Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy can be Safely Used in the Hospital in Select Patients

Outpatient-to-Inpatient Transition of Insulin Pump Therapy: Successes and Continuing Challenges

“…12,15 Our earlier reports indicated that our policy and procedures permitted a safe outpatient-to-inpatient transition of CSII therapy. 16,17 Prior reviews involved smaller numbers of individual patients and hospitalizations. 16,17 The purpose of this analysis was to provide updated information relating to the use of inpatient CSII that includes an examination of adherence to our institutional policies over time, assessment of glycemic control, and evaluation of adverse events related to inpatient pump use.…”

Prevention of Hospital Hypoglycemia by Algorithm Design: A Programming Pathway for Electronic Order Entry

“…Patients competent at diabetes selfmanagement, for example patients using multiple daily injections or insulin pump therapy, under defined conditions can be treated in the hospital with continuation of their usual program of self-management (Braithwaite et al, 2007;Bailon et al, 2009). A full description of such a program is beyond the scope of this chapter.…”

“…One branch of the programming pathway presently under construction will provide for a diabetes hospital patient self-management program. Models for patient self-management in the hospital have been described (Braithwaite et al, 2007;Bailon et al, 2009). The focus of this chapter is on orders for subcutaneous insulin therapy for patients who are not candidates for hospital self-management.…”

Guidelines for Application of Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy in the Perioperative Period

“…Experiences with implementing the inpatient CSII policy [10][11][12][13] have allowed the authors to anticipate potential challenges related to the introduction of an approach to perioperative insulin pump management. One of the foremost challenges will be the need for ongoing staff education to ensure adherence to protocols.…”

“…10 Follow-up analyses indicated that this approach successfully identifies patients who can continue to use insulin pumps in the hospital and that staff and patient compliance with required procedures is generally high. [11][12][13] The authors' experiences with inpatient CSII therapy [11][12][13] has served as a model for constructing processes related to perioperative management of insulin pump therapy. These protocols, along with a brief discussion of some of the safety issues related to perioperative pump use, are summarized here.…”