The feature rich Cozmo® insulin pump has an ergonomic look and feel similar to a Nokia phone. It is the lightest mainstream pump available, weighing 77 grams without reservoir or insulin. Its height and width are smaller than the Paradigm, but it is slightly thicker than other pumps. The Animas IR1200 is smaller in total size with its 200 unit reservoir. The Cozmo is easy to program and features no-look boluses, easy IR connection to a PC for downloading data, a 300 unit reservoir, nonproprietary infusion sets, and power from a single AAA battery that lasts about three weeks.

The Cozmo, released in 2002, was designed with plenty of memory to allow additional features to be added later. In 2003, a software upgrade allowed Deltec to be the first company to attach a glucose monitor their pump. They partnered with Abbott Diabetes Care to introduce the CoZmonitor blood glucose monitor. The pump-meter combo is called the CozMore. The CoZmonitor meter, attached to the back of the pump, uses readily available FreeStyle® test strips.

The CozMonitor meter was provided as a free add-on, along with a quick software upgrade that allowed the pump to operate the meter and keep track of several weeks of blood glucose data. This is currently the only all-in-one insulin pump and blood glucose monitoring system. Blood glucose entries are directly used to calculate appropriate bolus doses, especially when insulin on board is present. The Deltec Cozmo® pump keypad and screen are used for all blood glucose testing functions and results.

Although the small meter increases the thickness of the pump, it eliminates the need to carry an additional meter device. The CozMore fits into a leather carrying case that clips onto a belt or skirt, but many users prefer to slide it into a medium, open-top cell phone case.

Programming options abound: reminders or alerts can be set for taking boluses at certain times of the day, to alarm an hour to four hours after boluses or after low or high blood sugars, or to replace your infusion set in three or four days at a particular time of day. The user or physician can set the pump to deliver normal unit-based boluses (0.05 unit steps in both boluses and basals, if desired), preset boluses for a preselected number of carbs for each meal of the day, preset boluses for specific meals such as 3 slices of cheese pizza, or boluses based on the actual carb content of meals and snacks.