Verification of the class of carbohydrate metabolism disorders in patients with hyperglycemia first detected on the background of acute coronary syndrome


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Abstract

Among patients with hyperglycemia first detected secondary to acute coronary syndrome (ACS), there are many persons with various carbohydrate metabolism disorders (diabetes mellitus type 2, impaired glucose tolerance) at the first 6 months after coronary event. Newly diagnosed increase of blood glucose level during admission for ACS requires further examination to verify carbohydrate metabolism disorders after the regression of acute state. Examination of fasting blood glucose levels over time and glucose tolerance test before discharge from hospital no later than 6 months of observation on posthospital stage are necessary. For the purpose of correction of hyperglycemia in emergency settings, particulary in ACS, intravenous short-acting insulin infusion is recommended.

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T Yu Golitsyna

T Golitsina

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