You can download the chart from this link
Initial loading dose and start of infusion by using chart 1. Infusion protocol is by chart 2.
No, should follow as advised by doctors
Hourly
Our target to maintain GRBS is between 140-180 mg/dl, so there is no need to change the insulin infusion
Increase the infusion by 2 rows similar to that of question 3.
• When GRBS is in target range for more than 4 hours
• Patient is hemodynamically stable
• Patient is tolerating feeds either NG or oral
• Calculate the total requirement of IV insulin last 24 hours
• 80% of the total IV insulin is the SC insulin dose requirement
• 40% of the SC insulin dose is long acting insulin
• 60% is the short acting insulin which should be divided into 3 doses (20% each) before BF, lunch and dinner or 8AM, 2PM and 8PM feeds
• Stop insulin infusion after 2 hours of subcutaneous dose
Example: total IV requirement 50U, SC insulin requirement 40 U, long acting insulin 16 U, short acting insulin 24 U divided by 3 doses, 8U each.