What glucose target is suggested in the stroke context?

What glucose target is suggested in the stroke context?

• A. >60 and <180
• B. >100 and <200
• C. <60
• D. >180

Answer: (A)

In acute stroke, keeping blood glucose in a safe middle ground is important because both too-high and too-low glucose can worsen brain injury. Hyperglycemia around the time of a stroke is linked to larger infarcts and worse outcomes, while hypoglycemia can deprive the brain of energy and worsen neurological deficit. The goal is to avoid both extremes, aiming to maintain glucose above about 60 mg/dL to prevent hypoglycemia and below about 180 mg/dL to limit hyperglycemia. That balanced range makes the 60–180 mg/dL target the best choice.

In acute stroke, keeping blood glucose in a safe middle ground is important because both too-high and too-low glucose can worsen brain injury. Hyperglycemia around the time of a stroke is linked to larger infarcts and worse outcomes, while hypoglycemia can deprive the brain of energy and worsen neurological deficit. The goal is to avoid both extremes, aiming to maintain glucose above about 60 mg/dL to prevent hypoglycemia and below about 180 mg/dL to limit hyperglycemia. That balanced range makes the 60–180 mg/dL target the best choice.