Adult subcutaneous insulin prescribing chart

The chart combines subcutaneous insulin prescription and administration with blood glucose, ketone monitoring and glycaemic management guidelines.

It is designed to minimise delays in management decisions and provide clinicians with clear guidelines for:

  • insulin prescription
  • insulin administration
  • hypoglycaemic and hyperglycaemic management
  • safe supplemental insulin use.

The chart is for use in acute adult inpatient areas.

The paper chart has been superseded by the Glucose Management View (a digital version on the electronic medication management system). However, it should be available in the event of downtime.

Implementation resources

Sample chart

Published: August 2018. Next review: 2024.

Use this example of the paper chart to train and practice completing the information required.

Download the Adult subcutaneous insulin prescribingchart (PDF 276.0 KB)

User guide

Published: August 2013. Next review: 2024.

Understand the detailed application and use of this chart.

Download the Adult subcutaneous insulin prescribingguide (PDF 1.2 MB)

Background

The chart was developed by the ACI Diabetes and Endocrine Network following an extensive review of charts across the state and nationally. It involved widespread input from rural and metropolitan clinicians.

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