My Deltec Cozmo Insulin Pump Discontinuation and Pregnancy Concerns

Kelsey Bonilla Health Guide
  • When I first learned about the discontinuation of my current pump, the Deltec Cosmo, I was in the middle of tax busy season and too overwhelmed with work to pay much attention to the news or what it meant for my diabetes management.  Shortly after the 15th, I started researching my options.

     

    Since I started pumping in September 2006, my Cosmo pump is covered under warranty until September 2010.  However, upon calling my medical insurance provider, I learned that they'll cover "durable medical devices" every three years.  Technically, I could have a new pump covered in 5 months.

     

    Now, the reason I'm exploring my pump options at this stage is because my endocrinologist has been strongly encouraging me to start using a Continuous Glucose Monitoring System.  Also, I'm starting to plan another pregnancy; which makes the CGMS potentially even more beneficial.  There's one integrated pump and CGMS system currently available, which initially seemed like a good choice for me.

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    Here's the thing though, since I've been through one diabetic pregnancy already, I know that I don't want to change pumps or add a complicated device like a CGMS in the middle of a pregnancy.  It would make much more sense to adopt these new devices well before conceiving, so that I could become familiar with them before entering the stage of intensive blood sugar management.  

     

    Therefore, I have a few options:

     

    1.)    Lay out the money for a new pump before my insurance will cover a new one.  Get a CGMS covered by insurance and get stated on these new devices in the next few months, before trying to conceive our second child.  This isn't ideal because it seems silly to put money into something that insurance would cover in the next few months anyway.

     

    2.)    Wait for insurance to cover a new pump and CGMS and get started with these devices in September, which would delay our conception plans.

     

    3.)    Finally, I could look into a separate CGMS that insurance will cover now, and retain my Cosmo pump through another pregnancy.  Then, switch to a new pump when my warranty expires.

     

    Really, the only reason I'd go for option one would be if the pump and CGMS were a combo deal.  Since I haven't been overly impressed with the integrated pump/CGMS that's currently on the market, I'm leaning toward the third option.  Also, I like my Cosmo and don't want to give it up sooner than necessary.  I ready one online commenter suggest that another company could obtain the rights to the Deltec Cosmo and manufacture it in the next couple years.  Wishful thinking maybe, but I'm willing to hold out hope for awhile!

     

    Are any of you also dealing with decisions about pumps or CGMS in the aftermath of the Cosmo announcement? 

     

    I'm collecting as many opinions as possible on the pumps and CGMS that are currently available... if you have insight into the Paradigm, Navigator, Dexcom, Omnipod, or any other system, I'd love to hear them!

     

    Be sure to check out Gina's post: Which Insulin Pump is Right for You?

     

Published On: May 01, 2009