<International Circulation>:What’s your opinion on intensive blood glucose lowering therapy?

Prof Marso: If one is going to manage hyperglycemia in the hospital， especially in the ICU setting， the only way to safely and effectively do that has been demonstrated by a variety of centers in the United States including our center at Mid America Heart Institute and Yale’s group， is IV insulin with subcutaneous glucose checks and meticulous monitoring from the nursing staff. Intravenous insulin is certainly the preferred strategy in an ACS population if one feels compelled to manage glucose levels.