Hyperglycemia is frequently found in the patients with acute phase of stroke
- Author:
Tam Ngoc Tran
- Publication Type:Journal Article
- Keywords:
hyperglycemia
- MeSH:
Hyperglycemia;
Blood Glucose;
Cerebrovascular Accident
- From:Journal of Practical Medicine
2002;435(11):45-48
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
We have investigated the correlation between blood glucose level and Glasgow coma score (GCS) in 35 patients with acute phase of stroke (mean age: 64 with a mean evolution period of 29 hours after stroke onset). Blood glucose level on admission (Gn)11.1mmol/l in 20%, fasting glucose (GO) 7mmol/l in 51.4% and 2-hour postload glucose (G2) 11.1 mmol/l in 57.1% of the patients. Group 1 (normo-glycemia) accounted for 28.6%; group 2 (hyperglycemia and HbA1c<6% Hb), 40% and group 3 (hyperglycemia and HbA1c<6% Hb), 31.4% of the patients. In group 1,2 and 3, GCS was 11 in 70%, 92.8% and 100% respectively. GCS also correlated with Gn (r=0.457), G0 (r=-0.468) and G2 (r=-0.349). There was a significant difference between group 2 and group 3 on Gn (8.42+/-2.34mmol/l vs 9.75+/-4.10 mmol/l, p<0.05), G2 (11.67 mmol/l+/- 2.26 mmol/l vs 15.33 mmol/l +/- 5.43 mmol/l, p<0.01) and HbA1c (5.45+/-0.6% Hb vs 6.75+/- 0.73% Hb, p<0.005). During acute phase of stroke, especially in brain heamorrage, hyperglycemia frequently takes place, in correlation with Glasgow coma score, hyperglycemia is, therefore, considered as one of the predictors of severity in acute phase of stroke.
