Diabetes Care: The relationship between pre-stroke blood glucose control and functional outcome in patients with acute large vessel occlusive stroke after thrombectomy and diabetes

Recently, a research article published in Diabetes Care, an authoritative journal in the field of diabetes , aims to evaluate whether pre- stroke blood glucose control is related to the functional outcome of patients with acute large vessel occlusive stroke and diabetes who undergo intraarterial thrombectomy (IAT).
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Diabetic Stroke Thrombosis Blood Vessel

The researchers enrolled patients with emergency large vessel occlusive stroke and diabetes who received IAT from January 2009 to March 2020 from the registration center of the Korean Stroke Clinical Research Center
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The researchers assessed the association between HbA1c levels at admission and functional outcomes (a modified Rankin scale at 3 months after stroke)

A higher HbA1c level at admission is significantly associated with a lower chance of a good functional outcome
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This association was consistently observed in subgroups based on age, gender, stroke subtype, location of occlusion, degree of recanalization, method of thrombolysis, time from symptom onset to inguinal puncture, and treatment period

The pre-stroke blood glucose control target HbA1c≤7.
0% may be beneficial to the recovery of neurological function in patients with large vessel occlusive stroke and diabetes mellitus treated by IAT

Original source:
 
Jun Young Chang, et al.

Prestroke Glucose Control and Functional Outcome in Patients With Acute Large Vessel Occlusive Stroke and Diabetes After Thrombectomy .
Diabetes care.
2021.
https://doi.
org/10.
2337/dc21-0271

Original Source: Prestroke Glucose Control and Functional Outcome in Patients With Acute Stroke and Diabetes Large Vessel OCCLUSIVE the After Thrombectomy in this message