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Stroke Treatment After 24 Hours

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GLUCOSE METABOLISM<br />

Background<br />

<br />

High glucose levels in acute stroke may increase the<br />

size of the infarction and reduce functional outcome<br />

Hypoglycemia can mimic acute ischemic infarction<br />

Routine use of glucose potassium insulin (GKI)<br />

infusion i regimes in patients with mild to moderate<br />

hyperglycemia did not improve outcome 1<br />

It is common practice to treat hyperglycemia with insulin when<br />

blood glucose exceeds 180mg/dl 2 (10mmol/l)<br />

1: Gray CS et al.: Lancet Neurol (2007) 6:397-406<br />

2: Langhorne P et al.: Age Ageing (2002) 31:365-71.

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