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Most Stroke Patients Have Problems With Glucose Metabolism


Disorders of glucose metabolism in acute stroke patients: an underrecognized problem, by K. Matz and colleagues. Diabetes Care 29:792–797, 2006.


What is the problem and what is known about it so far?


A common complication of diabetes is heart disease.

Why did the researchers do this particular study?


The researchers wanted to see how common problems with blood glucose control were in people who've suffered a stroke.

Who was studied?


Nearly 240 people who suffered an acute stroke.

How was the study done?


After being admitted to the hospital, patients who suffered a stroke had their glucose levels measured repeatedly for one to two weeks.

What did the researchers find?


The majority of patients who suffered a stroke had problems controlling blood glucose levels (for example, diabetes, impaired glucose tolerance, or hyperglycemia).

What were the limitations of the study?


A test for glucose problems could not be performed in all of the stroke patients because of stroke-related problems.

Glucose levels were higher in the first week than in the second week after having a stroke. This could be because stress caused higher glucose levels immediately after having the stroke.

What are the implications of the study?


The majority of acute stroke patients in this study had glucose metabolism disorders (diabetes, impaired glucose tolerance, or hyperglycemia). Diabetes can worsen stroke outcomes, and a test to identify glucose disorders should be performed in all stroke patients.

FOR MORE INFORMATION


Diabetes, Heart Disease, and Stroke

Beating the Odds on Heart Disease: When It Comes to Living Longer, Staying Active Is Key

Diabetes: A Guide to Living Well

Keeping Your Heart Healthy Despite Diabetes



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