units for temporary settings
11. Pod is waterproof
12. Great customer service
13. Can set BG reminders


Cons:

1. Haven't tried the downloading software, but heard it's not so great
2. Because you don't have to have the PDM near you at all times, it's easy to not hear the reminders/alarms
3. Pod beeps for various reasons (like reminder that pod will expire that day; or beeps to acknowledge that it's finished delivering an extended bolus) (do all pumps do this?)
4. Not available in all areas of the U.S. yet

[Dewey]

Panda, thank you for sharing your experiences with the Omnipod. :thumbsup: I was hoping someone who uses it would come forward & give their pros/cons list.

I'm also hoping to find users of other pumps, such as Amigo or Dana Diabecare. Even if they're not used in the US or have been recalled, it would still be cool to get a pro/con list from those who have used them. :)

[mequick]

I am in the market for a 1st time pump. In finishing up my comparisons, I chose the new Animas 2020. This brand was chosen strictly for the visual display, because I have poor vision - especially for smaller detail dealing with color, contrast, and font size. Also, a RF tethered BG meter will be coming out in the not too far future and I think a CGM is in beta somewhere. With my visual problems, I will probably never consider the Animas micro unit.

I compared the Animas, CozMore, and MiniMed. All three seem to be fine pumps doing the same function, just a little differently. Medicare, and some insurance's, will not pay for the MM CGM, or the expensive monthly supplies, so the CGM was not a consideration for me. The MM had a better back light than the CM, but the CM had a better normal screen than the MM. A wash out here. Animas had the best screen for me. The MM does not have a carb menu support, but the other two do. I intend to use this, until I memorize all foods and their nutrition's.

The Animas 200 unit cartridge just covers my three day TDD. Whew! I am told that my TDD will drop with the pump. I know that when I switched from Humulin U to Lantus, I dropped about 24 units per day. Will continue this trend?

I am told that Medicare is being petitioned to cover CGMs. Will hopefully be able to consider this unit someday.

[Lloyd]

I

The Animas 200 unit cartridge just covers my three day TDD. Whew! I am told that my TDD will drop with the pump. I know that when I switched from Humulin U to Lantus, I dropped about 24 units per day. Will continue this trend?

I.

I dropped from 99 units / day injections to 80 units /day when I started on the pump. I understand this is typical. 45 days later, I am at 60 units / day. I'm a T2, which likely explains the second drop.

-Lloyd

[panda1076]

These pump comparisons have help a lot, Thanks. I am tryng to decide which one is for me. I have narrowed it down to the Minimed Paradigm or the OmniPod. DOES ANYONE HAVE EXPERIENCE WITH THE OMNIPOD?:smile:

Glow--Sorry I didn't see your post back in December. I use the OmniPod and love it! I started using it at the beginning of December. Which did you end up deciding on?

[panda1076]

I chose the new Animas 2020. This brand was chosen strictly for the visual display, because I have poor vision - especially for smaller detail dealing with color, contrast, and font size.

mequick--

I looked at pictures of the Animas2020 on their website. The screen does look big. But did you check out the OmniPod?

If you aren't familiar with it, it's basically a pump with no tubing. the part you wear on your body holds the insulin, and you control it with a palm pilot-type device (PDM) that talks to the pod using RFID I think.

The PDM is very easy to use--big buttons-- and the screen is very large (larger than most pumps). Judging from the pictures online the PDM looks like a larger screen and font size than the other pumps.

Maybe it's too late now, but something to think about in the future. With the OmniPod it seems like you'd have the best of both worlds--small unit to wear on your body/easily concealable, but larger buttons and display on the device itself that controls insulin delivery. And, they too are coming out in the future with a CGMS sensor that will communicate with the PDM.

[mequick]

mequick--

I looked at pictures of the Animas2020 on their website. The screen does look big. But did you check out the OmniPod?

If you aren't familiar with it, it's basically a pump with no tubing. the part you wear on your body holds the insulin, and you control it with a palm pilot-type device (PDM) that talks to the pod using RFID I think.

The PDM is very easy to use--big buttons-- and the screen is very large (larger than most pumps). Judging from the pictures online the PDM looks like a larger screen and font size than the other pumps.

Maybe it's too late now, but something to think about in the future. With the OmniPod it seems like you'd have the best of both worlds--small unit to wear on your body/easily concealable, but larger buttons and display on the device itself that controls insulin delivery. And, they too are coming out in the future with a CGMS sensor that will communicate with the PDM.
On your advice, I looked up the Omnipod. Unfortunately, it is not available in my area. I will have to stick to the new Animas 2020 "TV" quality screen. Best for me so far, at least until I get my feet wet.

