When can we consider deferring an insulin drip in patients with hypertriglyceridemia-induced pancreatitis?

Serum triglyceride levels >500 mg/dL (5.6 mmol/L) are required for hypertriglyceridemia to be considered the underlying etiology of acute pancreatitis (UpToDate).

For patients with severe hypertriglyceridemic pancreatitis, such as those serum triglyceride levels >1000 mg/dL plus lipase >3 times the u...

There is no evidence in humans that insulin infusion is more effective than waiting. I restrict carbs, control hyperglycemia, and wait. Insulin infusion is a morbid intervention with no data that it is any better than supportive care.