title: Treatment of hyperglycaemia in patients with acute stroke.
abstract: The proportion of diabetic patients who are hospitalised for stroke has been increasing in recent years, currently reaching almost a third of all cases of stroke. In addition, about half of patients with acute stroke present hyperglycaemia in the first hours of the stroke. Although hyperglycaemia in the acute phase of stroke is associated with a poor prognosis, its treatment is currently a topic of debate. There is no evidence that the adminstration of intravenous insulin to these patients offers benefits in terms of the evolution of the stroke. New studies in development, such as the SHINE study (Stroke Hyperglycemia Insulin Network Effort), may contribute to clarifying the role of intensive control of glycaemia during the acute phase of the stroke. Ultimately, patients who have presented with stroke should be screened for diabetes.
authors.affiliation: Servicio de Medicina Interna, Hospital de la Merced, Osuna, Sevilla, España. Electronic address: castillafernandez@hotmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Castilla-Guerra
authors.affiliation: Servicio de Neurología, Hospital de Valme, Universidad de Sevilla, Sevilla, España.
authors.forename: M C
authors.initials: MC
authors.lastname: Fernández-Moreno
authors.affiliation: Institute of Primary Care & Public Health, Cardiff University School of Medicine, WCAT Lead - Geriatric & Stroke Medicine, Cardiff, Reino Unido.
authors.forename: J
authors.initials: J
authors.lastname: Hewitt
keywords: Acute Stroke; Diabetes; Diagnosis; Diagnóstico; Hiperglucemia; Hyperglycaemia; Ictus agudo; Insulin; Insulina; Tratamiento; Treatment