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Keywords
Prediabetes
Stroke
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Abstract
Background: Stroke and diabetes are major global health concerns, with prediabetes representing an intermediate metabolic state that significantly increases the risk of diabetes and recurrent stroke. Therefore, the present study was conducted to determine the prevalence of prediabetes among patients with first-ever acute stroke. Aim of the study: To determine the prevalence of prediabetes among patients with first-ever acute stroke. Methods & Materials: This cross-sectional study at the Department of Medicine, Sher-E-Bangla Medical College Hospital, Barisal, Bangladesh (March–September 2015), enrolled 100 patients aged ≥40 years with first-ever acute stroke and no prior diabetes. Glycometabolic status was assessed using FPG, 2-h postload glucose, and HbA1c, with data collected via structured forms and stroke confirmed by CT scan. Analyses were done in SPSS with ethical approval and informed consent. Results: Among 100 stroke patients (mean age 57 years, 78% male), ischemic stroke was most common (68%), with hemiplegia as the leading presentation. Hypertension (68%) and smoking (42%) were major risk factors. Glycometabolic tests revealed 18–26% diabetes and 24–34% prediabetes, with combined testing identifying 18% prediabetes and 12% diabetes (p = 0.130). Conclusion: Prediabetes is common among first-ever acute stroke patients, especially in males and the elderly, emphasizing the need for comprehensive post-stroke glycometabolic screening using multiple diagnostic tests.
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