Continuous subcutaneous insulin infusion (CSII) represents an increasingly popular method of treating diabetes. Patients with diabetes are often hospitalized, and current data indicate that inpatient hyperglycemia results in poorer outcomes. When patients on insulin pump therapy require hospitalization, practitioners caring for them face the issue of how to manage the inpatient care of these patients. We believe that patients using insulin pumps can safely have their therapy transitioned when hospitalized. Moreover, CSII during hospitalization should be regarded not only as a fundamental tool in patients already on insulin pump therapy, but also as an effective method to obtain euglycemia, in critically ill patients. However, a standard policy on CSII use during hospitalization is still lacking, and literature data are inconclusive about the benefits of insulin pump on glycemic homeostasis, in hospitalized patients. We suggest that a CSII unit should be activated inside the hospital, in order to increase compliance with required procedures and to properly address the unmet needs of CSII in inpatient setting.

Morviducci, L., Di Flaviani, A., Lauria, A., Pitocco, D., Pozzilli, P., Suraci, C., et al. (2011). Continuous subcutaneous insulin infusion (CSII) in inpatient setting: unmet needs and the proposal of a CSII unit. DIABETES TECHNOLOGY & THERAPEUTICS, 13(10), 1071-1074 [10.1089/dia.2011.0056].

Continuous subcutaneous insulin infusion (CSII) in inpatient setting: unmet needs and the proposal of a CSII unit

POZZILLI, PAOLO;FRONTONI, SIMONA;LAURO, DAVIDE;MANCA BITTI, MARIA LUISA;MARINI, MARIA ADELAIDE;SPALLONE, VINCENZA;
2011

Abstract

Continuous subcutaneous insulin infusion (CSII) represents an increasingly popular method of treating diabetes. Patients with diabetes are often hospitalized, and current data indicate that inpatient hyperglycemia results in poorer outcomes. When patients on insulin pump therapy require hospitalization, practitioners caring for them face the issue of how to manage the inpatient care of these patients. We believe that patients using insulin pumps can safely have their therapy transitioned when hospitalized. Moreover, CSII during hospitalization should be regarded not only as a fundamental tool in patients already on insulin pump therapy, but also as an effective method to obtain euglycemia, in critically ill patients. However, a standard policy on CSII use during hospitalization is still lacking, and literature data are inconclusive about the benefits of insulin pump on glycemic homeostasis, in hospitalized patients. We suggest that a CSII unit should be activated inside the hospital, in order to increase compliance with required procedures and to properly address the unmet needs of CSII in inpatient setting.
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/09 - Medicina Interna
Settore MED/13 - Endocrinologia
Settore MED/50 - Scienze Tecniche Mediche Applicate
English
Con Impact Factor ISI
Diabetes, Glucose Homeostasis, Continuos Subcutaneous Insulin Infusion
Morviducci, L., Di Flaviani, A., Lauria, A., Pitocco, D., Pozzilli, P., Suraci, C., et al. (2011). Continuous subcutaneous insulin infusion (CSII) in inpatient setting: unmet needs and the proposal of a CSII unit. DIABETES TECHNOLOGY & THERAPEUTICS, 13(10), 1071-1074 [10.1089/dia.2011.0056].
Morviducci, L; Di Flaviani, A; Lauria, A; Pitocco, D; Pozzilli, P; Suraci, C; Frontoni, S; CSII Study Group Of Lazio, R; Collaborators: Cappa, Italy; M, ; Patera, I; Manfrini, S; Bracaglia, D; Ciampittiello, G; Cicconetti, E; Ventura, C; Bloise, D; Tatti, P; Leotta, S; Visalli, N; Caputo, S; Ghirlanda, G; Giaccari, A; Cavallo, G; Leonetti, F; Lauro, D; MANCA BITTI, Ml; Marini, Ma; Spallone, V; Napoli, A; Pugliese, G; Nardone, M; Tubili, C; Giuliano, M; Fava, D; Piergiovanni, F; Forte, E; Tuccinardi, F; Chiaramonte, F; Buzzetti, R; Leto, G
Articolo su rivista
File in questo prodotto:
File Dimensione Formato  
MorviducciL, SpalloneV.DiabTechTher2011.pdf

non disponibili

Descrizione: Articolo
Licenza: Copyright dell'editore
Dimensione 65.5 kB
Formato Adobe PDF
65.5 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/41435
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 12
  • ???jsp.display-item.citation.isi??? 8
social impact