INTENSIVE INSULIN THERAPY IN ACUTE CEREBROVASCULAR ACCIDENT


Cite item

Full Text

Abstract

The article presents the results of examination of effectiveness of intravenous and subcutaneous insulin therapy in 76 patients with type 2 diabetes mellitus (DM2) in acute cerebrovascular accident. The data indicate the need for intensive intravenous insulin therapy in patients with diabetes mellitus and ischemic stroke on admission to the intensive care unit in order to rapid normalization of glicemia and maintenance of blood glucose level within the required range, that allow reducing the degree of neurological deficit and disorders of consciousness, and stabilizing the somatic status of patients.

References

  1. Гусев Е.И., Скворцова В.И. Современные представления о лечении острого церебрального инсульта // Cohsilium medikum 2000. Т. 2. № 2. C. 60-5.
  2. Федин А.И., Румянцева С.А. Интенсивная терапия ишемического инсульта. Руководство для врачей. М., 2004.
  3. Baird TA, Parsons MW, Phanh T, et al. Persistent poststroke hyperglycemia is independently associated with infarct expansion and worse clinical outcome. Stroke 2003;34(9):2208-14.
  4. Bhansali A, Chattopadhyay A, Dash RJ. Mortality in diabetes: a retrospective analysis from a tertiary care hospital in North India. Diabetes Res Clin Pract 2003;60(2):119-24.
  5. Kannel WB, McGee DL. Diabetes and cerebrovascular disease: the Framingham study. JAMA 1979;241:2035-38.
  6. Parsons MW, Barber PA, Desmond PM, et al. Acute hyperglycemia adversely affects stroke outcome: a magnetic resonance imaging and spectroscopy study. Ann Neurol 2002;52(1):20-8.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2011 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies