An analysis of almost 3000 stroke patients at the Hospital del Mar has shown that those who had higher than normal blood glucose levels on admission had a worse functional prognosis and higher mortality three months after the stroke.
Specifically, they found that for every 10% increase in glucose levels, the risk of a worse prognosis increased by 7%. For people with higher levels, the risk rises to 62% and the risk of death to 88%.
Currently, patients’ glucose levels are not managed because of the risk associated with an excessive drop in levels. “Our study can help to select the population in which this action could be more intensively carried out, taking advantage of new technologies that allow safer monitoring,” explains Ana Rodríguez, Head of the Stroke Unit of the Neurology Service and researcher at the Hospital del Mar Research Institute.
The study was carried out by the hospital’s Endocrinology and Nutrition and Neurology Services, together with researchers from the Centre’s Research Institute, the RICORS-ICTUS network and the CIBER for Diabetes and Associated Metabolic Diseases (CIBERDEM).
Climent E, Rodriguez-Campello A, Jiménez-Balado J, Fernández-Miró M, Jiménez-Conde J, Llauradó G, Ois Á, Flores JA, Cuadrado-Godia E, Steinhauer EG, Chillarón JJ; Neurovascular Research Group (NEUVAS). Acute-to-chronic glycemic ratio as an outcome predictor in ischemic stroke in patients with and without diabetes mellitus. Cardiovasc Diabetol. 2024 Jun 18;23(1):206. doi: 10.1186/s12933-024-02260-9. PMID: 38890732; PMCID: PMC11186093.
