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 |