What glucose target range is generally recommended in acute ischemic stroke care?

What glucose target range is generally recommended in acute ischemic stroke care?

• A. 70–100 mg/dL
• B. 140–180 mg/dL
• C. 200–250 mg/dL
• D. 90–110 mg/dL

Answer: (B)

In acute ischemic stroke, glucose management aims to avoid both high and low levels to protect the brain. Hyperglycemia is common and linked with larger infarcts and a higher risk of complications like hemorrhagic transformation, so keeping glucose from rising too much helps reduce injury. At the same time, overly strict glucose control can cause hypoglycemia, which can worsen brain injury and hinder recovery. Balancing these factors leads to a moderate target: 140–180 mg/dL. This range minimizes the harm associated with hyperglycemia while reducing the risk of hypoglycemia from aggressive treatment. Ranges that are too low (like 70–100 or 90–110) increase hypoglycemia risk, and a range that's too high (like 200–250) is associated with poorer outcomes. In practice, glucose is monitored closely and adjusted with insulin as needed to stay within 140–180 mg/dL.

In acute ischemic stroke, glucose management aims to avoid both high and low levels to protect the brain. Hyperglycemia is common and linked with larger infarcts and a higher risk of complications like hemorrhagic transformation, so keeping glucose from rising too much helps reduce injury. At the same time, overly strict glucose control can cause hypoglycemia, which can worsen brain injury and hinder recovery. Balancing these factors leads to a moderate target: 140–180 mg/dL. This range minimizes the harm associated with hyperglycemia while reducing the risk of hypoglycemia from aggressive treatment. Ranges that are too low (like 70–100 or 90–110) increase hypoglycemia risk, and a range that's too high (like 200–250) is associated with poorer outcomes. In practice, glucose is monitored closely and adjusted with insulin as needed to stay within 140–180 mg/dL.