“…Because hyperglycemia also increases intraischemic lactic acid levels (27)(28)(29), it was reasonable to conclude that lactic acidosis itself exacerbates the ischemic brain damage during hyperglycemia. However, the role of glucose in brain injury in the adult as well as juvenile or fetal animals is far from resolved because many studies have failed to show detrimental effects resulting from glucose infusions and some have even shown beneficial effects of preischemic glucose infusions both in vitro (53)(54)(55)(56) and in vivo (21, 22, 31-33, 57, 58). In addition, several studies have demonstrated that lactate plays an important role in brain energy production (17,59,60) and, rather than exacerbating damage, it might actually attenuate the injury (17,61).…”