Insulin Adjustment During Antenatal Steroid Treatment with Betamethasone

Hyperglycemia may occur as early as 3–8 hours after antenatal steroids are given and may remain elevated for up to 5 days. This calculator uses the Mathiesen ER algorithm to adjust insulin doses for the first five days after steroids are given. The algorithm assumes the first steroid dose is given in the morning of Day 1.

Enter insulin doses the day before glucocorticoid treatment

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Clinical note: Individualize to patient response. Confirm all calculations before use. The suggested results are not a substitute for clinical judgment.