Nồng độ glucose, HbA1c tại thời điểm nhập viện và mối liên quan với một số thông số ở bệnh nhân đột quỵ não giai đoạn cấp tính

To survey admission blood glucose level, HbA1c and relationship with some clinical and subclinical c-haracteristics in acute stroke patients treated in Trung Vuong Hospital, Ho Chi Minh City. Subjects and methods The participants comprised 98 patients with acute stroke who were performed glucose and HbA1c tests at the time of admission. Increases in blood glucose level and HbA1c in stroke patients with or without diabetes mellitus was determined as glucose > 6 mmol/l; HbA1c ≥ 5.7%. Results elevated blood glucose level and HbA1c accounted for high rates, 84.7% and 89.6%, respectively. Rate of alone or combined stress hyperglycemia was 20.4%. Female patients had higher rates of increased blood glucose and HbA1c than male patients. Blood glucose level had a significantly negative correlation with Glasgow Coma Scale. Rate of HbA1c ≥ 6.5% in patients with ischemic stroke was higher than that in those with hemorrhagic stroke. Rates of increased blood glucose and HbA1c were not significantly associated with previous diabetes diagnosis. Conclusions Increased blood glucose and HbA1c occurred in acute stroke patients with high rates, in which stress hyperglycemia did not depend on diabetes mellitus before stroke.