Therapy

Why?

• Patients with an acute MI and an admission glucose > 11.0 mmol/l who receive an intensive insulin regimen compared with standard treatment are less likely to die. ^a

Intensive insulin treatment reduces mortality for patients with a glucose > 11.0 mmol/l.

Patient	Treatment	Comparison	Outcome	CER	RRR (95% CI)	NNT (95% CI)
myocardial infarction and admission glucose >11.0 mmol/l a	IV insulin infusion for 24 hours, followed by SC insulin 4 times daily for 3 months	standard treatment	death at 3.4 years	44%	24% (7% to 38%)	9 (5 to 33)