[Three Toed Will]

Question about mini med 522/722, I use a paradigm from 02, I am going to a seminar regarding upgrade to CGMS, I am concerned about the fact that it is dificult or cannot be used on a plane. Is this due to CGMS interface? Thanks

[Funnygrl]

Question about mini med 522/722, I use a paradigm from 02, I am going to a seminar regarding upgrade to CGMS, I am concerned about the fact that it is dificult or cannot be used on a plane. Is this due to CGMS interface? Thanks
The CGMS technology and the BD meter communication have to be turned off on planes.

From Minimed's website:

Can I use the MiniMed Paradigm REAL-Time System on an airplane? Must I turn off the radio frequency during flight?

International standards and U.S. Federal Communications Commission (FCC) regulations require that devices using radio frequency capabilities should not be used on an aircraft. As a result, you must disconnect the transmitter from the glucose sensor while traveling on an airplane; however, you can continue using the insulin pump. It is not sufficient to simply turn the continuous glucose monitoring (CGM) feature off on the insulin pump, the transmitter will continue to transmit on the RF frequency and must be disconnected from the glucose sensor to stop.

While in flight, you need to manually test your glucose levels using a standard meter (i.e. the Paradigm Link monitor). When downloading data and reviewing historical reports, you will notice "data gap" where information is missing during this period of time.

[typeone]

I was unaware of the requirement to disconnect the monitor from my pump - - - I have lots of frequent flyer miles, and have never disconnected my Cozmonitor from my Cozmo. Oops, now the feds will come and get me.:D

[Funnygrl]

I was unaware of the requirement to disconnect the monitor from my pump - - - I have lots of frequent flyer miles, and have never disconnected my Cozmonitor from my Cozmo. Oops, now the feds will come and get me.:D
The Cozmonitor/Cozmo communication is allowed on a plan, the Minimed/BD meter isn't.

[johnzoomer]

The Luer Lock is a very common medical connection used everywhere in the medical community. It's because it's so simple with just a twist that you don't have to worry about it "unsnapping" so to speak. Minimed use to use the standard Luer Lock but in my opinion, wanted to keep customers from leaving them once Animas and Minimed came into the market, so they switched to the proprietary connection. People who liked MM would stay with them and upgrade their pump and be forced to choose a new infusion set. Then they would like that set and be forced to stay with MM.

In my opinion, there is really no advantage of one over the other. They both work quite well. If you asked me 2 years ago, I would have said stay away from the Proprietary Minimed Connector as they only had a handful of infusion sets to work with it. Now, they have seen their drawback as people left them, so they are making more and more sets and one company has created the Luer Lock insulin cartridge for Minimed. There is still a larger amount of infusion sets in Luer Lock and some that more like than others, the Inset is one, which is a 90 degree canula and inserter all in one. So no more having to remember to take your inserter with you.

Just my 2 cents on the issue.
WOW U da man! Do you know what the name of the device and where to get it to transform the Proprietary MM lock so that you can get every infusin set you want. I use the CLEO and it comes with it's own inserter. Yes that is correct one less thing to forget.

[Funnygrl]

WOW U da man! Do you know what the name of the device and where to get it to transform the Proprietary MM lock so that you can get every infusin set you want. I use the CLEO and it comes with it's own inserter. Yes that is correct one less thing to forget.
1.8 ml Syringe Reservoir: Diabetic Supplies FIFTY50 Diabetes Supply Pharmacy (http://www.fifty50pharmacy.com/index.mvc?page=F5/PROD/internetspecial3/ADR326A)

[johnzoomer]

I droped from 220 units per day to 136 units per day

[Dewey]

The CGMS technology and the BD meter communication have to be turned off on planes.
LOL...What they don't know, won't hurt them. I don't have the BD Link meter or MM pump anymore, but do have the MM CGMS & left mine on during all my flights. Only thing I did was silence alarms. ;) Nobody had a problem with it & they didn't say a word. In fact, one of the flight attendants who has a relative with Diabetes was talking to me about the CGMS system. :D

I don't know why the FAA set it up that way originally, but it's been that way for years. Same applied to cell phones, but they're now considering changing it so people can at least text one another while in flight. What I don't get is that CGMS systems don't even operate on the same freq. as the plane equipment does.

[statdeac]

I was recently on a flight and the flight attendent told me I would have to power off my pump. I told her it didn't have an on/off button, since it was an always on lifesaving device. That explanation seemed to work just fine.

[Charmed7]

I've read every post on this string, and my eyes hurt. :eek:

I need to make a decision about my son's First Pump. I'm choosing between Cozmo and Animas. I read the flyer, and visited their website for Cozmo, and everything is just hitting home. From programing meals (ie School Lunch for the nurse), the attachment for testing (especially since he uses Freestyle test strips), waterproof and the program to use on the computer is perfect for me since I live on my computer.

