An insulin-dependent pediatric patient who is ill and hyperglycemic often requires additional insulin.
Choice of Insulin: short or rapid acting
Dosing interval: every 2 hours
Target glucose: 200 mg/dL
dose of insulin in units =
= (factor) * ((blood glucose in mg/dL) - 200) / 50
Age in Years
< 5 years
5 to 9 years
10 to 12 years
>= 13 years
The patient should also ingest water or other non-glucose fluids until the blood glucose level is under control. If there is excessive fluid loss (vomiting, diarrhea), then a rehydration solution with sodium and potassium should be used.
To read more or access our algorithms and calculators, please log in or register.
Purpose: To manage an insulin-dependent pediatric patient who is ill and hyperglycemic.
Specialty: Endocrinology, Clinical Laboratory
Objective: dosage adjustments
ICD-10: E10, R73.9,