Dosing Insulin in Sick Pediatric Diabetic with Hyperglycemia

 

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	Factor
< 5 years	0.25
5 to 9 years	0.5
10 to 12 years	1
>= 13 years	2

 

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.