The insulin pump: why not use it for every type I diabetic patient?

Critical care nurses are likely to care for patients with insulin pumps, and it is essential that they understand the rationale for using them selectively for individuals with diabetes mellitus. The assets and limitations of the technology associated with insulin pump use must be appreciated in regard to glycemic control during hospitalization. Although most patients and family members are well indoctrinated on insulin protocols, pump use, and self-monitoring, it is vital that nurses are aware of the unique issues that surface during critical illness.