5
Table 2. Resources Required for Safe Implementation of CGM
in the Non-Critical Care Hospital Setting
• Engagement, training, and education of nursing personnel
• Patient education regarding care of the device and how to respond to alarms for high or
low BG
• Purchase of equipment (e.g., sensors, transmitters, receivers)
• Expertise from health care professionals knowledgeable in this technolog y
• Oversight and guidance for CGM use
• Integration of CGM data with the hospital electronic medical record
• Clarity of assigned responsibility for interpreting and acting on CGM data
Adapted from Galindo RJ et al. J Diabetes Sci Technol, 2020; (14)4. © Diabetes Technolog y Society.
Table 3. Methodology for Converting Insulin Pump Therapy to
BBI Therapy
Dosing Suggestions
a
Basal insulin dose Prandial and/or correctional insulin dose
b
Basal rate
settings on
pump known
Refer to the pump's active
basal profile to determine
the 24-hour basal insulin
dose. Administer this dose
as glargine U100 insulin
as a single daily dose or
in equally divided doses
administered every 12
hours.
For patients who perform CC at home,
allow patients to continue using the settings
provided in the pump's active insulin profile
for prandial and correctional insulin dosing.
For patients not using CC, use weight-based
fixed premeal insulin doses (0.2 to 0.4 units/
kg divided into three prandial insulin doses
with correctional insulin administered for
BG above target range).
For patients who are not eating, hold
prandial insulin and continue correctional
insulin dosing.
Basal rate
settings on
pump not
known
Calculate basal insulin dose
of 0.2 to 0.4 units/kg per
day administered as glargine
U100 given as a single daily
dose or in equally divided
doses administered every
12 hours.
Use weight-based fixed premeal insulin
doses (0.2 to 0.4 units/kg divided into three
prandial insulin doses).
Hold if patient is not eating.
a
Basal insulin should be administered 2 hours prior to discontinuation of insulin pump. Rapid-acting
or regular insulin should be administered at least 30 minutes prior to discontinuation of an insulin
pump.
b
Correctional insulin dosing can be administered before meals in addition to prandial insulin for
patients who are eating or every 4 to 6 hours in patients who are not eating. For patients with a known
correction factor, correction insulin may be prescribed as either a correction factor calculated toward
a glucose target or a correction scale that uses a correction factor for the interval.
