Department of Neurology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Jan 2;62(269):17-20. doi: 10.31729/jnma.8394.
Diabetes mellitus is a major public health concern and a continuously growing chronic disease worldwide. Diabetes mellitus is one of the modifiable, independent, and major risk factors of ischemic stroke. This study aimed to find the prevalence of diabetes mellitus among patients with acute ischemic stroke admitted to the Department of Medicine in a tertiary care centre.
This descriptive cross-sectional study was conducted among patients with acute ischemic stroke admitted to the Department of Medicine from 19 July 2023 to 19 November 2023 after obtaining ethical approval from the Institutional Review Committee. Detailed clinical history, random blood sugar and glycated haemoglobin were used to define diabetes mellitus. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Among 80 patients, diabetes mellitus was seen in 25 (31.25%) (21.09-41.41, 95% Confidence Interval). Among them, 19 (76%) had previously diagnosed and 6 (24%) had newly diagnosed diabetes mellitus. The poor glycemic control was seen in 11 (44%).
The prevalence of diabetes mellitus among patients with acute ischemic stroke was found to be higher than in studies done in similar settings.
diabetes mellitus; glycated hemoglobin; ischemic stroke.
糖尿病是一个主要的公共卫生关注点，也是全球范围内不断增长的慢性病。糖尿病是可改变的、独立的、缺血性脑卒中的主要危险因素之一。本研究旨在调查在一家三级护理中心的内科收治的急性缺血性脑卒中患者中糖尿病的患病率。
这是一项描述性的横断面研究，于 2023 年 7 月 19 日至 11 月 19 日在获得机构审查委员会的伦理批准后，在该内科收治的急性缺血性脑卒中患者中进行。详细的临床病史、随机血糖和糖化血红蛋白用于定义糖尿病。采用便利抽样法。点估计值在 95%置信区间内计算。
在 80 名患者中，25 名（31.25%）（21.09-41.41，95%置信区间）患有糖尿病。其中，19 名（76%）为既往诊断，6 名（24%）为新诊断的糖尿病。11 名（44%）患者血糖控制不佳。
与在类似环境中进行的研究相比，急性缺血性脑卒中患者中糖尿病的患病率较高。
糖尿病；糖化血红蛋白；缺血性脑卒中。
