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. 2010 Jul 7;2010(7):CD002839. doi: 10.1002/14651858.CD002839.pub2

Walters 2006.

Methods Single centre 
 Randomisation done using standard algorithm by the local pharmacy production unit 
 Allocation to insulin or control done in an open label design
Participants UK 
 25 patients: T: 13, C: 12 
 Mean age: 75 years 
 Inclusion: acute ischaemic stroke 
 Enrolment: within 24 hours of ictus 
 100% CT scan
Interventions T: iv insulin at a variable rate adjusted for target glucose concentration of 5 to 8 mmol/l 
 C: iv crystalloid 
 Rx: 2 days
Outcomes Mortality at 1 month
Notes Ex: known insulin requiring DM, patients with severe metabolic derangement, patients with clinical evidence of infection or CCF
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Randomisation performed using standard algorithm by the local pharmacy production unit
Allocation concealment? Low risk Probably done
Blinding? High risk Open label design
Completeness of follow‐up Unclear risk 25 patients recruited (T: 13, C: 12); no mention of loss of follow‐up