International Journal of Medicine Research

International Journal of Medicine Research


ISSN: 2455-7404

Vol. 3, Issue 4 (2018)

Comparative evaluation of diabetic and non-diabetic stroke and the study of the effect of glycemic levels on the outcome of strokes

Author(s): Dr. Himanshu Garg, Dr. Gladstone Vijayakumar, Dr. Sandeep Parekh, Dr. Himanshu Arora
Abstract:
Background: Diabetes potentiates stroke by favoring thrombosis and atherogenesis by various mechanisms. Clinical profile of stroke is different in diabetics compared in non-diabetics in many aspects.
Methods: To study and compare the clinical profile of stroke in diabetics and non-diabetics.
Results: Stroke patients in both study groups presented with history of motor weakness as their most common presenting complaint (90% in both groups had hemiparesis/hemiplegia and 10% had monoparesis/monoplegia).
The mean HDL cholesterol was 35.97 mg/dl in the diabetic group and 43.27 mg/dl in the non-diabetic group. The mean LDL cholesterol was 108.97 mg/dl in the diabetic and 119.90 mg/dl in the non-diabetic group. The mean triglycerides was 183.77 mg/dl in the diabetic and 142.77 mg/dl in the non-diabetics.
63.3% of diabetics had 33.3% of non-diabetics had infarction on CT Brain. 36.7% of diabetics and 66.7% of non-diabetics had hemorrhage on CT Brain.
In the diabetic group; patients with a fair recovery had a mean RBS of 174.91 mg/dl while patients with poor recovery had a mean RBS of 216.56 mg/dl. In the non-diabetic group; patients with a fair recovery had a mean RBS of 115.12 mg/dl, patients with poor recovery had a mean RBS of 147.00 mg/dl.
Conclusion: Stroke in diabetes was noticed by increase in mortality and morbidity; severity of stroke was more in diabetic and rehabilitation was delayed. Moreover recurrent stroke was more common in diabetics Hyperglycaemia at stroke onset was associated with higher risk of poor outcome independent of the other variables.
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International Journal of Medicine Research
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