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Patients' knowledge of their insulin pumps and glucose control during hospitalization has not been studied. The aim was to study the determinants of glycemic control in patients using continuous subcutaneous insulin infusion (CSII) in the hospital. Three groups of patients were identified: those who did not need any inpatient education and continued on CSII (gorup A), those who received education then continued on CSII (group B), and those for whom CSII was not appropriate and were treated with multiple daily insulin injections (gorup C). We compared the measures of glycemic control between the 3 groups and analyzed which variables impacted glucose control. There were 50 patients, with 51 hospital admissions, 57% males, mean age 48 ± 13 years, 86% had type 1 diabetes (T1DM). The mean DM duration was 26 ± 14 years, mean duration of CSII use was 8.7 ± 6 years, and mean HbA1c was 7.6 ± 1.4%. The mean duration of hospital stay was 5.6 ± 4.6 days. Mean blood glucose (BG) and frequency of hyperglycemia and hypoglycemic events among the 3 groups adjusted for their duration of hospital stay were not statistically different. None of the patients developed diabetic ketoacidosis while using their pump.Stepwise multivariate analysis revealed knowledge of hypoglycemia correction was the single most important predictor of mean BG (P < .001). Patients who received inpatient education performed similarly to patients who did not need inpatient education. Patients who receive inpatient education on CSII fare similar as patients who did not require inpatient education.

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Objective: To identify issues surrounding discharge from hospitalization in patients newly prescribed insulin or oral hypoglycemic agents. Methods: We conducted telephone surveys and retrospective chart reviews on adult patients satisfying the aforementioned conditions one week after they were discharged from an academic medical center. Data gathered included glucose levels, logistical issues in obtaining medications or testing supplies, and barriers for testing and treating DM. We compared A1c during and after admission, and identified factors associated with change in A1c. Results: We attempted to contact 141 eligible patients phone, and reached 98. Of 98 patients, 85 were scheduled with a follow-up with PCP or endocrinology within 60 days of discharge, 13 patients were discharged without follow-up scheduled; 76 were discharged with enough supplies and medication to last until next follow-up. Regarding overall glucose control after discharge, 69 patients were completely to very satisfied, 18 were somewhat satisfied, 11 were slightly to not at all satisfied. Fifty patients had repeat A1c available after admission (median 116 days, IQR 92, 196). There was a significant decrease in A1c (admission mean 9.5% ± SD 2.7 vs. follow-up 7.0% ± 1.5, p &lt;0.0001). There was no statistically significant change in percentage A1c reduction whether patient received bedside delivery (-22.3% ± 18.8) or not (-23.5% ± 22.0; p = 0.825), or between medical (-25.4% ± 20.4) and surgical services (-16.2% ± 18.7, p = 0.134). Patients utilizing bedside delivery program (pharmacy bringing discharge medications to patient’s room) were more likely to receive the correct diabetes testing supplies and medications (95.2%) than those who did not use the service (71.1%) (p=0.003). Conclusion: Most patients were satisfied with DM education and readiness upon discharge. Bedside delivery may help improve percentage of discharge with correct supplies and medications. Disclosure N.Z. Madhun: None. E. Calogeras: None. S. Niwattisaiwong: None. M. Lansang: None.