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ISSN 2063-5346
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TO COMPARE OCCURRENCE OF ISCHEMIC AND HEMORRHAGIC STROKE IN TYPE 2 DIABETIC PATIENTS AND NON DIABETIC PATIENTS

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Dr.Pankaj Nivrutti Pawar ,Dr.Sanjay Thorat, Dr.Makrand Mane, Dr. Nikhil Patil, Dr.Aditya Bahekar
» doi: 10.31838/ecb/2023.12.s2.024

Abstract

Diabetes mellitus increases the risk of stroke, and pathophysiological changes of diabetic cerebral vessels may differ in comparison with non-diabetic ones; nonetheless, the clinical and prognostic profile of stroke in diabetic patients is not yet fully understood.Diabetes mellitus is a well‐established independent risk factor for stroke. Stroke in diabetic patients has been found to be associated with high case fatality in a long‐term study.Whether diabetes mellitus affects the short‐term prognosis of acute stroke patients is controversial A poor outcome in acute stroke has been linked to admission hyperglycemia. Whether this effect is equally important in diabetic as in non‐diabetic patients is controversial. Aim: To study occurrence of ischemic and hemorrhagic stroke with type 2 diabetes mellitus patients.Material and methods: A single centre hospital based cross-sectional study was carried out in a tertiary care hospital, in medicine out patient department and ward patients for a period of 18 months from November 2020 to April 2022. Total 140 cases were studied having inclusion criteria:All acute completed stroke patients admitted in medical wards and ICU in Krishna Hospital, Karad. A total of 140 number of stroke patients were examined. All patients were screened for type2 diabetes mellitus according to the regulations by American Diabetes Association and divided into two groups diabetic and non diabetic. Results:Majority of cases had history of hypertension among group 1. Applying chi square test, p value=0.031, shows statistical significance.The present study was conducted to evaluate stroke and its subtypes in patients having type 2 diabetes mellitus and non-diabetic individuals. Out of 80 cases 69 had ischemic and 11 had hemorrhagic stroke in group 1 and in group 2, 52 and 28 ischemic and hemorrhagic respectively. Applying chi square test, p value=0.030, shows statistical significance. Conclusion:The present study was conducted to evaluate stroke and its subtypes in patients having type 2 diabetes mellitus and non-diabetic individuals. Present study states that type 2 diabetes mellitus is a significant risk factor for ischemic stroke. Hypertension was seen more commonly among individuals having type 2 diabetes mellitus. Raised random blood sugar, deranged lipid and raised creatinine was seen among type 2 diabetes mellitus group.

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