Conclusions

In conclusion, exogenous insulin increased the level of MAADP in patients with acute ischemic vascular events , and MAADP tested by TEG represents the function of platelet aggregation,18 its elevation may affect the prognosis of ischemic cardiovascular and cerebrovascular diseases to some extent.15, 16 In other words, platelets with T2DM patients are more susceptible to activation under the action of insulin. Therefore, when T2DM patients suffer from acute cardiovascular and cerebrovascular disease, we should prescribe exogenous insulin cautiously for hypoglycemic treatment. Nevertheless, a further prospective study needs to be performed.