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Diabetes mellitus
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DIGAMI (Diabetes Mellitus, Insulin Glucose Infusion in Acute Myocardial Infarction)
There is evidence that insulin-glucose infusion followed by a 3/12 subcutaneous insulin regime improves long-term prognosis is known and newly diagnosed patients with diabetes following acute myocardial infarction (J.Am.Coll Cardiology 1995, 26:57:65). The greatest degree of benefit is seen in patients not previously treated with insulin (Eur. H.J. 1996, 17 :1337-1344).
Criteria for insulin infusion for first 48 hours following myocardial infarction:
Cardiac Criteria
The full protocol for patients with raised blood glucose and myocardial infarction can be obtained by contacting your Diabetes Centre.
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MI + Diabetes or MI Lab glucose >11mmol/l on admission
Insulin infusion (for 48 hours)
3/12 sub-cut insulin regimen Depending upon individual circumstances. May go back to sulphonylurea. |
These patients will receive their care in the first instance from the specialist team.
Source: Northumbria NHS Health Care Trust diabetes protocol
