[Newly diagnosed diabetes mellitus in patients with focal cerebral ischemia].
The authors analyze a group of 121 patients with focal cerebral ischaemia, hospitalized at the Neurological Clinic in Kosice in 1987-1989. Forty-three patients were treated before the development of the vascular attack for diabetes. In the second group of patients, comprising 78, diabetes was newly detected in 26, i. e. in one third of the group. Glycaemic compensation of 40% of the treated diabetics, evaluated on the basis of glycaemic profiles and the concentration of glycohaemoglobin, was not satisfactory. High glycohaemoglobin levels in five patients with newly detected diabetes suggested that diabetes had persisted for a long time and was probably asymptomatic. The mortality from a cerebral attack was higher in diabetics than in non-diabetics. The highest mortality was recorded in a group of women with newly detected diabetes where of nine six died. In the authors' opinion it is particularly important that in patients with newly detected diabetes death occurred at a younger age as compared with non-diabetics and with treated diabetics. Based on these results the authors confirm the view that undiagnosed and untreated diabetes is a serious risk factor for the development of focal cerebral ischaemia and that it plays moreover an important role in its subsequent course and provides a poorer perspective of recovery in the affected patients.
Klímová
E
E
Neurologická klinika fakultnej nemocnice s poliklinikou, Kosice.
Rácz
O
O
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000150:complications*; D008297:Male; D008875:Middle Aged
Novozistený diabetes mellitus u chorých s loziskovou ischémiou mozgu.