An adult diabetic who is sick may require additional insulin to control hyperglycemia.
Target blood glucose: 300 mg/dL
Insulin to add: rapid-acting or regular insulin
(1) body weight
(2) ketones in urine
ketones in urine
trace or small amount
moderate or large amount
insulin adjustment factor =
= SUM(points for 2 parameters) + 1
additional insulin units =
= 4 * (insulin adjustment factor)
• The dose of additional insulin ranges from 4 to 12 units.
• The patient should also maintain a high intake of non-glucose containing fluids.
• The blood glucose should be monitored every 3 to 4 hours to determine the effectiveness of the therapy.
• The patient will need to contact his or her healthcare provider if unable to control the hyperglycemia, ketosis progresses or significant dehydration develops.
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Purpose: To determine if an adult diabetic who is sick requires additional insulin to correct hyperglycemia.
Specialty: Endocrinology, Clinical Laboratory
Objective: dosage adjustments
ICD-10: R73.9, E14.8,