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Management of Hyperglycaemia after Stroke

Mitchell, Liz, McCarron, Mark, Coates, Vivien, Lyttle, Diane, Armstrong, Margaret and Gardner, Evie (2011) Management of Hyperglycaemia after Stroke. In: European Stroke Conference, Hamburg, Germany. Karger. Vol 31 (2) 1 pp. [Conference contribution]

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URL: http://www.eurostroke.eu

Abstract

AbstractBackground: UK national stroke guidelines recommend screening patients for undiagnosed diabetes mellitus within one week of stroke onset, and intervening to moderate hyperglycaemia. We sought to examine the management of hyperglycaemia in an NHS Trust in Northern Ireland.Methods: In a multicentre retrospective cohort study we reviewed the case notes of patients admitted with acute stroke to the three hospitals in the Trust from January 1, 2008 until April 15, 2008. We compared management with national guideline recommendations.Results: 112 patients with stroke were identified; 94 patients with no prior history of diabetes mellitus, 16 patients with type 2 diabetes mellitus and 2 patients with type 1 diabetes mellitus. The prevalence of hyperglycaemia above 7.8 mmol per litre in the first 5 days of admission ranged from 24% to 34%. Hyperglycaemia was under-monitored and undertreated. Of the 94 patients with no prior history of diabetes mellitus, there was evidence that 70% had fasting glucose tested, 5% had haemoglobin A1C tested, and none had an oral glucose tolerance test.Conclusion: Hyperglycaemia in hospitalized stroke patients is under-monitored and undertreated. Although glycaemic control in acute stroke may not conclusively alter short term outcome, better identification of undiagnosed diabetes mellitus and subsequent management represents an important opportunity for vascular protection.

Item Type:Conference contribution (Poster)
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness
Institute of Nursing and Health Research > Person-centred Practice
Institute of Nursing and Health Research > Maternal, Fetal and Infant Research
ID Code:19913
Deposited By: Ms Liz Laird
Deposited On:13 Sep 2011 12:07
Last Modified:17 Oct 2012 09:27

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