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 Intravenous insulin is recommended in hyperglycemic patients in the ICU.

 When on intravenous insulin infusion, glucose should be checked every hour until it is at goal for at least 4 hours.

 Once stable, patients on PO diet should be started on long‐acting and meal time insulin; patients on continuous feeds should be started on NPH insulin every 6 hours.

 When converting to long‐acting insulin, total insulin dose is calculated using the insulin requirement in the last 6 hours of insulin infusion.