Table 2.

Insulin administration clinical guideline

Initiation: Requires two consecutive blood glucose measurements > 180 mg/dL measured one hour apart while receiving a delivered glucose infusion rate of < 5 mg/kg/min
Glucose Level Parameters	Insulin Titration
Initial Dose
Glucose > 180 mg/dL and < 250 mg/dL	Start insulin at 0.01 units/kg/hr
Glucose > 250 mg/dL and < 300 mg/dL	Start insulin at 0.02 units/kg/hr
Glucose > 300 mg/dL	Start insulin at 0.03 units/kg/hr
Discontinuation
If glucose level < 100 mg/dL	Discontinue insulin
If glucose level is decreasing > 50 mg/dL/hr and blood glucose is < 200 mg/dL	Discontinue insulin