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Prevalence of Abnormal Glucose Regulation according to Different Diagnostic Criteria in Ischaemic Stroke without a History of Diabetes

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机构: [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [2]China National Clinical Research Center for Neurological Diseases, Beijing 100050, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China [5]Department of Neurology, Affiliated Hospital, North China University of Science and Technology, Tangshan 063000, China
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We aimed to investigate the prevalence and distribution of abnormal glucose regulation, including prediabetes and newly diagnosed diabetes, according to different criteria in ischaemic stroke patients without a history of diabetes. Data were derived from a representative cohort across China. Prediabetes was defined as fasting plasma glucose (FPG) 5.6-6.9 mmol/L or 2-hour oral glucose tolerance test (OGTT) 7.8-11.0 mmol/L or haemoglobin Ale (HbAlc) 5.7-6.4%. Newly diagnosed diabetes was defined as FPG >= 7.0 mmol/L, 2h OGTT >= 11.1 mmol/L or HbAlc >= 6.5%. Among 1251 ischaemic stroke patients, 471 (37.5%) were detected as prediabetes and 539 (43.1%) were detected as newly diagnosed diabetes. Prediabetes was present in 118 (9.4%), 290 (23.2%) and 314 (25.1%) stroke patients, and newly diagnosed diabetes was present in 138 (11.0%), 370 (29.6%), and 365 (29.2%) stroke patients, based on FPG, 2 h OGTT, and HbAlc criteria, respectively. Dependency on FPG alone would have missed 74.9% of patients in the prediabetes range and 74.4% of patients in the diabetes range. Our study demonstrated a high prevalence of prediabetes and diabetes in ischaemic stroke patients without a history of diabetes. OGTT and HbAlc helped detect the majority of prediabetes and newly diagnosed diabetes in ischaemic stroke patients.

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出版当年[2017]版:
大类 | 3 区 生物
小类 | 3 区 生物工程与应用微生物 4 区 医学:研究与实验
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出版当年[2016]版:
Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Q3 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Q3 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者机构: [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [2]China National Clinical Research Center for Neurological Diseases, Beijing 100050, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China
通讯作者:
通讯机构: [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [2]China National Clinical Research Center for Neurological Diseases, Beijing 100050, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China
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