Management of blood glucose in patients with acute coronary syndromes
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Updated: May 16, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Kasia J Lipska1, Mikhail Kosiborod
1Yale University School of Medicine, New Haven, CT, USA.
Abstract:
Hyperglycemia during admission for acute myocardial infarction (MI) is common and associated with poor outcomes. Prior studies employed two distinct approaches to improve outcomes in patients with acute MI--one focused on glucose control, and the other on provision of glucose, insulin, and potassium. However, despite multiple largescale studies, the benefits of glucose lowering in the setting of acute MI remain unclear. This article reviews data from observational studies and clinical trials and synthesizes this information into practical recommendations based on available evidence.
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