title: Early care of acute hyperglycemia benefits the outcome of traumatic brain injury in rats.
abstract: Previous animal studies showed contradictory clinical observations on whether acute hyperglycemia contributes to poor outcome in traumatic brain injury (TBI). Herein, we tried to clarify this issue.
  
  
  
  Striking with depths of 3.0-4.25mm at right occipitoparietal brain region and with depth of 3.75mm at right/left occipitoparietal or right/left frontoparietal brain region were performed, respectively. Blood glucose and insulin levels were traced every four hours from 1 to 72h after striking. HOMA2-%S and HOMA2-%β were calculated. Modified neurological severity scores (mNSS) were used to evaluate neurological deficit within 72h.
  
  
  
  Striking with depths of 3.5-4.25mm induced increase in blood glucose lasting up to 24h after striking. The levels of blood glucose after striking with depths of 3.75-4.25mm were significantly different from that of striking with the depth of 3.0mm. Striking with depth of 3.75mm at right/left occipitoparietal region induced higher blood glucose in 24h than that at right/left frontoparietal region. Insulin concentration increased slowly during 72h after striking. Striking also induced decrease in insulin sensitivity and secretion lasting 72h. Evaluation of mNSS revealed that severe striking (beyond 3.75mm) worsened nerve function than slight striking (<3.0mm). Intervention of acute hyperglycemia could decrease the mNSS from 2 to 7 days after TBI.
  
  
  
  Our results suggested that only severe TBI could induce acute hyperglycemia by itself, and early care of acute hyperglycemia could benefit the outcome of TBI patients.
authors: Neurosurgery Department, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China.
authors: Xin
authors: X
authors: Kang
authors: Center for clinical research and translational medicine, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China.
authors: Yuepeng
authors: Y
authors: Liu
authors: Neurosurgery Department, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China.
authors: Tao
authors: T
authors: Yuan
authors: Bengbu Medical College, 233000 Bengbu, Anhui, China.
authors: Na-Na
authors: NN
authors: Jiang
authors: Center for clinical research and translational medicine, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China.
authors: Yan-Bin
authors: YB
authors: Dong
authors: Neurosurgery Department, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China.
authors: Jian-Wei
authors: JW
authors: Wang
authors: Neurosurgery Department, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China.
authors: Guang-Hui
authors: GH
authors: Fu
authors: Neurosurgery Department, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China.
authors: Yu-Liang
authors: YL
authors: Liu
authors: Neurosurgery Department, Lianyungang Oriental Hospital, 222042 Lianyungang, Jiangsu, China. Electronic address: wangwenxue131@sina.com.
authors: Wen-Xue
authors: WX
authors: Wang
mesh_terms: D000818:Animals; D001786:Blood Glucose / Q000502:physiology; D001921:Brain / Q000503:physiopathology; D001930:Brain Injuries / Q000503:physiopathology; D000070642:Brain Injuries, Traumatic / Q000534:rehabilitation / Q000628:therapy*; D006943:Hyperglycemia / Q000150:complications* / Q000628:therapy; D007328:Insulin / Q000378:metabolism; D007333:Insulin Resistance / Q000502:physiology; D008297:Male; D051381:Rats; D017207:Rats, Sprague-Dawley; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D007328:Insulin
keywords: Acute hyperglycemia; Controlled cortical impact; Outcome; Traumatic brain injury