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Table 2 Glucontrol Group B protocol (conventional). (a) Starting insulin infusion rate. (b) Maintenance insulin infusion rates and increments. 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
<10.0 mmol/L On hold
10.0 - 13.9 mmol/L 1 U/h
13.9 - 16.7 mmol/L 2 U/h
>16.7 mmol/L 4 U/h
MAINTENANCE INFUSION RATE CHANGES
Glycemia Incremental insulin infusion rate
>16.7 mmol/L +3 U/h
13.9 - 16.7 mmol/L +2 U/h
10.0 - 13.9 mmol/L +1 U/h
7.8 - 10.0 mmol/L +0 U/h (target range)
4.4 - 7.8 mmol/L Decrease 50% rate insulin
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