Mr. Z is a 70-year-old gentleman who was brought by relatives in the casualty department with a history of inability to move the right side of the body for the past 4-5 hours. Past medical history - Type 2 DM for 15 years, hypertension for 12 years, hyperlipidemia and percutaneous transluminal coronary angioplasty to left anterior descending artery 5 years back.
He was non-compliant with medical therapy. Current daily medicines - Metformin 850mg twice daily; Glimepiride 2 mg twice daily; Amlodipine 5 mg; Telmisartan 40 mg; Aspirin 75 mg; Atorvastatin 20mg daily Vitals - BP 168/90 mm Hg, Pulse 70/min On Physical examination - Right sided hemiplegia was noted Investigations - MRI brain showed acute Left MCA territory infarct Random blood glucose on admission: 380 mg/dL What would be the approach to manage his blood glucose levels? Control of glucose in stroke - Adequate glucose control…
