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Prevalence of diabetes and its effects on stroke outcomes: A meta-analysis and literature review

Journal of Diabetes Investigation Jan 05, 2019

Lau LH, et al. – Researchers performed this review of literature to determine the prevalence of diabetes in patients with acute stroke through a meta-analysis, examine the link between diabetes and outcomes following ischemic and hemorrhagic stroke, and evaluate the value of glycated hemoglobin and admission glucose-based tests in the prediction of stroke results. They searched Ovid MEDLINE and EMBASE databases to identify relevant studies published between January 2004 and April 2017 that reported on diabetes and inpatient stroke populations. They found that the prevalence of diabetes among those with ischemic stroke was higher vs those with hemorrhagic strokes and in studies involving both types of strokes. According to findings, approximately one-third of all patients with stroke have diabetes. In people with or without diabetes, acute hyperglycemia is strongly associated with poorer stroke outcomes. Furthermore, the diagnostic methods for diabetes in the current literature are significantly heterogeneous.

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