Perioperative Insulin

Subcutaneous vs IV

• If emergency surgery use IV insulin drip
• If elective surgery AND:
  • Case is < 4 hours
  • Patient is not critically ill
  • Patient does not have poor glucose management
  • There is no expected fluid instability/shifts

  Use subcutaneous insulin

Dosing: Refer to current practice facility

Here is a sample dosing chart

Hypoglycemia Treatment

1. If BG < 70 stop insulin treatment
2. Administer 25cc of D50 or start D10 infusion
3. If BG < 50 administer 50cc of D50
4. Check q15min until BG > 70