Hubungan antara Kadar Gula Darah dengan Simtom Stroke

Abstract

Background: Diabetes is a group of metabolic disease with characteristic hyperglycemia that occurs due to abnormalities in insulin secretion, insulin

action, or both. chronic hyperglycemia in diabetes ls associated with long- term damage, dysfunction or failure of multiple organs, especially the

eyes, kidneys, nerves, heart and blood vessels. High blood sugar levels in ischemic stroke associated increased mortality and morbidity. ln the general population, symptoms of stroke in individuals without a history of stroke diagnosis was associated with an increased risk of stroke in the future. The stroke symptoms may indicate unrecognized stroke' Purpose: to determine the relationship between blood sugar levels with symptoms of stroke Methods : this is a cross sectional study in non-stroke patients aged > 45 years old. At the time subjects admitted with stroke symptoms will be assessed by QVSFS (Questionnaire Verifying Stroke Free Status)' After that, the venous blood of the subjects will be drawn by laboratory personnel to be sent to the Laboratory of Clinical Pathology Adam Malik Hospital about 5 ml to check ad random blood sugar level, and after fasting for about I hours to check fasting blood sugar level' Result : Of 45 subjects, 21 (46,7%) had diabetes, and 9 (20%) had pre' diabetes. Padicipant with diabetes have the highest prevalence of experiencing stroke symptoms such as numbness on one side of the body as much 7 persons (53,8%), whereas participants with prediabetes have the highest prevalence of experiencing stroke symptom-such as unable to say or write something as much as 3 persons (25%). There was 16 people (16,2%) of people with diabetes are women. From the results of the bivariite analysis of participants with diabetes were more likely to suffer symptoms of stroke such as sudden weakness on one side of the body (IR 2,185 (95% Cl 0,454-10,538), p: 0,322), suddenly felt numbness on oie side of the body (OR 1,500 (95% Cl 0,411-5,476)' p: 0'538) and sudden loss of vision in one or both eyes (OR 1,105 (95% Cl 0'962-

1,270), p: 0,122), but the relationship is not statistically significant- Whereas patients with pre-diabetes symptoms tend to suffer another

stroke Conclusions : There is a relationship but not significant between blood sugar level with symptoms of stroke