Well known diabetes author and educator John Walsh has just put up proposed pump standards and possible developments. What do you think and how can these developments be pushed by the diabetes community.
attached is a link to a new web posting by John Walsh on Pump Standards and Future Pump Features. I am particularly interested in automated bolus and basal testing and inulin dose adjustments.
John is sowing the seeds. Is there anyway that parts of these proposals can be picked up and pushed?
The DIA (Duration of Insulin Activity) and BOB (Bolus on Board) issues are the most important to me going forward with pump technology. I do hope future pumps address them more closely, although I do believe my pump (Paradigm 722) gets it right a good amount of the time, especially with regards to correction boluses.
I also use the Paradigm 722 and I found that it gets in right most of the time. The difference between the MM and the Cozmo is that the MM does not subtract active insulin from the food bolus. It only subtracts active insulin from correction boluses. But if you are low, the correction bolus is negative… so that is subtracted from food bolus (if you enter your low blood sugar and some amount of carbs).
Though in some ways, the Cozmo system makes more sense, one thing that I like about the MM is that I can see all the data on one screen (calculations for boluses and active insulin) and decide for myself to manually increase or decrease. This requires thinking and experience, but I find this is more of an art than a science anyway.
I learned a lot from this presentation from John Walsh. He obviously prefers (and uses the Cozmo pump). He seems to have reasons for that, but some argue differently. So the jury is still out on WHAT is better, but I think the presentation is useful to know what your pump actually does.
