The "Syndrome of Cardiogenic Insulin Resistance"

Hyperglycemia in patients admitted in intensive care units (ICU) with acute myocardial infarction is a
common phenomena observed. This unique situation of cardiogenic insulin resistance does not spare
neither diabetics nor non -diabetics. It is in addition to the inherent insulin resistance that is a part of
diabetes mellatus, type 2 (DM2). It is brought about by various cytokines released from the damaged
heart muscle. This cardiogenic insulin resistance has cardiac as well as systemic effects. The grave
and independent risk role in post myocardial infarction (MI) and the complications, of the cardiac
insulin resistance are highlighted. The concerted action of cardiologist and endocrinologist while in
hospital is called for, so as to cover the grey areas between the two specialties, which otherwise falls
into no man’s island. The systemic insulin resistance, once the patient is back in home setting, would
test the patience of the physician, as usual doses of insulin just do not work! The article aims at
creating awareness regarding concerted effects of all concerned to deliver holistic treatment to the
patients.