Wednesday, June 10, 2015

Insulin Sliding Scale Regime

Variable rate infusion of insulin 50U in 50mls 0.9% saline (concentration of insulin 1U/ml), adjusted according to blood glucose concentration.

Blood Glucose concentration (mmol/L)
Infusion rate (ml/hr)

< 5
Omit
5-10
1
10-15
3
15-20
4
>20*
5

*Increase rate of infusion by 2 mls/hr if blood glucose concentration remains high, check half-hourly and adjust infusion rate accordingly.

REFERENCE:
Anaesthetic Clinic Protocols 2012 
http://www.moh.gov.my/images/gallery/Garispanduan/Anaesthethic_clinic_protocols.pdf

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