Why glucose need to be control in MI patient?

liveyourlife747 · Sep 16, 2012

To be able to figure this out You need to understand the pathophysiology of what higher levels of glucose and diabetes have on the body. Uncontrolled diabetes With high glucose levels can cause a multitude of issues one of which is stiffening of the vessel walls. Still vessel walls put increased stress on the heart and can cause an increased BP. Both of those things can lead to an MI.

Fitri · Sep 16, 2012

I see, I once read that high glucose can speed up the atherosclerosis process. Thanks for your respond :)

eatmysoxRN, ASN, RN · Sep 16, 2012

I was taught that tight glycemic control is beneficial in all hospitalized clients. It helps to lower infection risk and heart patients need their bodies to focus on healing cardiac damage rather than struggling with glycemic control.

annieolpn · Sep 17, 2012

Glucose control is important because it has to do with muscle contractility and blood vessel flexiblity...high glucose levels cause atherosclerosis if not controlled...the blood vessels tighten up and circulation decreases, oxygen supply is decreased and ischemia can get worse...

Jakrabt · Sep 17, 2012

Hello, I am new here from Malaysia nice to meet you guys :)
I'm very sorry if my English is not good I'm still learning.
I just want to ask you guys why glucose need to be maintained/control in MI patient? I searched the whole day looking for the answer but I can't find it.
Hope you guys can help :)
thank you

Greetings my Malaysian friend =)

Glocuse/Insulin/Potassium cocktails are often administered to patients immediately after an MI for a number of reasons. 1>Lab evidence supports the fact that this cocktail can protect the injured myocardium cells during ischemia and re-perfusion 2>Clinical studies support the lab findings of benefit to the heart 3>The combination is not toxic and does not have a negative effect on patient outcome during an MI and 4>Stabilizing a patient's glucose during and immediately after an MI tends to have an anti-inflammatory and pro-vasodilatory affect. Insulin opens the cells to potassium uptake and giving potassium and glucose along with it drives it into the cells. The glucose must be given with the insulin to maintain a normo-glucose balance and provide the cells with energy during the healing process.

Here is a link for further study if you like:

http://circ.ahajournals.org/content/117/19/2523.full

Hope this helps and good luck in your further studies!

Jakrabt · Sep 17, 2012

Atherosclerosis is a secondary concern in the management of an MI. The atherosclerosis effect of glucose treatment is minimal. Risk vs need my friend.

classicdame, MSN, EdD · Sep 17, 2012

glucose also makes the blood thicker, like syrup. That means the heart has to work harder to achieve perfusion in all tissues.

Fitri · Sep 24, 2012

I see, thanks a lot! really helpful my friend =)