Diabetes technology in the inpatient setting for management of hyperglycemia

Davis, Georgia M.; Galindo, Rodolfo J.; Migdal, Alexandra L.; Umpierrez, Guillermo E.

doi:10.1016/j.ecl.2019.11.002

Cited by 62Hyperglycemia and glycemic control in critically ill and hospitalized patientsDiabetes Management and ResearchDiabetes Treatment and Management

Diabetes technology in the inpatient setting for management of hyperglycemia

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Davis, Georgia M., Galindo, Rodolfo J., Migdal, Alexandra L., Umpierrez, Guillermo E.·2020·Endocrinology and Metabolism Clinics of North America

DOI 10.1016/j.ecl.2019.11.002PMC PMC7453786

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Abstract

In past decades, a rapid evolution of diabetes technology led to increased popularity and use of continuous glucose monitoring (CGM) and continuous subcutaneous insulin infusion (CSII) in the ambulatory setting for diabetes management, and recently, the artificial pancreas became available. Efforts to translate this technology to the hospital setting have shown accuracy and reliability of CGM, safety of CSII in appropriate populations, improvement of inpatient glycemic control with computerized glycemic management systems, and feasibility of inpatient CGM-CSII closed-loop systems. Several ongoing studies are focusing on continued translation of this technology to improve glycemic control and outcomes in hospitalized patients.

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Moving from hospital to ambulatory or subacute care is a high-risk period for medication errors and also a chance to improve glycemic control and avoid clinical inertia.
“The transition of persons from the hospital to ambulatory or subacute settings is a high-risk period for medication errors, but also an opportunity to improve glycemic control, avoiding what is often termed clinical inertia.102,1285,1286,1380”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1285]
The Introduction and Summary discuss diabetes technology and glycemic control during hospitalization, but do not address discharge to ambulatory or subacute care. Searches for discharge transitions, medication errors, and clinical inertia found no passage supporting the attributed claim in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measured

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Authors: Davis, G. M., Galindo, R. J., Migdal, A. L., & Umpierrez, G. E.
Affiliations: Emory University (US)
Corresponding author: Umpierrez, Guillermo E.
ORCID: Davis, Georgia M.
Galindo, Rodolfo J.
Migdal, Alexandra L.
Umpierrez, Guillermo E.
Venue: Endocrinology and Metabolism Clinics of North America
Publisher: Elsevier BV
Published: 2020-03
Volume: 49
Issue: 1
Pages: 79-93
ISSN: 0889-8529 (ISSN-L)
DOI: 10.1016/j.ecl.2019.11.002
PMC: PMC7453786
OpenAlex: W3002805464
Cited by: 62
References: 52
Citations by year: 2026: 5 · 2025: 9 · 2024: 10 · 2023: 8 · 2022: 10 · 2021: 13 · 2020: 6
FWCI: 1.42
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Endocrinology and Metabolism Clinics of North America (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Sanofi
National Center for Advancing Translational Sciences (U30, UL1TR002378)
National Institutes of Health
Novo Nordisk
National Institute of Diabetes and Digestive and Kidney Diseases (P30DK11102)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords: diabetes technology, hyperglycemia management, continuous glucose monitoring, insulin pump therapy, artificial pancreas, inpatient glycemic control, hospitalized patients, technology translation
MeSH terms: Blood Glucose, Diabetes Mellitus, Hospitalization, Humans, Hyperglycemia, Inpatients, Insulin, Insulin Infusion Systems, Blood Glucose Self-Monitoring, Pancreas, Artificial, History, 20th Century, History, 21st Century, Inventions

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Diabetes technology in the inpatient setting for management of hyperglycemia

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