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17.Frequency of Newly Diagnosed Diabetes Mellitus as a Comorbidity Among Acute Ischemic Stroke Patients

Syed Yasir Hussain Gilani1, Saima Bibi2, Afsheen Siddique3, Farrukh Addil2 and
Sadia Bibi4

ABSTRACT

Objective: The aim of the study was to determine the frequency of newly diagnosed DM and other associated risk factors in patients with AIS.

Study Design: cross sectional study

Place and Duration of Study: This study was conducted at the Department of Medicine of Ayub Teaching Hospital, Abbottabad for a period of one year from January 2018 to December 2018.

Materials and Methods: The sample comprised all AIS patients of both genders between the age group of 30 to 60 years while the patients with known diabetes were excluded. Diabetes was evaluated on the basis of fasting blood sugar (FBS), random blood sugar (RBS) and Glycated hemoglobin (HbA1c) estimates. The history regarding other risk factors was also taken i.e. patients age, weight, body mass index (BMI) and blood pressure (BP) etc. Data was analyzed using SPSS version 22. Chi-square test was applied to investigate the association between diabetic profile and associated risks. A p-value<0.05 was considered significant.

Results: A total of 136 AIS patients with a mean age of 42.58±11.10 years competed the study. Based on HbA1c and FBS levels, 28(20.6%) patients were diagnosed with DM. Moreover, obesity, hypertension and hyperlipidemia were the most frequently reported risk factors among the newly diagnosed diabetic AIS patients (p<0.05).

Conclusion: AIS patients with increased glucose concentrations remain un-diagnosed in a large number of patients. Therefore, initial diabetes screening is recommended for all acute stroke patients, in order to reduce complications and control associated morbidity and mortality.

Key Words: Acute ischemic stroke, Diabetes Mellitus, Hypertension, Obesity, Hyperlipidemia

Citation of article: Gilani SYH, Bibi S, Siddique A, Addil F, Bibi S. Frequency of Newly Diagnosed Diabetes Mellitus as a Comorbidity Among Acute Ischemic Stroke Patients. Med Forum 2021;32(8):72-75.