Simple Insulin Infusion Rate

Calculates insulin infusion rates for glycemic control in ICU based on blood glucose levels and clinical protocols.

mg/dL

Current blood glucose measurement

Target glucose range per institutional protocol

kg

Patient weight for weight-based dosing

Patient insulin sensitivity

Enter glucose and patient data to calculate infusion rate

References

  1. Glycemic Control in the ICU - American Diabetes Association
  2. Insulin Dosing in the ICU - ClinicalAdvisor - ClinicalAdvisor

Clinical Notes & Warnings

  • ADA recommends target 140-180 mg/dL for most ICU patients.
  • Tight glycemic control (80-110 mg/dL) increases hypoglycemia risk without mortality benefit.
  • Do not exceed 10 units/hr without physician review.
  • Stop or reduce infusion if BG < 100 mg/dL to prevent hypoglycemia.
  • This is a general guideline; institutional protocols may differ.

Common ICU protocols: Yale (0.02-0.06 units/kg/hr with BG-based titration), Leuven (tight 80-110). NICE-SUGAR showed harm from tight control.