When is an IV insulin therapy protocol needed?

Updated: Nov 06, 2018
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: George T Griffing, MD  more...
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Hyperglycemia often complicates the management of critically ill patients. Control of hyperglycemia leads to improve outcomes in many conditions. Hyperglycemia may be difficult to control with intermittent subcutaneous insulin and intravenous insulin infusions can provide more efficient control of hyperglycemia and may be the preferred management method is certain conditions, such as postcardiac surgery. The institution of continuous intravenous insulin infusions for control of hyperglycemia must be carefully assessed because it represents a large institutional committment by multiple disciplines, especially nursing. Likewise, patient demographics and goals of hyperglycemia may also influence the choice of an intravenous insulin protocol.

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