My question is, am I missing something re: Animas? It just doesn't seem to have the bells and whistles that will make my life easier than I could imagine. If anyone has information that would be helpful regarding the Animas, please shed some light. I think I made up my mind, but I would hate to regret this decision.

Thank you.
Charmed :rock:

[someone]

LOL...What they don't know, won't hurt them. I don't have the BD Link meter or MM pump anymore, but do have the MM CGMS & left mine on during all my flights. Only thing I did was silence alarms. ;) Nobody had a problem with it & they didn't say a word. In fact, one of the flight attendants who has a relative with Diabetes was talking to me about the CGMS system. :D

I don't know why the FAA set it up that way originally, but it's been that way for years. Same applied to cell phones, but they're now considering changing it so people can at least text one another while in flight. What I don't get is that CGMS systems don't even operate on the same freq. as the plane equipment does.

I've worn my CGMS on a number of flights. I keep it in my pocket so there's really no way anyone is going to know. Are they seriously going to tell me that an 8 mhz (or something like that) transmitter is going to interfere with the airplane's communication? That is unbelievable and ridiculous.

Dewey, you might update your original post because the Animas software has been approved. I just called today and according to the person on the phone, they are shipping software to everyone who has purchased or upgraded to the 2020 in the order the orders for the pumps were placed.

[w5wjp]

I've worn my CGMS on a number of flights. I keep it in my pocket so there's really no way anyone is going to know. Are they seriously going to tell me that an 8 mhz (or something like that) transmitter is going to interfere with the airplane's communication? That is unbelievable and ridiculous.

Dewey, you might update your original post because the Animas software has been approved. I just called today and according to the person on the phone, they are shipping software to everyone who has purchased or upgraded to the 2020 in the order the orders for the pumps were placed.

The problem with RF devices is called intermodal interference or as hams call it ...intermod.

It is not the radios the are particularly worried about, it is the navigation equipment. Most airliners use GPS now a days and the signal from the satellite is not all that strong, wouldn't take much to cause significant interference. Imagine, flying from San Francisco to Tokyo and going a tad too close to North Korea. A degree or two difference in heading could cause disaster. Or flying the crowded skies in the US and being a degree or two off course and shaking hands with the plane headed in the other direction. If you know a ham operator, ask them to show you an example of intermod......lots of it on the ground, cell phones, pagers, business radios just about any other source you can think of. Oh, those nice big plasma TV...whew do they put out a bunch of intermod!!!!

[nfy]

I will be elgible for a new pump in July. I really like the Omnipod since I have problems with the lines in my MiniMed 522. You have talked about new pumps coming out in the latter part of the year. Who thinks I should await for a new arrical? and why.

Nora Pumper Type 1

[nfy]

I have been told that Omniod is not available or approved if Medicare is the primary insurance. Does anyone have information abot tha policy?

[Funnygrl]

I have been told that Omniod is not available or approved if Medicare is the primary insurance. Does anyone have information abot tha policy?
I believe older Minimed pumps (refurbished 508s) are the only pumps Medicare will pay for.

[typeone]

I believe older Minimed pumps (refurbished 508s) are the only pumps Medicare will pay for.

Medicare paid for my Cozmo 1700 which I upgraded to an 1800 with Smith's free upgrade program. :D

[betty inquirer]

i have heard that wearing pumps is difficult and uncomfortable. has anyone had any problems

[xMenace]

i have heard that wearing pumps is difficult and uncomfortable. has anyone had any problems

You need to stop reading the Inquirer.

[JediSkipdogg]

i have heard that wearing pumps is difficult and uncomfortable. has anyone had any problems

I've been pumping for 5 years. At times they are uncomfortable but I'd add it up to maybe 3 days worth in a year. Which for the benefit is well worth it. Wearing them is very easy. Some on here worry about hiding it but I wear mine like a cell phone and most just look at me for having a pager, a cell phone, and what they think is another pager.

If you are interested call the pump companies up and ask for a trial wear. They will put saline in the pump and let you wear it for 3 days to see how it feels.

[solox316]

i have heard that wearing pumps is difficult and uncomfortable. has anyone had any problems

Neither difficult nor uncomfortable, in my opinion... Biggest problem was the first few years, just being self-conscious about it... but that passed.

Tucking in shirts is annoying, and sleeping is sometimes annoying when I roll over on it... Awkward moments otherwise sometimes... bathroom, etc....

[panda1076]

I wear the OmniPod. Not only is it comfortable, but i forget where on my body i am wearing it a lot of the time. Especially if it's on the back of my arm. Out of sight, out of mind.

[lolos]

I have tried wearing a sample pod on my belly area and I felt like something heavy is hanging on when I walk! I only wore it for couple of days and decided against it due to that annoying feeling. Don't you feel the same wearing it on stomach area?

