Response to Comment on Umpierrez and Klonoff. Diabetes Technology Update: Use of Insulin Pumps and Continuous Glucose Monitoring in the Hospital. Diabetes Care 2018;41:1579–1589

We thank Grammes et al. (1) for pointing out the importance of respect for autonomy and the patient’s perspective on the use of insulin pumps during hospitalization. The principle of respect for autonomy enables patients to make their own decisions about which health care interventions they will or will not receive. Offering options and allowing patients to make voluntary choices about health care interventions have been shown to enhance patient satisfaction and good patient-professional relationships. Asking a patient to remove their insulin pump device could potentially contribute to decreased patient satisfaction given the perceived loss of control over self-management. Patients may become frustrated if asked to transfer their diabetes management to hospital staff who may not …