Debate on Blood Sugar Control after Stroke.

• Position: HYPERGLYCEMIA

Hyperglycemia, or increased glucose, is common in patients with acute ischemic stroke and associated with worse outcomes compared to normal glucose levels. Doctors all over the world have debated whether intensive glucose management, which requires the use of IV insulin to bring blood sugar levels down to 80130 mg/dL, or standard glucose control using insulin shots, which aims to get glucose below 180 mg/dL, lead to better outcomes after stroke.

The Stroke Hyperglycemia Insulin Network Effort (SHINE) study, a large, multisite clinical initiative run by the National Institute of Neurological Disorders and Stroke...