Diabetes Technology Update: Use of Insulin Pumps and Continuous Glucose Monitoring in the Hospital
Top Cited Papers
Open Access
- 1 August 2018
- journal article
- research article
- Published by American Diabetes Association in Diabetes Care
- Vol. 41 (8), 1579-1589
- https://doi.org/10.2337/dci18-0002
Abstract
The use of continuous subcutaneous insulin infusion (CSII) and continuous glucose monitoring (CGM) systems has gained wide acceptance in diabetes care. These devices have been demonstrated to be clinically valuable, improving glycemic control and reducing risks of hypoglycemia in ambulatory patients with type 1 diabetes and type 2 diabetes. Approximately 30-40% of patients with type 1 diabetes and an increasing number of insulin-requiring patients with type 2 diabetes are using pump and sensor technology. As the popularity of these devices increases, it becomes very likely that hospital health care providers will face the need to manage the inpatient care of patients under insulin pump therapy and CGM. The American Diabetes Association advocates allowing patients who are physically and mentally able to continue to use their pumps when hospitalized. Health care institutions must have clear policies and procedures to allow the patient to continue to receive CSII treatment to maximize safety and to comply with existing regulations related to self-management of medication. Randomized controlled trials are needed to determine whether CSII therapy and CGM systems in the hospital are associated with improved clinical outcomes compared with intermittent monitoring and conventional insulin treatment or with a favorable cost-benefit ratio.This publication has 103 references indexed in Scilit:
- The Use of Continuous Glucose Monitoring Combined with Computer-Based eMPC Algorithm for Tight Glucose Control in Cardiosurgical ICUBioMed Research International, 2013
- Blood glucose control using an artificial pancreas reduces the workload of ICU nursesJournal of Artificial Organs, 2011
- Randomized Study of Basal-Bolus Insulin Therapy in the Inpatient Management of Patients With Type 2 Diabetes Undergoing General Surgery (RABBIT 2 Surgery)Diabetes Care, 2011
- National Standards for Diabetes Self-Management EducationDiabetes Care, 2011
- Epidemiology of Type 1 DiabetesEndocrinology and Metabolism Clinics of North America, 2010
- Hypoglycemia in Type 1 Diabetes MellitusEndocrinology and Metabolism Clinics of North America, 2010
- Real-Time Continuous Glucose Monitoring in Critically Ill PatientsDiabetes Care, 2009
- American Association of Clinical Endocrinologists and American Diabetes Association Consensus Statement on Inpatient Glycemic ControlDiabetes Care, 2009
- Basal Versus Sliding-Scale Regular Insulin in Hospitalized Patients With Hyperglycemia During Enteral Nutrition TherapyDiabetes Care, 2009
- Hospitalization Among Diabetic Children and Adolescents and the General Population in GermanyDiabetes Care, 2001