Abstract:
Background. Diabetes mellitus (DM) and stroke are two important pathological conditions
with a major impact on public health, disrupting both quality of life and life expectancy.
People who have suffered a stroke are at greater risk of developing diabetes mellitus in the
following years than the general population.
Objective(s). The main purpose of the study was to identify and analyze the risk factors
involved in the development of diabetes mellitus in individuals with the antecedents of
stroke.
Materials and methods. A retrospective and prospective study was conducted in the
Neurology Department of Comrat District Hospital and Comrat Health Center. The study
included 150 stroke survivors within the past 2 years. Type 2 diabetes risk was assessed
using the FINDRISC scale, with evaluation of fasting and postprandial blood glucose levels
and lipid profiles.
Results. The present study included 78 male and 72 female subjects with a mean age of
70±9.66 years. Among the risk factors for developing diabetes mellitus in individuals with a
history of stroke were abdominal obesity, hypertension, family history of diabetes mellitus,
dyslipidemia, and reduced physical activity post-stroke. The investigation examined the
impact of pharmacological treatment with glucocorticoids administered during the
hospitalization period on glucose metabolism parameters. The study analyzed the spectrum
of carbohydrate metabolism disorders, including both diabetes mellitus and prediabetic
states, in the stroke survivors.
Conclusion(s). Early assessment and identification of risk factors for developing DM in
individuals with a history of cerebrovascular accident, along with monitoring and
modification of modifiable factors, enable implementation of preventive strategies to reduce
diabetes incidence and associated complications.
