STUDY OF PATTERN OF STROKE IN DIABETIC PATIENTS CORRELATING WITH GLYCEMIC CONTROL

Dr Sivaji Patibandla; Dr Tumbanatham Appikatla; Dr Jayasingh K

Volume : VII, Issue : II, February - 2017

STUDY OF PATTERN OF STROKE IN DIABETIC PATIENTS CORRELATING WITH GLYCEMIC CONTROL

Dr Sivaji Patibandla, Dr Tumbanatham Appikatla, Dr Jayasingh K

Abstract :

BACKGROUND: Diabetes mellitus is a well–recognized risk factor for stroke. However, the effect of glycemic control regardless of the presence of DM on the clinical picture of stroke and its impact on the severity is not fully investigated. There are numerous studies on microvascular complications but there are only a few studies on strokes in diabetics. Therefore, this study was conducted to assess the impact of diabetes on the pattern and severity of stroke in our population.

METHODS: This is a cross sectional observational study, carried out at Mahatma Gandhi Medical College And Research Institute, Pondicherry from December 2014 to December 2015. Sixty patients who presented with features of stroke and satisfy the inclusion criteria were enrolled in study. Stroke pattern was identified using CT scan. Statistical analysis was done by using chi–square test.(p<0.005=significant)

RESULTS: The mean age in patients was 61.683±12.97. The ratio of male to female was 2.1:1 showing male preponderance. With increase in HbA1c levels more number of cases were found to have ischemic stroke and found to be statically significant (p=0.006). CI (cortical infarct) was the commonest subtype of ischaemic stroke in our study (76%).

CONCLUSION: Stroke pattern and severity is related with glycaemic control. Pattern of stroke is different in diabetics as cortical infarcts are more common. Ischaemic stroke is more prevalent than hemorrhagic stroke in diabetics.