We read with special interest the recent article by Kosiborod et al1 in which they concluded that in hyperglycemic patients with acute myocardial infarction (AMI), glucose normalization after hospital admission is associated with better survival. They postulated that this effect on survival was independent of the administration of insulin. In addition, the authors suggested that lowering glucose levels with insulin therapy may be an option for future treatment strategies in hyperglycemic patients with AMI.
Rensing KL, Kastelein JJP, Twickler M. Is Insulin the Preferred Compound in Lowering Glucose Levels in Patients After a Myocardial Infarction?. Arch Intern Med. 2009;169(17):1633-1638. doi:10.1001/archinternmed.2009.326