Blood Glucose

The relationship of blood glucose levels and focal cerebral ischemia is complex. Elevated blood glucose levels were reported to increase (130), decrease (131), or has no effect on infarct volumes. However, the overwhelming majority of reports in the literature indicate that hyperglycemia is detrimental in focal ischemia models. In human stroke, hyperglycemia is associated with infarct expansion and worse neurologic outcome (132). Monitoring and, when necessary, controlling blood glucose levels eliminate this confounding factor.

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