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An intravenous insulin protocol for strict glycemic control in acute ischaemic stroke

Background and purpose:  There is a J‐shaped association between admission glycemia and outcome. We designed an intravenous insulin protocol aiming at rapid and strict glucose control in hyperglycemic ischaemic stroke patients. Here, we describe the initial experience, safety, and efficacy of this protocol to achieve and maintain euglycemia in the first 48 h.