How to deal with hyperglycemia after stroke

The occurrence of hyperglycemia after stroke is mainly related to the degree of brain damage and the degree of stress response produced by the body, the more severe the brain damage, the more obvious the body's stress response, and the higher the blood sugar level. So what to do in this case?

Blood sugar rises within 72 hours of the onset of stroke, which is called post-stroke hyperglycemia. The occurrence of hyperglycemia after stroke is mainly related to the degree of brain damage and the degree of stress response produced by the body, the more severe the brain damage, the more obvious the body's stress response, and the higher the blood sugar level.

Because hyperglycemia after stroke can further aggravate the damage of brain tissue, cause cerebral edema, lead to the expansion of cerebral infarction, cause aggravation of the disease, delay the recovery process, and have a high mortality rate and disability rate, hyperglycemia after stroke is regarded as one of the most serious complications after stroke, and must cause high vigilance.

First of all, blood glucose monitoring should be carried out in the acute stage of stroke to understand whether there is a problem of hyperglycemia, so as to achieve early detection and early treatment. At the same time, it is necessary to try to eliminate those factors that can cause high blood sugar, such as limiting the high intake of sugary foods and preventing excessive intake of sugary liquids. Maintain calm and prevent excessive anxiety and fear to help reduce stress levels and avoid blood sugar rises too high.

Second, when a patient's blood glucose exceeds 8.3 mmol/L, aggressive interventions must be taken according to the actual situation. If the patient's blood glucose concentration does not exceed 11.1 mmol/L, do not rush to insulin at first, focus on strengthening prevention and monitoring, and limit the amount of glucose fluids infusion.If the patient's blood glucose concentration exceeds 11.1 mmol/L, insulin therapy should be given promptly to keep the blood glucose below 8.3 mmol/L. At the same time, it is important to pay attention to blood glucose monitoring to avoid hypoglycemia. For patients without a history of diabetes, the duration of insulin therapy and maintenance therapy should not be too long, generally not more than 3 days, and no more than 7 days at most.