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Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care

This article is the second of a two-part series providing a scoping review and summary of the Joint British Diabetes Societies for Inpatient Care (JBDS-IP) guidelines on the use of diabetes technology in people with diabetes admitted to hospital. The first part reviewed the use of continuous glucose...

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Autores principales: Avari, Parizad, Lumb, Alistair, Flanagan, Daniel, Rayman, Gerry, Misra, Shivani, Choudhary, Pratik, Dhatariya, Ketan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210119/
https://www.ncbi.nlm.nih.gov/pubmed/36458697
http://dx.doi.org/10.1177/19322968221137335
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author Avari, Parizad
Lumb, Alistair
Flanagan, Daniel
Rayman, Gerry
Misra, Shivani
Choudhary, Pratik
Dhatariya, Ketan
author_facet Avari, Parizad
Lumb, Alistair
Flanagan, Daniel
Rayman, Gerry
Misra, Shivani
Choudhary, Pratik
Dhatariya, Ketan
author_sort Avari, Parizad
collection PubMed
description This article is the second of a two-part series providing a scoping review and summary of the Joint British Diabetes Societies for Inpatient Care (JBDS-IP) guidelines on the use of diabetes technology in people with diabetes admitted to hospital. The first part reviewed the use of continuous glucose monitoring (CGM) in hospital. In this article, we focus on the use of continuous subcutaneous insulin infusion (CSII; insulin pumps) and hybrid closed-loop systems in hospital. JBDS-IP advocates enabling people who can self-manage and are willing and capable of using CSII to continue doing so as they would do out of hospital. CSII should be discontinued if the individual is critically ill or hemodynamically unstable. For individuals on hybrid closed-loop systems, the system should be discontinued from auto-mode, and may be used individually (as CGM only or CSII only, if criteria are met). Continuing in closed-loop mode may only be done so under specialist guidance from the Diabetes Team, where the diabetes teams are comfortable and knowledgeable about the specific devices used. Health care organizations need to have clear local policies and guidance to support individuals using these wearable technologies, and ensure the relevant workforce is capable and skilled enough to ensure their safe use within the hospital setting.
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spelling pubmed-102101192023-05-26 Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care Avari, Parizad Lumb, Alistair Flanagan, Daniel Rayman, Gerry Misra, Shivani Choudhary, Pratik Dhatariya, Ketan J Diabetes Sci Technol Special Section: Diabetes Technology in the Hospital This article is the second of a two-part series providing a scoping review and summary of the Joint British Diabetes Societies for Inpatient Care (JBDS-IP) guidelines on the use of diabetes technology in people with diabetes admitted to hospital. The first part reviewed the use of continuous glucose monitoring (CGM) in hospital. In this article, we focus on the use of continuous subcutaneous insulin infusion (CSII; insulin pumps) and hybrid closed-loop systems in hospital. JBDS-IP advocates enabling people who can self-manage and are willing and capable of using CSII to continue doing so as they would do out of hospital. CSII should be discontinued if the individual is critically ill or hemodynamically unstable. For individuals on hybrid closed-loop systems, the system should be discontinued from auto-mode, and may be used individually (as CGM only or CSII only, if criteria are met). Continuing in closed-loop mode may only be done so under specialist guidance from the Diabetes Team, where the diabetes teams are comfortable and knowledgeable about the specific devices used. Health care organizations need to have clear local policies and guidance to support individuals using these wearable technologies, and ensure the relevant workforce is capable and skilled enough to ensure their safe use within the hospital setting. SAGE Publications 2022-12-02 /pmc/articles/PMC10210119/ /pubmed/36458697 http://dx.doi.org/10.1177/19322968221137335 Text en © 2022 Diabetes Technology Society https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Section: Diabetes Technology in the Hospital
Avari, Parizad
Lumb, Alistair
Flanagan, Daniel
Rayman, Gerry
Misra, Shivani
Choudhary, Pratik
Dhatariya, Ketan
Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care
title Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care
title_full Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care
title_fullStr Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care
title_full_unstemmed Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care
title_short Insulin Pumps and Hybrid Close Loop Systems Within Hospital: A Scoping Review and Practical Guidance From the Joint British Diabetes Societies for Inpatient Care
title_sort insulin pumps and hybrid close loop systems within hospital: a scoping review and practical guidance from the joint british diabetes societies for inpatient care
topic Special Section: Diabetes Technology in the Hospital
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210119/
https://www.ncbi.nlm.nih.gov/pubmed/36458697
http://dx.doi.org/10.1177/19322968221137335
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