Table 4—

Indication for intravenous insulin infusion among nonpregnant adults with established diabetes or hyperglycemia

IndicationStrength of Evidence
Diabetic ketoacidosis and nonketotic hyperosmolar stateA
General preoperative, intraoperative, and postoperative careC
Postoperative period following heart surgeryB
Organ transplantationE
MI or cardiogenic shockA
StrokeE
Exacerbated hyperglycemia during high-dose glucocorticoid therapyE
NPO status in type 1 diabetesE
Critically ill surgical patient requiring mechanical ventilationA
Dose-finding strategy, anticipatory to initiation or reinitiating of subcutaneous insulin therapy in type 1 or type 2 diabetesC