Fasting Type I Diabetic patients
In practice, all fasting type I diabetic patients go on a sliding scale as shown below (taken from Lothian Adult Medical Emergencies Handbook). All patients need a background fluid infusion; we would suggest 20mls/hour of 10% dextrose as most patients are anuric.
BM | Insulin Infusion (units actrapid/hours = ml/hr) |
>16 | 6 |
13-15.9 | 4 |
10-12.9 | 3 |
7.0-9.9 | 2 |
5.0-6.9 | 1 |
4.0-4.9 | 0.5 |
<4 | 0 (call Dr, sliding scale may need revision) |