Abstract

The blood sugar response and serum insulin level after oral administration of glucose were studied in 10 patients in the acute stage of myocardial infarction and during convalescence. In 4 of the patients with an abnormal glucose tolerance curve during convalescence the test was repeated one year later. The blood sugar response was abnormal in 7 patients and 3 of them showed hypoinsulinaemia in the acute stage of the infarction. Both in the early and late stages of myocardial infarction the mean serum insulin values were significantly below those in controls. The factors which may be responsible for disturbed carbohydrate metabolism in patients with myocardial infarction ore discussed.

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