How is the Portland protocol for IV insulin therapy initiated?

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

Answer

The latest protocol can be viewed on their Web site. The Portland Protocol©, which targets a blood glucose level of 125-175 mg/dL is summarized below.

The protocol is initiated on all ICU patients follows (place these orders on all ICU admission and postoperative order sets):

  • Initial blood glucose check upon admission and every 2 hours.

  • HbA1c measurement should be obtained if not obtained upon admission. [15]

  • Start the Portland Protocol© for any blood glucose level of more than 150 mg/dl (including "nondiabetic" patients).


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