Diabetes technology

Hybrid Closed-Loop Insulin Pump Technology Can Be Safely Used in the Inpatient Setting

Endocr PractPublished Retrospective case series

Authors' conclusion

This preliminary case series review indicates that continued use of HCL technology in the hospital is safe. Moreover, glycemic control in HCL users was comparable with that in those using insulin pump with manual settings and those converted to basal-bolus insulin therapy.

Study context

Population
Patients using hybrid closed-loop (HCL) technology on admission to the authors' hospital, June 1, 2020 – June 30, 2021final analysis
Participants
71 patients
Exposure
Continued HCL use vs manual pump use vs pump removal during hospitalisation
Outcome
Inpatient glycaemic control
Methodological detailssingle-centre, records review
  • Single-centre
  • Records review

Main finding

As reported in the abstract

  • Patient-stay mean glucose, frequency of hyperglycaemic measurements and frequency of hypoglycaemic events similar between all groups (pairwise comparisons)

Observational data: associations, not effects.

Safety

Adverse events (DKA, pump site complications or infection, equipment malfunction)

No adverse events reported

Original publication

Hybrid Closed-Loop Insulin Pump Technology Can Be Safely Used in the Inpatient Setting. Endocr Pract. Published 15 November 2022. doi:10.1016/j.eprac.2022.11.006

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