{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:12Z","timestamp":1740126852995,"version":"3.37.3"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective To evaluate the impact of temporary insulin pump use during\n                    hospitalization on glycemia, postoperative complications, and\n                    cost\/utilization in perioperative patients with diabetes.<\/jats:p><jats:p>\n          Methods Patients (n=159) with type 2 diabetes and hospitalized for\n                    elective surgery were recruited from three hospitals. Subjects were categorized\n                    into the insulin pump group and the multiple daily subcutaneous insulin\n                    injection group according to their treatment therapy. Data were collected at\n                    admission, discharge, and 3 months post-discharge.<\/jats:p><jats:p>\n          Results Subjects in the CSII group who were still on insulin therapy\n                    transitioned from CSII to MDII; however, their daily insulin dosages were lower\n                    than those in the MDII group (15.31\u00b110.98 U\/d vs.\n                    23.48\u00b117.02 U\/d, P=0.015) after discharge. In terms of\n                    medical costs, the CSII group had significantly higher hospitalization costs\n                    than the MDII group (112.36\u00b1103.43 thousand RMB vs. 82.65\u00b177.98\n                    thousand RMB, P=0.043). After 3 months, the CSII group had significantly\n                    lower outpatient costs than the MDII group (3.17\u00b10.94 thousand RMB vs.\n                    3.98\u00b11.76 thousand RMB, P\u2009\u02c2\u20090.001). In the MDII group,\n                    10 patients reported severe postoperative complications requiring\n                    re-hospitalization; there were no similar reports in the CSII group.<\/jats:p><jats:p>\n          Conclusion Temporary use of insulin pump therapy for perioperative\n                    patients with diabetes results in a reduction in blood glucose and blood glucose\n                    fluctuation during hospitalization, HbA1c, and the risk of postoperative\n                    complication and readmission, thus significantly decreasing costs in this\n                    complex patient cohort. Further work is needed to better understand indications\n                    for utilizing pump therapy based on diabetes phenotype and the complexity of\n                    planned surgical intervention.<\/jats:p>","DOI":"10.1055\/a-2218-4574","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T00:27:56Z","timestamp":1708129676000},"page":"142-151","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative Insulin Pump Therapy Decreases Readmission Risk and\n                    Improves Outcomes in Patients with Diabetes"],"prefix":"10.1055","volume":"132","author":[{"given":"Kun","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Hainan Medical University, Hainan\n                    Clinical Research Center for Metabolic Disease, Haikou, Hainan,\n                    China"},{"name":"Nursing College, Nanjing University of Chinese Medicine, Nanjing,\n                    Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang","family":"Bai","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Hainan Medical University, Hainan\n                    Clinical Research Center for Metabolic Disease, Haikou, Hainan,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaopan","family":"Chen","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Hainan Medical University, Hainan\n                    Clinical Research Center for Metabolic Disease, Haikou, Hainan,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua D.","family":"Miller","sequence":"additional","affiliation":[{"name":"Renaissance School of Medicine at Stony Brook University, Stony Brook,\n                    NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue","family":"Chen","sequence":"additional","affiliation":[{"name":"Jiangsu College of Nursing, Huaian, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuan","family":"Yun","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Hainan Medical University, Hainan\n                    Clinical Research Center for Metabolic Disease, Haikou, Hainan,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenzhen","family":"Sun","sequence":"additional","affiliation":[{"name":"Nursing College, Nanjing University of Chinese Medicine, Nanjing,\n                    Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaodan","family":"Yuan","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Integrated Traditional Chinese and Western\n                    Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4743-0900","authenticated-orcid":false,"given":"Qingqing","family":"Lou","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Hainan Medical University, Hainan\n                    Clinical Research Center for Metabolic Disease, Haikou, Hainan,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.4274\/jcrpe.5117","article-title":"Effectiveness of continuous subcutaneous insulin infusion pump therapy during\n                    five years of treatment on metabolic control in children and adolescents with\n                    type 1 diabetes mellitus","volume":"10","author":"\u00d6 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