Perioperative Glucose Control in Neurosurgical Patients

Table 4

Proactive regimen: dilute 100 U of insulin in 100 mL of isotonic saline solution 0.9% (1 U = 1 mL). Administer via infusion pump according to the following scheme. The measurement unit used for indicating the concentration of blood or plasma glucose can either have a weight dimension (mg/dL) or a molarity (mmol/L).

Glucose value		Insulin infusion rate
mmol/L	mg/dL	IU/h
8.3–9.4	150–169	2
9.43–11.0	170–199	3
11.1–13.8	200–249	4
13.9–16.6	250–299	6
16.7–22.1	300–399	8
22.2+	400+	10

Exact conversion of glucose values from mg/dL to mmol/L and vice versa are as follows:
*mmol/L = mg/dL × 0.0555,
^†mg/dL = mmol/L × 18.0182.