How is the infusion rate determined in to the Georgia Hospital Association protocol for IV insulin therapy?

Updated: Nov 06, 2018
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: George T Griffing, MD  more...
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Answer

Answer

Determination of intravenous infusion rate is as follows: units of insulin per hour = (blood glucose – 60) X 0.02. [14]

  • Initiate drip by applying the current blood glucose and the multiplier 0.02 to the above formula.

  • When blood glucose is more than 110 mg/dL but has not dropped by at least 15%, increase the multiplier by 0.01.

  • When hourly blood glucose rates are 80-110 mg/dL, do not change the multiplier and adjust the rate according to the formula.

  • When the rate is less than 80 mg/dL, decrease multiplier by 0.01 to calculate new drip rate.


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