| name | es-pump-supplies-availability |
| description | Verify that insulin pump supplies (provided by patient or family) will be available throughout the hospitalization to support continued pump use. Triggered by questions such as "Do we have sufficient pump supplies for the hospital stay?" |
Confirm availability of insulin pump supplies for hospitalization duration
STEP 1 — Gather Information
Determine expected hospitalization duration and inventory of pump supplies (infusion sets, reservoirs, batteries, adhesives, alcohol wipes) available from patient or family.
STEP 2 — Rule In / Rule Out
Are pump supplies sufficient to cover the entire hospitalization? If YES → proceed to assess patient ability and contraindications. If NO → arrange for additional supplies or plan transition to subcutaneous insulin therapy.
STEP 3 — Classify or Stratify
Assess patient ability to self-manage pump (consciousness, dexterity, understanding) and check for contraindications (ICU stay, DKA/HHS, inability to adjust settings). If patient can safely self-manage and no contraindications → proceed to decide. If not → transition to subcutaneous insulin therapy.
STEP 4 — Decide
If supplies sufficient and patient able to self-manage with no contraindications → continue insulin pump therapy during hospitalization. Otherwise → transition to scheduled subcutaneous basal bolus insulin therapy before discontinuation of pump.
Clinical Guardrails / Mimics / Pitfalls
Do not continue pump if patient lacks ability to adjust settings, is in ICU, has DKA/HHS, or if supplies will run out; do not assume hospital will provide pump supplies; do not ignore need for basal rate adaptation at admission.
Concrete Clinical Example
A 58-year-old with type 1 diabetes on pump admitted for elective surgery expected stay 3 days. Patient brings 2 infusion sets, 3 reservoirs, batteries. Hospital has pump-expert nurse. Supplies sufficient for 3 days, patient alert and able to manage pump, no contraindications → continue pump.
Source: Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2022, https://doi.org/10.1210/clinem/dgac278
