Frequency of raised HbA1c in patients presenting with ischemic stroke

Background: diabetes is a known risk factor for stroke. unlike fasting and postprandial blood glucose level,hba1c is not affected by short-term lifestyle changes. therefore,hba1c can provide a more accurate glycemic status. aim: to determine frequency of raised hba1c in patients with normal previous blood glucose within last 6m,presenting with ischemic stroke in tertiary care hospital. methods: this cross-sectional study was conducted in indoor departments of both medical and neurology wards,mayo hospital lahore over a period of 6 months from 10th march,2013 to 9th september 2013. eighty four ischemic stroke patients were selected from indoor departments of both medical and neurology wards of mayo hospital,lahore. raised hba1c was determined using american diabetes association criteria. bias effect was controlled by having random blood glucose levels measured from single laboratory of mayo hospital and hba1c levels measured from most reputed private laboratory as this investigation was not available in mayo hospital. results: mean age of the patients was 56.6±13.6 years. 56(66%) patients were males and 28(34%) were females. male to female ratio was 2:1. out of 84 patients,a total of 29(35%) were having raised hba1c while 55 (65%) were having normal hba1c. conclusion: raised hba1c was found in a significant number of pts suffering from ischemic stroke. © 2016,lahore medical and dental college. all rights reserved.