How is blood glucose controlled in acute management of stroke?

Updated: Sep 08, 2017
  • Author: Edward C Jauch, MD, MS, FAHA, FACEP; Chief Editor: Helmi L Lutsep, MD  more...
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Severe hyperglycemia appears to be independently associated with poor outcome and reduced reperfusion in thrombolysis, as well as extension of the infarcted territory. [20, 21, 22] Additionally, normoglycemic patients should not be given excessive glucose-containing IV fluids, as this may lead to hyperglycemia and may exacerbate ischemic cerebral injury.

Blood sugar control should be tightly maintained with insulin therapy, with the goal of establishing normoglycemia (90-140 mg/dL). Additionally, close monitoring of blood sugar level should continue throughout hospitalization to avoid hypoglycemia. [1]

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