Skip to main content

Table 1 Glucontrol Group A protocol (intensive). The starting insulin infusion rate is in the top portion and the maintenance insulin infusion rates and increments are in the bottom portion as labelled. All values converted to mmol/L from mg/dL in 27.

From: Validation of a model-based virtual trials method for tight glycemic control in intensive care

STARTING INSULIN INFUSION RATE SCALE
Glycemia Starting insulin infusion rate
<6.1 mmol/L On hold
6.1 - 7.8 mmol/L 1 U/h
7.8 - 10.0 mmol/L 2 U/h
>10.0 mmol/L 4 U/h
MAINTENANCE INFUSION RATE CHANGES
Glycemia Incremental insulin infusion rate
>16.7 mmol/L +3 U/h
10.0 - 16.7 mmol/L +2 U/h
7.8 - 10.0 mmol/L +1 U/h
6.1 - 7.8 mmol/L +0.5 U/h
4.4 - 6.1 mmol/L +0 U/h (target range)
2.2 - 4.4 mmol/L Stop insulin, Hourly measurement of glycemia until >80 mg/dl
<2.2 mmol/L Stop insulin, 10 gr glucose IVD, Call physician immediately, Hourly measurement of glycemia until >80 mg/dl