ST elevation myocardial infarction glucose control
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Guidelines (DO NOT EDIT)
- Class I
An insulin infusion to normalize blood glucose is recommended for patients with STEMI and complicated courses. (Level of Evidence: B)
- Class IIa
1. During the acute phase (first 24 to 48 hours) of the management of STEMI in patients with hyperglycemia, it is reasonable to administer an insulin infusion to normalize blood glucose even in patients with an uncomplicated course. (Level of Evidence: B)
2. After the acute phase of STEMI, it is reasonable to individualize treatment of diabetics, selecting from a combination of insulin, insulin analogs, and oral hypoglycemic agents that achieve the best glycemic control and are well tolerated. (Level of Evidence: C)
References