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Updated: Aug 16, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Interactions in antithrombotic and hypoglycemic therapy]
Julio O Bono1, Federico Liberman1, Juan P Ricarte Bratti1,2
1Unidad Coronaria, Sanatorio Allende Nueva Córdoba, Córdoba, Argentina.
Abstract:
This review is an update on antiplatelet therapy and its interaction with oral hypoglycemic agents in diabetic patients with ischemic heart disease. We summarize the main pathophysiological mechanisms that intervene in diabetic patients and that increase the ischemic risk, the effects of the combination of oral hypoglycemic agents, their antithrombotic effects and their interaction with antiplatelet, and finally the studies that demonstrated the benefits of antiplatelet in diabetic patients in different scenarios of ischemic heart disease. The different mechanisms of action involve improved glycemic control, increased bioavailability of nitric oxide, reduced oxidative stress and, for certain molecules, direct inhibition of platelet activation and aggregation.
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