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Transitioning from intravenous to subcutaneous insulin
ОглавлениеThe last 24 hour insulin requirement is calculated by multiplying the requirement in the last 6 hours of insulin infusion, dividing by 6 and multiplying by 20; this will be the total insulin given in a day.
40% of the total daily units are given as long‐acting insulin and 60% are given as short‐acting insulin three times a day.
If giving NPH insulin, the total dose is divided by 4 and given every 6 hours.
If a patient is on less than 2 units of insulin per hour while on the drip, consider starting on short‐acting insulin.
Discontinue intravenous insulin 60 minutes after giving subcutaneous insulin.