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Tabithas_storm
04-25-2008, 04:25 AM
Has anyone found much information on the Cozmo pump recall? I have some serious concerns over this. My daughter had one of the recalled pumps, and since January we have had 6 hospital trips, and a 2 night stay in ICU. The first couple of visits to the hospital, she was in DKA, when we went back to check her boluses and make sure she was taking insulin for her food, it was fairly accurate. The tubing wasn't an issue. Now, when we were in ICU, we went back to check the insulin history, and she still had 20 units left in her pump. According to the last cartridge change, she should have recieved 370 units of insulin. This left 90 units that she had not recieved. This was discovered with the pump rep on the phone. She argued with me for about 45 minutes over the total of the insulin delivered over the 3 or 4 days that the cartridge was in the pump.
Now the recall says that they had concerns with recieving too much insulin. This could have been an issue with a couple of the other visits, BG goes to low, child rebounds, BG sky rockets, and ketones start forming. But the ICU visit, I know was from lack of insulin. Could the mechanical issue also cause it to not give enough insulin even though it is saying it is delivering insulin?

Any help, others with this experience, or advice, would be greatly appreciated.

CDoyle1013
04-25-2008, 09:44 AM
My daughter has a Cozmo but we have not heard of a recall...just a problem with the battery top coming loose and stopping the pump. We have had no problems with our pump. Anyone else hear of problems with a Cozmo?

BrendaK
04-25-2008, 12:03 PM
Our pump was not one of the recall -- there was a recall a few months ago with specific serial numbers on the pumps.

Did they replace your pump right away? I'm sure they did -- but what was their response to your daughter's ICU stays -- are they admitting it was from a pump malfunction?

My other question is how often is she checking her blood sugars? It seems that if she checks often enough, you would have found high blood sugars before she went into DKA. I'm sorry she had to go to the hospital 6 times. But if her blood sugar is that high to go into DKA that it would show up on her meter readings. Has she been trained to give in injection for a high reading if the pump or site is thought to be bad?

Also, how old is your daughter? Could puberty and hormones be playing a factor into why she is needing more insulin?

The cartridges hold 300 units, right? So yes, I see the math. The insulin should have run out and she still had 20 unit left. Cozmo should really really address that with you.

momofsingingdiabetic
04-25-2008, 12:29 PM
This could have been an issue with a couple of the other visits, BG goes to low, child rebounds, BG sky rockets, and ketones start forming.

I may be wrong here (and someone please correct me if I am), but high BG will not lead to ketones. Lack of insulin will cause ketones, but not high sugar levels. So if her sugar is high from a rebound, then it has nothing to do with "lack" of insulin so therefore would not cause ketones to start.....but then again, I might be wrong.:cwds:

funnygrl
04-29-2008, 10:54 PM
I may be wrong here (and someone please correct me if I am), but high BG will not lead to ketones. Lack of insulin will cause ketones, but not high sugar levels. So if her sugar is high from a rebound, then it has nothing to do with "lack" of insulin so therefore would not cause ketones to start.....but then again, I might be wrong.:cwds:
That's exactly in line with what I heard.

I tend to agree with Brenda- if checking often enough, dka should be avoidable.

Tabithas_storm
05-02-2008, 04:52 PM
Our pump was not one of the recall -- there was a recall a few months ago with specific serial numbers on the pumps.

Did they replace your pump right away? I'm sure they did -- but what was their response to your daughter's ICU stays -- are they admitting it was from a pump malfunction?

My other question is how often is she checking her blood sugars? It seems that if she checks often enough, you would have found high blood sugars before she went into DKA. I'm sorry she had to go to the hospital 6 times. But if her blood sugar is that high to go into DKA that it would show up on her meter readings. Has she been trained to give in injection for a high reading if the pump or site is thought to be bad?

Also, how old is your daughter? Could puberty and hormones be playing a factor into why she is needing more insulin?

The cartridges hold 300 units, right? So yes, I see the math. The insulin should have run out and she still had 20 unit left. Cozmo should really really address that with you.

Dev was checking her sugar about 10 times a day, sometimes more. She would be normal one time, read high on the meter the next, come back down then go high again. It has been like a giant yoyo. Since she has been back on shots, we haven't had a sugar over 140.

She is 13 years old, and yes, she knew that if she got a high reading, she was to give herself a shot with 10u.

As for the pump, we had a new one the next day. I had called from the hospital, but we haven't even opened the box. When I called the company, they told me that the recall was for the pump giving too much insulin, not the other way around, like my daughter's pump was doing. So, they refused to take any responsibility, and I am stuck paying for the hospital bill out of pocket. The way I see it, both cases are a motor malfunction, and they should be responsible. I was promised the documentation on the follow up with the pump and when I called, I was told that they could not give me that information.

So, for now, we are back on shots, and it is working great. If in a couple years, she decides she wants to try a pump again, we will.

Tabithas_storm
05-02-2008, 04:56 PM
I may be wrong here (and someone please correct me if I am), but high BG will not lead to ketones. Lack of insulin will cause ketones, but not high sugar levels. So if her sugar is high from a rebound, then it has nothing to do with "lack" of insulin so therefore would not cause ketones to start.....but then again, I might be wrong.:cwds:

Then the issue with the pump may have been going on longer than thought. I didn't think to check back further to see if it was more than just the one time that she wasn't getting enough insulin through the pump. And had I thought about it, they had the pump on the way back to them as soon as the new one was delivered. UPS picked it up.

The issue wasn't with her not checking her sugar. She went through almost one box of 100 strips a week, and sometimes more than that.

abrayome
05-08-2008, 11:35 AM
My daughter's pump was part of the recall, and we did experience an episode of unexplained low at school (39!), but reviewing the pump's history did not show any overdosing problems or pump errors.

I have since received 2 replacements, the first one had a defective screen.

I've have a few other minor issues with the pump, so the jury is still out on how I feel about it. We chose it for it's reliability, features and customer service...