Treatment of hyperglycaemia in patients with acute stroke.

Abstract:

:The proportion of diabetic patients who are hospitalised for stroke has been increasing in recent years, currently reaching almost a third of all cases of stroke. In addition, about half of patients with acute stroke present hyperglycaemia in the first hours of the stroke. Although hyperglycaemia in the acute phase of stroke is associated with a poor prognosis, its treatment is currently a topic of debate. There is no evidence that the adminstration of intravenous insulin to these patients offers benefits in terms of the evolution of the stroke. New studies in development, such as the SHINE study (Stroke Hyperglycemia Insulin Network Effort), may contribute to clarifying the role of intensive control of glycaemia during the acute phase of the stroke. Ultimately, patients who have presented with stroke should be screened for diabetes.

journal_name

Rev Clin Esp

journal_title

Revista clinica espanola

authors

Castilla-Guerra L,Fernández-Moreno MC,Hewitt J

doi

10.1016/j.rce.2015.06.005

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

92-8

issue

2

eissn

0014-2565

issn

1578-1860

pii

S0014-2565(15)00188-5

journal_volume

216

pub_type

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