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.