PERIOPERATIVE INSULIN

--INTERMITTENT BOLUSES--

10 u Reg Insulin q 2 hours
Add 5 u q 1 hour for Glucose > 200

--Infusion--

500 ml D5 1/2NS,
100 ml/hour.

-And-

Reg Insulin piggybacked or on infusion pump
 

BG                        Insulin Units/Hour

<70                           0
70-120                      0.5
120-200                    1.0
200-250                    1.5
250-300                    2.0
300-350                    2.5
350-400                    3.0
400-450                    3.5
450-500                    4.0

Multiply the above infusion rates by the following factors:

1. Total Daily Insulin Requirement Divided by 25 
      (TDI/100*4)

2. Renal Transplant: 2 X

3. CABG:  3-5 X

Jacober: Arch Intern Med, Volume 159(20).November 8, 1999.2405-2411