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Table 1 Local intravenous insulin titration protocol

From: Feasibility of fully automated closed-loop glucose control using continuous subcutaneous glucose measurements in critical illness: a randomized controlled trial

Blood glucose (mM)

Insulin infusion ratesa (Units/hour)

20.0

6.0, inform physicianb

17.1-20.0

4.0, inform physicianb

14.1-17.0

3.0, inform physicianb

11.1-14.0

2.5, inform physicianb

8.6-11.0

2.0, inform physicianb if glucose >10

7.1-8.5

1.5

5.6-7.0

1.0

4.0-5.5

0.5

<4.0

NIL, inform physicianb

  1. a50 Units Insulin Actrapid in 50 ml of 0.9% saline. bTarget glucose was 7 to 10 mM, and when the glucose was outside this target, hourly infusion rates were adjusted by the attending physician.