The Optimization of Glycemic Control in Patients with Type 2 Diabetes Mellitus in Peracute Stroke

The aim of the investigation is to determine an optimal method of glycemic control in patients with cerebrovascular accident and type 2 diabetes mellitus. Materials and methods. 43 patients with insulin and type 2 diabetes mellitus were included into the study. The patients were divided into two groups: the patients of the first group (n=23) had continuous insulin infusion within not less than 24 h, the patients of the second one (n=20) — subcutaneous insulin injections. Results. The patients of both groups had statistically significant difference of glycemic indexes in 24 h, and furthermore, the control group had high variability of glycemic indexes. Continuous insulin infusion compared to discrete subcutaneous injections provides gradual glycemia decline up to target values and more stable retention of glycemia within the given range that increases intensive insulin therapy safety. It allows to consider the method of intravenous insulin administration to be optimal for glycemic control in patients with type 2 diabetes mellitus in peracute stroke.