Table 1.

Common medical conditions during hospitalization that affect insulin pump management

Medical condition	Recommendation for insulin pump management
Altered mental status, confusion or unresponsive	Stop insulin pump use and switch to MDI
Acute kidney injury	Decrease basal and bolus settings
NPO, nothing by mouth	Decrease basal rate by at least 20%
Decreased appetite or change in dietary habits	Decrease basal and bolus settings
Steroid use	Decrease insulin sensitivity factor and consider expert consultation or stopping pump
Weakness or impaired vision or hand strength	Evaluate pump self-management skills
Narcotic or anesthetic use	Evaluate pump self-management skills

MDI, multiple daily injections. Adapted from Thompson, et al. [6]