Tuesday, July 31, 2007

Getting a testdrive - why is it so DIFFICULT?

Sometimes I'm a bit of a perfectionist. I demand a lot of myself and expect it from others. I'm telling you this because maybe I just have unrealistic expectations.

In September my current insulin pump (Minimed 512) will be 4 years old. At that stage it will be out of warranty and I can get a new pump and expect that insurance will cover most of it.

Insulin pumps are truly a marvel of technology. This is a small pager-sized device that I will wear 24 hours a day, 365 days a year. It helps me to keep my blood glucose levels close to normal and it's something that I'll probably actually use and interact with at least eight times a day, every day.

So why are pump companies making it so hard to try one out for a short while? Yes, I can read the instruction manual and get some feeling for how the pump will behave and feel. But that's not the same as wearing the thing and using it for a week or so.

My original plan was to contact a few pump makers and ask them for a one or two week loaner. I'd fill it with a saline solution and wear it together with my old pump for that period. That way I could gauge its accuracy and usability and see if it was right for me.

So far I've contacted three different companies. One (Cozmo) has told me they don't have a loaner program. And the other two claim to be working on it, but I'm not holding my breath.

Pump companies (Minimed, Animas, Cozmo, and others) - WAKE UP. These are complex devices that are essentially extension of our bodies and our brains. There is no way I'm going to purchase a new one without trying it out first.

I don't want a 30-day money-back guarantee. I want to be able to try out the pump, with its software for a week or two. I want to know how it will work for me.

Will I be able to use it when I'm exercising? What are the insulin on board calculations like? How easy is it to bolus? What do I need to do to set a temporary basal? Can I easily calculate meal requirements? What kind of extended bolus options are there, and can I use them?

Maybe I'm crazy. Maybe I should just look at the glossy brochures with pictures of happy people and just pick one at random?

What do you think?

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