Glycemic control in the diabetic patient after stroke.
Hyperglycemia is a common problem in the diabetic patient after an acute stroke. Maintaining therapeutic blood glucose levels in diabetics during extreme physiologic stress can present extreme challenges. Reasonably tight, yet therapeutic, control of glycemia in the diabetic stroke patient must be a priority. This article evaluates strategies for lowering glycemia to improve neurologic outcome in acute stroke patients. It reviews the literature of the epidemiology, describes the pathophysiologic process, discusses the debate over the glycemic target goal, and gives algorithms for glucose control methods for acute care.
Lee
Loretta T
LT
Department of Adult/Acute Health, Chronic Care and Foundations, UAB University of Alabama School of Nursing, NB 542 1530 3rd Avenue South, Birmingham, AL 35294-1210, USA. llee@uab.edu
D000465:Algorithms; D001786:Blood Glucose; D015190:Blood Glucose Self-Monitoring; D003422:Critical Care / Q000379:methods*; D048909:Diabetes Complications / Q000150:complications* / Q000453:epidemiology; D016903:Drug Monitoring; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D024802:Nurse's Role; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D020521:Stroke / Q000150:complications* / Q000453:epidemiology
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin