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