Abstract

Cerebrovascular accidents are the most prevalent and significant neurological illnesses affecting adults. The objective of this study was to assess the random blood glucose levels during the initial stage of ischemic stroke in individuals with diabetes and those without diabetes. Additionally, the severity and prognosis of both diabetic and non-diabetic patients were examined in connection to hyperglycemia. Material and Methods: A study was conducted on a cohort of 40 patients diagnosed with acute ischemic stroke who were hospitalized to the Department of General Medicine, Great Eastern Medical School and Hospital, Andhra Pradesh, India. The study period spanned from June 2017 to June 2018. Results: The majority of our 40 patients were male, consistent with the male preponderance reported in the vast majority of research. Fifteen of the patients were between the ages of 51 and 60, making up the largest age group. Twenty-two of the 40 patients had high blood pressure, twenty-four had diabetes, 29 had high cholesterol and a history of a heart attack, and one female patient had atrial fibrillation. About half of the male patients had a previous history of alcoholism, and over two-thirds had smoked cigarettes. The right side was weak in 36 cases, whereas the left side was weak in 24. Conclusion: During the intervening period, it is advisable to prioritize the implementation of effective stroke treatment strategies, as well as the restoration of normal body temperature, maintenance of fluid balance, and optimization of hemodynamics. Failure to do so may potentially compromise the positive prognosis, even in patients with normal blood sugar levels.

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