Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Sunday, April 29, 2018

The effect of change in fasting glucose on the risk of myocardial infarction, stroke, and all-cause mortality: A nationwide cohort study

Your doctor can explain exactly what this means and the protocols you will be following to accomplish. Oops, ROFLMAO, that will never occur. 
https://www.mdlinx.com/internal-medicine/medical-news-article/2018/04/26/prediabetes-blood-glucose-myocardial-infarction-stroke/7509897/?
Cardiovascular Diabetology | April 18, 2018

Lee G, et al. - Researchers looked at a representative large population and focused on the link between changes in fasting serum glucose and incident cardiovascular disease and all-cause mortality. They found that, in a non-diabetic population, increasing fasting glucose was related to increased risks of myocardial infarction (MI), stroke, and all-cause mortality.

Methods

  • Data from a retrospective cohort of the Korean National Health Insurance Service was analyzed.
  • Study participants included 260,487 Korean adults aged over 40 years without diabetes mellitus and cardiovascular disease at baseline.
  • Fasting glucose status was categorized as normal fasting glucose (NFG, fasting glucose: < 100 mg/dL), impaired fasting glucose (IFG, fasting glucose: 100.0–125.9 mg/dL), and diabetic fasting glucose (DFG, fasting glucose: ≥ 126.0 mg/dL)
  • Cox proportional hazards regression analyses were performed in the changed group vs the persistently unchanged group (i.e. NFG to NFG or IFG to IFG) in order to obtain the hazards ratio (HR) with 95% confidence interval (CI) for subsequent median 8-year MI, stroke, and all-cause mortality.

Results

  • An increased risk of stroke was noted for individuals who shifted from NFG to DFG (HR [95% CI]: 1.19 [1.02–1.38]).
  • Those who shifted from NFG to IFG or DFG saw increased risks of all-cause mortality (HR [95% CI]: 1.08 [1.02–1.14] for NFG to IFG, and 1.56 [1.39–1.75] for NFG to DFG) vs individuals with persistent NFG.
  • Participants who shifted from IFG to DFG had an increased risk of MI and all-cause mortality (HR [95% CI]: 1.65 [1.20–2.27] and 1.16 [1.02–1.33], respectively) vs individuals with persistent IFG.

Read the full article on Cardiovascular Diabetology

No comments:

Post a Comment