CORRELATION OF GLYCATED HEMOGLOBIN AND STROKE RISK IN ELDERLY PATIENTS WITH OR WITHOUT DIABETES ATTENDING TERTIARY GERIATRIC CARE CENTRE

Background : Diabetes poses a major health problem globally and is one of the top five leading causes of death in most developed countries.Diabetes potentiates stroke by favouring atherogenesis and thrombosis.It also increases platelet adhesiveness and decreases fibrinolytic capacity. Hyperglycemia predicts higher mortality and morbidity after acute stroke independently.Aims and Objectives : To comparatively evaluate stroke in diabetic and non diabetic Geriatric patients,to study the effect of glycemic levels on the outcome of stroke and to study the correlation between stroke and HbA1c level. Material and Methods : The study was carried out in Department of Geriatric Medicine, DY Patil University School of Medicine, a tertiary care hospital in Navi Mumbai on 30 diabetic and 30 non diabetic Geriatric patients admitted with history of acute stroke, confirmed by thorough physical examination and CT BRAIN,and those who satisfy inclusion and exclusion criterias were selected. Results : Percentage of male population in both the groups were higher.Previous history of stroke was present in 37% of diabetics and 13% of non-diabetic stroke patients.Diabetic patients had greater percentage of ischemic stroke (63%) as compared to non-diabetic patients (33%). Hemorrhages were less in diabetic stroke patients (37%) as compared to non-diabetics (67%). Conclusion : Diabetes is an independent risk factor for stroke.Stroke in diabetes differs from that of stroke in non-diabetics with respect to age,sex, stroke type,stroke severity,prevalence of risk factors and outcome.