I prefer the smaller infusion set.

[dottielove]

Had my Cozmo since 2004? Warranty up--do I want to switch? Here's what I need: connected BG meter, tiny, waterproof. I want a CGMS. Smiths says a Cozmo CGMS is coming out this month. I hate my Cozmo's shape w/ the meter attached. I have drowned 4 meters, but I'm still hooked on the idea. I do not use the Instant Bolus button or IR computer interface. My pump slips out of the clip/sleeve all the time and drags my clothes down. I am very public w/ my pump so I don't like to hide it anywhere. Plus. w/ the meter, the Cozmo is a goofy "poke-outy" shape.
What to do? Anybody got opinions of the Cozmo CGMS system yet--Freestyle Navigator? Dottie Love

[solox316]

Here's what I need: connected BG meter, tiny, waterproof. I want a CGMS. ve

The Cozmo will be the only one with a meter attached. Unless you are calling a CMGS a meter.

I couldn't stand the size of the Cozmo with the meter... The overall shape of the Cozmo was kinda weird, I am much happier with the Paradigm, with the sport clip, very low profile.

[panda1076]

I have tried wearing a sample pod on my belly area and I felt like something heavy is hanging on when I walk! I only wore it for couple of days and decided against it due to that annoying feeling. Don't you feel the same wearing it on stomach area?

I prefer the smaller infusion set.

When I wear it on my stomach area, I usually put it off to the side, so it's not near the belly button area. I am overweight (have a little belly) so I try to put stick it away from the area that already sticks out! Not sure of your body type, but if you are thin, you could try moving it to the side, or lower down, below the pants line. That's where i put it when i wear a tight fitting shirt and don't want to pod to protrude. I also wear it on the back of my arm which i don't feel at all.

If you are interested in the OMniPod, you might as well request another pod and try it on again. The first time i put one on I also didn't like it because I chose a weird spot. So it started pulling away fro my body. But once I learned of good places to put it, that never happened again.

On the OmniPOd website (MyOmniPod.com) they have a guide for how to place your pod on your body for best results. It's under Customer Support.

[Chappo]

Hey Dewey,
The Animas 2020 now has a slow and regular speed for bolus delivery, so those people who feel stinging from bolusin can just change the speed to slow to have a slightly slower bolus delivery (i think it's a unit every 2 or 3 seconds).

[Marls]

I'm considering the Animas. Has anyone switched from the MiniMed to Animas?

[mcgriff]

I think a pump may be for me. One question among many is, what's the point of the remote on the minimeds? It seems you still have to have the pump within view to know what to do, thus making the remote kinda silly. Am I missing something?

[JediSkipdogg]

I think a pump may be for me. One question among many is, what's the point of the remote on the minimeds? It seems you still have to have the pump within view to know what to do, thus making the remote kinda silly. Am I missing something?

The remote, which I don't think comes with the pumps anymore, would allow you to either set the pump on vibrate or audible. You would then count the beeps or vibrates for however much insulin you had it set for (like each beep is .5 units.) I think all pumps have an audio/vibrate bolus option button that when pushed you can easily give a bolus without looking at the pump. Personally, in my honest opinion, it's something risky to do. I use it all the time (generally when driving), but then pull the pump out real quick to verity the amount on the screen. Nothing worse than having it give the wrong amount because you miscounted a beep.

[Dewey]

Hey Dewey,
The Animas 2020 now has a slow and regular speed for bolus delivery, so those people who feel stinging from bolusin can just change the speed to slow to have a slightly slower bolus delivery (i think it's a unit every 2 or 3 seconds).
I currently have the Animas 1250, and it has the normal & slow settings for delivery (normal delivers like 1 unit per second, slow delivers 1 unit every 4 seconds). Even with the delivery setting on slow, some have still experienced stinging. There are work-arounds, but I'm just saying that it has been an issue for some. I tried to put pros & cons of all pumps on the comparison list. I Love the Cozmo pump best, but it's based on personal experience, opinion & preference.

[solox316]

The remote, which I don't think comes with the pumps anymore, would allow you to either set the pump on vibrate or audible.

Doesn't come with Minimeds, but still is available. I don't want one more remote on my keychain, or anywhere for that matter. Of course, my pump lives on my waist, so it would never be needed... Maybe for people who put their pumps in more discrete places...


Personally, in my honest opinion, it's something risky to do. I use it all the time (generally when driving), but then pull the pump out real quick to verity the amount on the screen. Nothing worse than having it give the wrong amount because you miscounted a beep.

I use it all the time too, for simple boluses. 1.0/beep. Just like you, I look at the screen first 95% of the time... once in a while I am glad I do...