Insulin for heart attacks

[robertmiles]

Some news that insulin may be added to the medicines
for heart attacks:

http://www.healthscout.com/news/322/8008064/main.html

[Simm Webb]

The Article indicated that 32 patients were involved in the
study. This isn't a very good profile. It is a good reason
to do some real testing, but I sure wouldn't want to take
the results of what I read in the article, gospel.

On Sun, 4 Jul 2004 09:09:06 -0500,
<robertmiles@bellsouthNOSPAM.net> wrote:

>Some news that insulin may be added to the medicines for
>heart attacks:
>
>http://www.healthscout.com/news/322/8008064/main.html
>

Grateful to be back.

Eddie MD OTF

[William C Biggs]

Robert,

We have had the same opinion for several years.

The Diabetes Mellitus Insulin-Glucose Infusion in Acute
Myocardial Infarction (DIGAMI) study showed that
administration of an insulin infusion followed by
subcutaneous insulin therapy for > or =3 months improved the
long-term prognosis of diabetic patients with acute
myocardial infarction. The reduction in mortality lasted for
up to 5 years.

This study used 620 diabetic patients with acute myocardial
infarctions.

As a result, we have looked for the best method of using IV
insulin in the setting of a heart attack. I was given an
algorithm by the Atlanta Diabetes Associates, which we
implemented a few years ago.

Somehow it got linked into Google.

Now, if you do a Google search for the terms IV insulin IV
insulin drip

we are usually in the top 3 rankings, and with the terms IV
insulin protocol you can click "I'm feeling lucky" and get
our protocol.

As a result, I get a lot of emails and phone calls from all
over the country about how to implement such a program. In
the past, diabetes care during a heart attack was haphazard.
It is much better now, but it will take some time for all
the cardiologists to get onboard, and get the diabetes well
controlled during the acute event.

Cheers, William C Biggs, MD

<robertmiles@bellsouthNOSPAM.net> wrote in message
news:07UFc.4569$9t6.3698@bignews3.bellsouth.net...
> Some news that insulin may be added to the medicines for
> heart attacks:
>
> http://www.healthscout.com/news/322/8008064/main.html

[Jonk]

I'm a little confused here. If I'm reading the article
right, it is referring to giving insulin to heart attack
patients who are NOT diabetics.

And Dr. Biggs is talking about using insulin to keep
diabetic heart attack victims under tight control.

If I have that right these are two different things.

How about giving insulin to ALL the elderly the way we have
everyone take aspirin? Wouldn't everyone's cardiac prognosis
be improved by forcing their A1Cs to below 5?

Jon

[Guy]

On Mon, 05 Jul 2004 05:49:34 GMT, JonK <jon@the-kaplans.DOT.com>
wrote:

>I'm a little confused here. If I'm reading the article
>right, it is referring to giving insulin to heart attack
>patients who are NOT diabetics.
>
>And Dr. Biggs is talking about using insulin to keep
>diabetic heart attack victims under tight control.
>
>If I have that right these are two different things.
>
>How about giving insulin to ALL the elderly the way we have
>everyone take aspirin? Wouldn't everyone's cardiac
>prognosis be improved by forcing their A1Cs to below 5?
>
>Jon

The heart is a muscle and needs energy. I know that from
personal experience if I run out of insulin I develop chest
discomfort. I do sleep with oxygen. Every little edge
counts. Maybe. My other muscles are affected by lack of
insulin. I have no natural insulin. I maintain basal with
Lantus. A pump might be useful. I know nothing about
clinical use in the noted post. Guy