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Inpatient Insulin Pump Management

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Handbook of Inpatient Endocrinology
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Abstract

Over the last decade, continuous subcutaneous insulin infusion (CSII) pumps and continuous glucose monitoring (CGM) systems have been widely used for the management of type 1 and sometimes type 2 diabetes. The American Diabetes Association advocates for allowing patients to continue to use their insulin pump while in hospital if they are physically and mentally able to do so. Studies on insulin pump use in the hospital are sparse, uncontrolled, and mostly based on retrospective analyses.

Safely managing hospitalized patients who are on an insulin pump requires extensive planning, clinician and nursing staff education, and good communication between the treating team and the patient. It is imperative for health-care providers to be trained in identifying which patients on insulin pump treatment are good candidates for continued use of their own insulin pump in the hospital setting and for health-care institutions to have clear policies and procedures for self-use of insulin pumps.

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Suggested Readings

  • American Diabetes Association. Diabetes care in the hospital. Diabetes Care. 2017;40(Suppl. 1):S120–7.

    Article  Google Scholar 

  • Garg R, Hudson M, editors. Hyperglycemia in the hospital setting. New Delhi: JP Brothers; 2014.

    Google Scholar 

  • Grunberger G, Abelseth J, Bailey T, Bode B, Handelsman Y, Hellman R, et al. Consensus Statement by the American Association of Clinical Endocrinologists/American College of Endocrinology Insulin Pump Management Task Force. Endocr Pract. 2014;20(5).

    Google Scholar 

  • Joslin Clinical Guidelines at https://www.joslin.org/info/joslin-clinical-guidelines.html.

  • Kannan S, Satra A, Calogeras E, Lock P, Lansang MC. Insulin pump patient characteristics and glucose control in the hospitalized setting. J Diabetes Sci Technol. 2014;8(3):473–8.

    Article  Google Scholar 

  • Mendez CE, Umpierrez GE. Management of type 1 diabetes in the hospital setting. Curr Diab Rep. 2017;17(10):98.

    Article  Google Scholar 

  • Peters AL, Ahmann AJ, Battelino T, Evert A, Hirschn IB, Murad MH, et al. Diabetes technology—continuous subcutaneous insulin infusion therapy and continuous glucose monitoring in adults: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2016;101(11):3922–37.

    Article  CAS  Google Scholar 

  • Thompson B, Korytkowski M, Klonoff DC, Cook CB. Consensus statement on use of continuous subcutaneous insulin infusion therapy in the hospital. J Diabetes Sci Technol. 2018;12(4):880–9.

    Article  Google Scholar 

  • Umpierrez GE, Hellman R, Korytkowski MT, Kosiborod M, Maynard GA, Montori VM, et al. Endocrine society. management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2012;97(1):16–38.

    Article  CAS  Google Scholar 

  • Umpierrez GE, Klonoff DC. Diabetes technology update: use of insulin pumps and continuous glucose monitoring in the hospital. Diabetes Care. 2018;41(8):1579–89.

    Article  CAS  Google Scholar 

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Correspondence to Elena Toschi .

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Vamvini, M., Toschi, E. (2020). Inpatient Insulin Pump Management. In: Garg, R., Hennessey, J., Malabanan, A., Garber, J. (eds) Handbook of Inpatient Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-030-38976-5_27

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  • DOI: https://doi.org/10.1007/978-3-030-38976-5_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-38975-8

  • Online ISBN: 978-3-030-38976-5

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