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Re: [IP] Re: Paradigm 512 vs Cozmo

Thank you I have heard that book is good
----- Original Message ----- 
From: "William Morella" <email @ redacted>
To: <email @ redacted>
Sent: Tuesday, October 21, 2003 9:47 AM
Subject: Re: [IP] Re: Paradigm 512 vs Cozmo

> Laurie,
> I have been told by several people that the 512 (paradigm)is not a very
> pump.  There have been a number of software problems associated with it.
> When I went to upgrade this past summer my doctor said to stick with the
> becauseit is easier to program and is smaller than other pumps.  Check out
> some of the books that are availble.  One that I have found to be helpful
> "Smart Pumping" by Howard Wolpert.  I think it is available through the
> Joslin Clinics online book store.
> godd luck
> >From: "Laurie Davis" <email @ redacted>
> >Reply-To: email @ redacted
> >To: <email @ redacted>
> >Subject: [IP] Re: Paradigm 512 vs Cozmo
> >Date: Mon, 20 Oct 2003 23:43:02 -0500
> >
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> >
> > >I've been watching with interest this discussion between the 512 and
> > >cosmo, I  have a question, my daughter has been wearing a saline pump
> >for 3 days >she will be getting a pump in 3 weeks, I just found out my
> >wont pay
> > >for the paradigm 512 but will pay for the Cosmo, it will pay for the
> >or
> >511
> > >paradigm as well, any comments out there concerning which of these
> > >may be better for an 11 yr. girl?
> >
> >I have had my Cosmo for about 3 weeks and really like not having to do
> >the math in my head (with a lot of rounding) or getting out a piece of
> >paper
> >and calculator.  It is easy to use as I'm sure the 512 is.  If your
> >daughter
> >wants to be able to swim with her pump, she could do that with the Cosmo.
> >I
> >still take mine off even to shower as my 507C was not water proof (never
> >was) and old habits die hard!
> >
> >I think both the Cosmo and the 512 are similar in the way they calculate
> >your insulin using your personal carb ratio (varying by meal if
> >adjusting to the BG target that you set and according to your personal
> >correction factor and figuring the unused insulin.  The 512 figures
> >insulin based on insulin activity that they got from the makers of
> >and Novolog - a higher % over the 1st couple of hrs but lasting 8 hrs.
> >Cosmo figures unused insulin based on the number of hours that you set -
> >i.e
> >if you put in 3 hrs. it would figure 33.3% used per hour.  I guess it's a
> >matter of opinion which of these is better.  I think with the 512 you can
> >have different carb ratios with each meal.  One of the things that I
> >about the Cosmo is the custom meals,  you can have a different bolus set
> >with each meal with different carb ratios plus special ones for pizza
> >say 50% of insulin is delivered right away and the remaining over 4 hrs.
> >have ones set up for high fat meals, protein, to correct when I OD on
> >for a low (I figure how many carbs I've eaten over what I should have and
> >use a square or extended bolus over 3 hours because that is usually when
> >BG jumps).  You can also name the boluses so I don't have to remember
> >bolus 3 is pizza!  What I wish they had was the option to be able to use
> >both carbs or just insulin units.  Sometimes I just know I need a little
> >more due to stress or what ever and of course you can adjust the
> >amount but it would be easier to have one of the custom boluses be for
> >insulin and not carbs.  So I have set up a bolus for stress and will just
> >pretend it's a carb.  Also would like for it to have a different BG
> >by time of day and be able to vary your correction factor as well.  I
> >a
> >lot more insulin to bring down a high during the night and of course that
> >is
> >when it harder to do the math.  I'm not sure if the 512 has these
> >
> >The Cosmo does have software.  I think they were charging for it but mine
> >was free but I did have to pay for the infra red cable (I think it was
> >about
> >$50.00).  The software does enable you to name your basal patterns, temp
> >rates, and custom boluses.  There are about 6 reports.  One is a complete
> >list of events (including changing any settings which may be more that
> >want to know!), another is list of boluses including carbs and any BG
> >readings that you have entered. The others are summary of insulin units,
> >correction units, carbs, % of insulin as basal, etc.  I was hoping for
> >something that would help me track patterns better similar to the reports
> >with the One Touch Ultra where you can at least compare BG for specific
> >times of day.
> >
> >It is easy to check the last bolus you had but if you want to go check
> >earlier boluses, you have to go to history menu at the bottom of the main
> >menu and then the bolus history is at the bottom of the history menu so
> >is a lot of button pushing.  It could be displyed a little more concisely
> >so
> >it reads easier.  I know they are coming out with software upgrade soon
> >hopefully they make some of these minor changes and improve the reporting
> >capabilities.
> >
> >All in all, I'm quite happy with it.  I think when they come out with the
> >meter to attach to it, that will make it easier as it is sort of a pain
> >enter BG values. I will just have to pay for the meter at that point.
> >Software upgrades are free.
> >
> >Laurie
> >Age 45, Type 1 30 yrs, pumping 4+ years
> >----------------------------------------------------------
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> >HELP@insulin-pumpers.org
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