Can you recover from a diabetic stroke

Diabetes mellitus (DM) represents a strong independent risk factor for stroke (Bell, 1994, Goldstein et al., 2001, Stegmayr and Asplund, 1995). Generally, it has been associated with ischemic stroke (Folsom et al., 1999, Gorelick, 2002), while its association with hemorrhagic stroke is not clear (Mankowsky & Ziegler, 2004).

Diabetic patients have higher association with other cardiovascular risk factors such as hypertension, hyperlipidemia, obesity, and insulin resistance, which make the metabolic syndrome (Magliano, Shaw, & Zimmer, 2006).

While the full entity of metabolic syndrome was associated with the higher risk of stroke (Najarian et al., 2006), the association between any of the individual components of metabolic syndrome and the specific risk of stroke in persons with metabolic syndrome is uncertain (Isomaa et al., 2001).

Some authors showed a correlation between history of diabetes and mortality (Hamidon and Raymond, 2003, Jorgensen et al., 1994) and morbidity (Toto, 2005), probably due to microangiopathy (Kawai et al., 1998). However, other authors did not find differences between patients with and without diabetes in terms of mortality 1 year after ischemic stroke (Kissela et al., 2005).

DM may influence the post-stroke clinical evolution, especially in the initial phase, increasing the extension of the cerebral injured area (Siemkowicz & Gjedde, 1980), but, at the moment, there is no full accordance on the association of hyperglycemia in the acute stage of stroke with mortality and neurological recovery (Colagiuri et al., 2002, Mankovsky et al., 1996). In fact, the correlation between stroke type, lesion sites, and outcome in diabetics is still not clear Karapanayiotides et al., 2004).

Few studies have been aimed at studying the influence of diabetes on functional outcomes after stroke, and their results are not conclusive (Pulsinelli et al., 1983, Toni et al., 1992). Moreover, recovery has been assessed only in terms of disability (Karapanayiotides et al., 2004, Megherbi et al., 2003) or handicap (Megherbi et al., 2003), which can be influenced by comorbidity (Gainotti, Antonucci, Marra, & Paolucci, 2001) or social factors (Gilbertson et al., 2000). For these reasons, scales for motor impairment should be included in the assessment of recovery.

The aim of this study was to estimate the influence of DM on functional and motor recovery from stroke.

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  Les accidents vasculaires cérébraux représentent la première cause de handicap et la seconde cause de décès à travers le monde. Les patients diabétiques ont un risque 1,5 à 3 fois plus élevé d’accident vasculaire cérébral, et en particulier d’infarctus cérébral, que les non diabétiques. Cet excès de risque, qui est particulièrement marqué chez les sujets jeunes et les femmes, peut être réduit par des stratégies thérapeutiques efficaces qui visent au contrôle glycémique et à la prise en charge des co-morbidités telles que l’hypertension artérielle ou encore les dyslipidémies. D’autre part, la prévalence du diabète au sein des patients victimes d’un accident vasculaire cérébral est évaluée à 10 à 20%, et est en augmentation au cours des 20 dernières années, probablement du fait de l’accroissement de la prévalence du surpoids et de l’obésité dans la population générale, et en lien avec d’autres facteurs tels que la sédentarité. Alors que le diabète a longtemps été considéré comme un facteur de risque spécifique des infarctus cérébraux lacunaires, les études épidémiologiques récentes ont démontré que ce facteur de risque n’était en fait associé à aucun sous-type étiologique particulier d’infarctus cérébral. Enfin, les patients diabétiques qui présentent un accident vasculaire cérébral ont un pronostic moteur et fonctionnel moins bon, et sont à plus haut risque de démence, récidive ou décès.

• Analysis of Research Directions on the Rehabilitation of Patients with Stroke and Diabetes Using Scientometric Methods

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• Effect of Diabetes on Post-stroke Recovery: A Systematic Narrative Review

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• Deferoxamine Treatment Prevents Post-Stroke Vasoregression and Neurovascular Unit Remodeling Leading to Improved Functional Outcomes in Type 2 Male Diabetic Rats: Role of Endothelial Ferroptosis

  2021, Translational Stroke Research

• Factors associated with time to independent walking recovery post-stroke

  2021, Journal of Neurology, Neurosurgery and Psychiatry

• A Retrospective Analysis of Factors Impacting Rehabilitation Outcomes in Patients with Spontaneous Intracerebral Hemorrhage

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  What happens when a diabetic has a stroke?

  Diabetes increases the chance of having a stroke, which can damage brain tissue and cause disability or even death. To prevent stroke, people with diabetes should control blood glucose, blood pressure, cholesterol and weight.

  What are the signs of a diabetic stroke?

  Symptoms.

  Sudden numbness or weakness in the face, arm, or leg (especially on one side of the body).

  Trouble speaking or understanding words or simple sentences..

  Sudden blurred vision or worse vision in one or both eyes..

  Sudden trouble swallowing..

  Dizziness, loss of balance, or lack of coordination..

  How high does your sugar have to be to have a stroke?

  Elevated blood glucose is common in the early phase of stroke. The prevalence of hyperglycemia, defined as blood glucose level >6.0 mmol/L (108 mg/dL), has been observed in two thirds of all ischemic stroke subtypes on admission and in at least 50% in each subtype including lacunar strokes.

  Can you recover from diabetic shock?

  With prompt treatment, a rapid recovery is possible. However, without early treatment, it can be fatal or result in brain damage. It can happen to a person with type 1 or type 2 diabetes.