Takeaway
- This study found that many patients with stroke have blood glucose levels outside the recommended guideline range (140-180 mg/dL) in the acute phase based on continuous glucose monitoring (CGM).
Why this matters
- Findings suggest that blood glucose levels at admission may be useful for the prediction of hypo-and hyperglycaemic events.
Study design
- Study of 39 patients (aged ≥20 years old; mean age, 75.9±11.5 years) with acute ischaemic stroke (AIS) admitted within 7 days after onset during 2018.
- Blood glucose levels monitored every 15 minutes for a 72-hour period.
- Funding: None.
Key results
- Hypoglycaemia (<60 mg/dL) was observed in 19 patients and hyperglycaemia (>180 mg/dL) in 21 patients.
- The frequency of hypoglycaemia during the 72-hour monitoring period was 10.1±15.7%, and the frequency was higher during night-time in patients with normoglycaemia at admission (P<.001).
- Hyperglycaemic events were observed at mean frequency of 11.9±22.5%, and the frequency was higher during daytime in patients with hyperglycaemia at admission (P<.001).
- Logistic regression analyses revealed that only the admission blood glucose level was a significant potential predictor for hypo- and hyperglycaemic events.
Limitations
- Small sample size.
References
References
