Diabetes Care: The relationship between pre-stroke blood glucose control and the functional outcome of diabetic patients with acute large vessel occlusive stroke

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 acute large vessel occlusive stroke and diabetes patients undergoing intraarterial thrombus removal (IAT) .

Researchers enrolled diabetic patients with emergency major vessel occlusive stroke who were treated with IAT from January 2009 to March 2020 from the Korean Stroke Clinical Research Center, and assessed the level of glycosylated hemoglobin (HbA1c) on admission and the functional outcome of the patients ( The relationship between the modified Rankin scale at 3 months after stroke

A total of 1351 patients were included in the study for analysis

The effect of blood glucose control before stroke on the outcome of nervous system

Higher HbA1c levels at admission were significantly associated with a lower chance of good functional outcome (threshold value of 7.

It can be seen that for diabetic patients undergoing IAT treatment due to large vessel occlusive stroke, regardless of stroke subtype, thrombolysis method, occlusion site, degree of recanalization and treatment time, pre-stroke blood glucose control may be beneficial to the recovery of neurological function