ACUTE STROKE

STUDY OF HYPERGLYCEMIA IN NON-DIABETIC PATIENTS

Abstract

Objectives: To find out the frequency of hyperglycemia in non-diabetic
patients presenting with acute stroke. Study Design: Cross sectional study. Setting:
Department of Medicine, Dera Ghazi Khan Hospital, D.G Khan. Period: September 2014 to
March 2015. Materials & Methods: Total 150 non-diabetics presented with acute stroke
i.e. <24 hours duration of age 30-70 years either male or female were included. Patients
with known diabetes mellitus, head injury, recurrent attacks and h/o anticoagulant
drugs or steroid use were excluded. After taking relevant history, blood sample of each
patient was drawn and sent to the pathology laboratory for blood glucose levels and
blood glucose levels > 11.1 mmol/l (200 mg/dl) was considered as hyperglycemia and
noted on pre-designed proforma. Results: Mean age was 54.82 ± 11.44 years. Total 32
(21.33%) patients found with hyperglycemia. Male patients were 80 (53.33%) and female
patients were 70 (46.67%) and hyperglycemia was found in 14 (17.5%) male patients
and 18 (25.71%) female patients. Insignificant of hyperglycemia with age, gender, duration
of disease and type of stroke was detected. Conclusion: Results of this study reveals that
frequency of neo-onset hyperglycemia in non-diabetic patients presenting with acute
stroke is high. So, we recommend that in every patient of acute stroke, hyperglycemia
should be taken into consideration and its early recognition and management should
be done in order to reduce the morbidity and mortality.