An international position statement on practical approaches for inpatient continuous glucose monitoring, insulin pumps, and automated insulin delivery systems in adults
Year: 2026
Type: other
Abstract: There is an urgent and unmet need for a practical clinical guideline addressing the use of continu-ous glucose monitoring (CGM), insulin pumps, and automated insulin delivery (AID) systems in hospital settings. The goal with this position statement is to facilitate effective and safe use of these devices to improve glycaemic management, enhance outcomes, and contribute to standardi-sation efforts in initiating or continuing the use of these devices in hospitals for non-critically ill hospitalised adult individuals. The topics covered include: 1) Selection criteria for management using diabetes technologies 2) CGM-derived glycaemic metrics and goals for adults with diabetes 3) Insulin titration and administration guidelines 4) Perioperative care 5) CGM alarm settings for hypo- and hyperglycaemia 6) Clinical staff training and workflows 7) Integration of device data with the electronic health record 8) Imaging tests considerations 9) Discharge planning
Authors: Mikkel T. Olsen, Elias K. Spanakis, Hood Thabit, Ketan Dhatariya, Omar G. Mustafa, Katheleen Dungan, Athena Philis-Tsimikas, Kristen Kulasa, David N. O’Neal, Shashank R. Joshi, Alexandros L. Liarakos, Emma G. Wilmot, Julie L.V. Shaw, Roman Vangoitsenhoven, Chantal Mathieu, Irl B. Hirsch, Priyathama Vellanki, Francisco J. Pasquel, Guillermo Umpierrez, Rodolfo J. Galindo, Ulrik Pedersen-Bjergaard, Peter L. Kristensen, Julia K. Mader, Kirsten Nørgaard
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W7213921332
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