Real-World Outcomes of Automated Insulin Delivery Use in Hospitalized Adults With Diabetes
Authors' conclusion
Continuation of insulin pumps was associated with improvement in hyperglycemia without increased hypoglycemia risk and with shorter LOS in the hospital.
Study context
- Population
- Hospitalized adults with diabetes using insulin pumps
- Participants
- 316 adults
- Exposure
- Insulin pump continuation vs removal during hospitalization
- Outcome
- Rates of insulin pump continuation and reasons associated with removal, and rates of pump reinitiation
Methodological detailselectronic health record data
- Electronic health record data
Main finding
As reported in the abstract
Insulin pump continuation
Insulin pumps continued, of all admissions
64.2%
Most common reason for pump discontinuation: surgery
30.1%
Observational data: associations, not effects.
Secondary outcomes
LOS by pump removal
P < 0.001
- Length of stay (LOS) by timing of endocrinology consultation · Consultation >24 h after admission vs Consultation ≤24 h
- P < 0.001
LOS by timing of endocrinology consultation
- LOS longer when endocrinology consultation occurred >24 h after admission
Hyperglycemia (glucose >180 mg/dL)
- Pump continuation associated with lower hyperglycemia rates in critical and noncritical care settings
Safety
Hypoglycemia (glucose <70 mg/dL)
- No increase in hypoglycemia with pump continuation in critical and noncritical care settings
Original publication
Real-World Outcomes of Automated Insulin Delivery Use in Hospitalized Adults With Diabetes. J Diabetes Sci Technol. Published 5 August 2026. doi:10.
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