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5 gr/kgBB .2 IU/kgBB/jam IU/kgBB/jam Cek GDS/jam Target GDS 110-180 >180 mg/dl mg/dL Titrasi insulin. GDS <110 Bila stabil cek mg/dL GDS tiap 4 jam Tambahkan insulin 0.01 – 1 IU/kg/jam 40-70 mg/dL <40 mg/dL Stop insulin Stop insulin berikan glukosa 0. Cek GDS pada 2x pengukuran interval 2 jam 180 – 360 mg/dL > 360 mg/dL Insulin 0.1 Insulin 0.