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Clinical Guideline: Guidelines for managing continuous subcutaneous insulin infusion (CSII, or ‘insulin pump’) therapy in hospitalised patients

These guidelines are designed to support the in-patient care of people with type 1 diabetes managed on CSII therapy. 

They were developed by a multi-disciplinary group of health care professionals and a patient on behalf of the Diabetes Technology Network and the Association of British Clinical Diabetologists. 

It has been further reviewed by national diabetes societies. It conforms to other national guidelines for diabetes / pregnancy care.

Best Practice Guides and Top Tips

A group of clinicians with expertise in continuous subcutaneous insulin infusion (CSII) from across the UK have been meeting regularly to discuss and share their best practice. We have summarised the outcomes of these discussions in the published Best Practice Guides below. 

We extremely grateful to Parth Narendran and Ali Karamat and team for developing the guide for those hospitalised on CSII and also to Peter Hammond and team for the development of the CSII clinical guide for adult services.

Connected Pens

These educational modules on Connected Pens feature the perspectives of Dr Emma Wilmot and Dr Pratik Choudhary. The series covers clinical scenarios and needs and choices as they relate to connected pens.

Diabetes tech in pregnancy

These educational modules on diabetes tech in pregnancy feature the perspectives of a range of healthcare professionals. The series covers relevant topics, such as Starting CGM in pregnancy, Top tips for using CGM sensors in pregnancy and Using CGM in late pregnancy and planning for delivery.

Self Monitoring Blood Glucose

These educational modules on Self Monitoring Blood Glucose (SMBG) feature the perspectives of a range of healthcare professionals. The series covers a range of relevant topics, including Adjusting Bolus Insulin on Multiple Daily Injections (SMBG), Basics of SMBG in Multiple Daily Injections and Making the most of SMBG data.

Pumps (CSII)

These educational modules on Pumps (CSII) feature the perspectives of a range of healthcare professionals. The series covers a range of relevant topics, including Insulin Pump Therapy Choices, Starting Up, Reading Downloads and Insulin Pump Therapy In Pregnancy.

Flash Glucose Monitoring

These educational modules on Flash Glucose Monitoring feature the perspectives of healthcare professionals and people living with diabetes. The series gives an introduction to Flash Glucose Monitoring and covers a range of relevant topics, including Interpreting Daily Traces, Hypoglycaemia and Glycaemic Variability.

*Please note that while much of the information is still valid, these videos were recorded when the FSL1 was released in the UK and so do not refer to the possibility of alarm or rt-CGM functionality.*

Virtual Consulting

In this series of educational videos for healthcare professionals, experts in the field will share their top tips for effective virtual consultations and how to ensure this type of consultation remains patient centred.