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In general surgical practice, the initiation of a Variable Rate Intravenous Insulin Infusion (VRII), also known as a "sliding scale," is a high-risk therapy guided by stringent national recommendations from the Joint British Diabetes Societies (JBDS) for Inpatient Care and the National Institute for Health and Care Excellence (NICE). It is a planned and proactive strategy for managing known glycaemic excursions, not a reactive treatment for unexpected hyperglycaemia. Let's dive in.

Disclaimer: Only for reference. Please refer to standard guidelines and local protocols in clinical practice.

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