About Hyperglycemia During Acute Stroke

To the Editor:Having completed a pilot clinical trial of aggressive hyperglycemia correction during acute cerebral infarction, we read with interest the recently published American Heart Association guidelines that include new suggestions for managing hyperglycemia during acute stroke.1 Although the guidelines clearly declare their lack of support by clinical trials (grade or level C), they suggest a relatively aggressive and ambiguous approach. The discussion section suggests that initiating treatment when glucose is >200 mg/dL …