Table 3.

Insulin and nutrition dose increments and limits on rate of change in dose per measurement interval designed for patient safety

Intervention	Increments used	Maximum change
Insulin	0.0-6.0 U/h in increments of 0.5 U excluding 0.5 U/h	+3U (dosing is per hour) reduce to 0 U/h
Nutrition	30-100% of ACCP/SCCM goal feed of 25 kcal/kg/h [40,41] in increments of 5%, using a low carbohydrate enteral nutrition formula (local clinical standard) of 35-40% carbohydrate content. Nutrition may be turned off for other clinical reasons (0%) leaving only insulin as an intervention Same rules apply if parenteral nutrition is used	± 20% May be set to 0% if clinically specified