• JNMA J Nepal Med Assoc · Jan 2024

    Diabetes Mellitus among Patients with Acute Ischemic Stroke Admitted to the Department of Medicine in a Tertiary Care Center.

    • Parash Rayamajhi, Janak Khadka, Pravesh Bhattarai, Anjana Bohaju, Apsara Adhikari, and Deependra Mandal.
    • Department of Neurology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
    • JNMA J Nepal Med Assoc. 2024 Jan 2; 62 (269): 172017-20.

    IntroductionDiabetes 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.MethodsThis 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.ResultsAmong 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%).ConclusionsThe prevalence of diabetes mellitus among patients with acute ischemic stroke was found to be higher than in studies done in similar settings.Keywordsdiabetes mellitus; glycated hemoglobin; ischemic stroke.

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