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. 2021 Jul 15;117(1):181–264. [Article in Portuguese] doi: 10.36660/abc.20210180
Glycemic control - Summary of recommendations and evidence
The blood glucose levels of all patients with suspected ACS at admission should be measured, and the blood glucose of diabetic patients or those who present hyperglycemia during hospitalization should be monitored. I C
Glycemic control with intermittent insulin protocols should be considered carefully in patients with glycemic levels > 180 mg/dL to avoid episodes of hypoglycemia. IIa C
In patients at higher risk of hypoglycemia, such as older adults, those with kidney disease, and those with residual effects from oral and/or fasting hypoglycemic agents, glycemic control should be adjusted to tolerate slightly higher blood glucose levels and thus prevent hypoglycemia. IIa C