Outpatient-to-inpatient transition of insulin pump therapy: successes and continuing challenges.

Background: Insulin pump therapy is a complex technology prone to errors when employed in the hospital setting. When patients on insulin pump therapy require hospitalization, practitioners caring for them must decide whether to allow continued pump use. We provide the largest review regarding transitioning insulin pump therapy from the outpatient to inpatient setting.

Use of continuous subcutaneous insulin infusion (insulin pump) therapy in the hospital: a review of one institution's experience.

Background: This article reviews the performance of our hospital's inpatient insulin pump policy.

Methods: Twenty-five hospital admissions of 21 unique patients receiving outpatient insulin pump therapy were reviewed.

Results: Between November 1, 2005, and November 30, 2006, there were 25 hospital admissions involving 21 patients receiving outpatient insulin pump therapy.

Continuous subcutaneous insulin infusion (insulin pump) therapy can be safely used in the hospital in select patients.

Objective: To analyze data on inpatient insulin pump use and examine staff compliance with hospital procedures, glycemic control, and safety.

Methods: We conducted a retrospective review of charts and bedside glucose data for patients who had been receiving outpatient insulin pump therapy and were admitted to our teaching hospital between November 1, 2005, and February 8, 2008.

Results: During the study period, there were 50 hospitalizations involving 35 patients who had been receiving outpatient insulin pump therapy.