Table 4.

Recommended Contraindications for CSII Self-Management in the Hospital.

Patient with altered state of consciousness or cognitive impairment

Metabolically unstable patient (diabetic ketoacidosis [DKA]/hyperglycemic hyperosmolar state [HHS] at admission)

Critically ill patient requiring intensive care Patients who are unable to use their hands or arms due to injury or trauma

Patients with suicidal ideation

Patients unwilling to comply with hospital policies of CSII self-management

Patients unable to demonstrate competency with using CSII

Patients without CSII supplies

Patient preference

Physician judgement