Study of levels of the glycated hemoglobin (HbA1C) in patients suffered from acute ischemic stroke
Dr. Amardeep Kumar, Dr. Hem Shanker Sharma
Co-morbid risk factors associated with stroke are predictors of poor outcomes in stroke patients. Various risk factors including hypertension, cardiac diseases, diabetes mellitus (DM), smoking, alcohol consumption, stress, and depression could account for 90% of stroke risk as suggested by an international multicenter study. DM is regarded as an independent risk factor for ischemic stroke, with an estimated prevalence of 21%-44.4% among patients who experience acute ischemic stroke. Several studies have suggested poor functional outcomes for stroke patients with increased blood glucose levels. Recent studies have found poor outcomes in prediabetic and denovo diabetes patients in acute ischemic stroke. Hence based on above findings the present study was planned for Study of Levels of the Glycated Hemoglobin (HbA1C) in Patients Suffered from acute ischemic stroke. The present study was planned in Department of General Medicine, Jawahar Lal Nehru Medical College & Hospital, Bhagalpur, Bihar, India. In the present study 200 cases suffered from the strokes were enrolled. The CT scan was performed in all the cases within 3 days of onset of symptoms to confirm the diagnosis and to ascertain the type of stroke (ischaemic/haemorrhagic) and size of stroke (small, medium, or large). The data generated from the present study concludes that Hyperglycaemia in non-diabetic patients after acute stroke is a stress response reflecting more severe neurological damage. Management of hyperglycaemia in patients with diabetes and non-diabetes is an important aspect of the emergency management of stroke. Further studies with a larger sample and long-term outcomes measurements would be desirous to establish a definite relation of in hospital admission hyperglycemia and stroke short- and long-term outcomes.
Dr. Amardeep Kumar, Dr. Hem Shanker Sharma. Study of levels of the glycated hemoglobin (HbA1C) in patients suffered from acute ischemic stroke. International Journal of Medical and Health Research, Volume 6, Issue 3, 2020, Pages 142-147