• Acute stroke in women: peculiarities of diagnostics of hydrochatic exchanger disturbances
To content

Acute stroke in women: peculiarities of diagnostics of hydrochatic exchanger disturbances

HEALTH OF WOMAN. 2017.10(126):63–66; doi 10.15574/HW.2017.126.63

Halushko O.
Shupyk National Medical Academy of Postgraduate Education, Kiev

The article is devoted to the problem of diagnostics of carbohydrate metabolism disorders in women with acute stroke (AS). It is shown that in the majority of patients (65.6%) against the background of AS, carbohydrate metabolism disorders are observed, and in women they are encountered somewhat more often (69.01%, p>0.05). Routine determination of fasting glycemia is not enough to detect diabetes mellitus (DM). The level of glycosylated hemoglobin does not give a complete picture of the presence of the disease, but it is useful for evaluating the degree of compensation of diabetes. Conducting an oral glucose tolerance test allows to improve the quality of diagnosis and optimize the tactics of stroke treatment. Through this test, 16 new cases of diabetes were identified (among them 8 women) and 28 patients (15 women) with other disorders of carbohydrate metabolism.
Key words: acute stroke, diabetes mellitus, hyperglycemia, oral glucose-tolerant test.

REFERENCES

1.Suchasni pryntsypy diahnostyky ta likuvannia khvorykh iz hostrym ishemichnym insultom ta TIA (Adaptovana klinichna nastanova). K, Vydavets D.V. Huliaiev. 2012:144.

2. Gaede P, Lund-Andersen H, Parving HH, Pedersen O. 2008, Feb 7. Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med. 358(6):580-91. https://doi.org/10.1056/NEJMoa0706245. PubMed PMID: 18256393.

3. Burchfiel CM, Curb JD, Rodriguez BL, Abbott RD, Chiu D, Yano K. 1994, May. Glucose intolerance and 22-year stroke incidence. The Honolulu Heart Program. Stroke. 25(5):951-7. https://doi.org/10.1161/01.STR.25.5.951; PMid:8165689.

4. Lukashevych PIu, Orlenko VL, Tronko MD. 2017. Suchasni pidkhody do zabezpechennia tsukroznyzhuvalnoiu terapiieiu khvorykh na tsukrovyi diabet. Endokrynolohiia 22;1:45–50.

5. Kotov SV. Kalinin AP. Rudakova IG. 2011. Diabeticheskaya neyropatiya. M. OOO «Izd-vo «Meditsinskoye informatsionnoye agentstvo»:440.

6. Goldstein LB, Adams R, Alberts MJ et al. 2006, Jun 20. Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council. Circulation. 113(24):e873–923. PMid:16785347

7. Triches C, Schaan BD, Gross JL, Azevedo MJ. 2009, Aug. Macrovascular diabetic complications: clinical characteristics, diagnosis and management]. Arq Bras Endocrinol Metabol. 53(6):698–708. https://doi.org/10.1590/S0004-27302009000600002; PMid:19893911

8. Appelros P, Stegmayr B, Terént A. 2009, Apr. Sex differences in stroke epidemiology: a systematic review. Stroke. 40(4):1082–90. https://doi.org/10.1161/STROKEAHA.108.540781; PMid:19211488

9. Parfenov VA. Khasanova DR. 2002. Ishemicheskiy insult. M. OOO «Izdatelstvo «Meditsinskoye informatsionnoye agentstvo»:288.

10. Halushko OA. 2015. Suchasni aspekty likuvannia ishemichnoho insultu u khvorykh na tsukrovyi diabet. Medytsyna neotlozhnуkh sostoуanii 5(68):92-96.