Holländer E
III. Abteilung Innere Medizin des Koranyi-Krankenhauses, Budapest.
Z Gesamte Inn Med. 1988 Feb 15;43(4):83-5.
The author observed high sugar level in 22 patients who had cerebrovascular diseases (cerebral hemorrhage and cerebral infarction). They tried to diagnose the cause of the increased sugar level with HbA1 test after the registration of the patients to the hospital within 24-48 hours. They found normal, less than 8% HbA1 concentration in 12 patients, increased, more than 8% values in 10 cases. They made oral glucose tolerance test in 19 survived patients after the acute symptoms had finished. The oral glucose tolerance test with increased HbA1 concentration showed in 5 patients diabetes, in 3 cases impaired glucose tolerance. The author observed from all hyperglycemic patients with low HbA1 level only 2 cases impaired glucose tolerance. Hyperglycemia with increased HbA1 concentration indicates previous carbohydrate intolerance.
作者观察了22例脑血管疾病（脑出血和脑梗死）患者的高血糖水平。在患者入院24 - 48小时内登记后，他们试图通过糖化血红蛋白（HbA1）检测来诊断血糖水平升高的原因。他们发现12例患者的糖化血红蛋白浓度正常，低于8%，10例患者的值升高，超过8%。在急性症状结束后，他们对19例存活患者进行了口服葡萄糖耐量试验。糖化血红蛋白浓度升高的口服葡萄糖耐量试验显示，5例患者患有糖尿病，3例患者葡萄糖耐量受损。作者观察到，在所有糖化血红蛋白水平低的高血糖患者中，只有2例葡萄糖耐量受损。糖化血红蛋白浓度升高的高血糖表明既往存在碳水化合物不耐受。
