Management of Stroke in Diabetes
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee
Mukul Sharma MSc, MD, FRCPC Gordon J. Gubitz MD, FRCPC
The assessment and general management of persons with diabetes who experience a stroke, and of persons with a new diagnosis of diabetes after experiencing a stroke, are the same as those without a stroke.
A comprehensive, regularly updated, evidence-based approach to the assessment and management of all patients (including those with diabetes) with stroke across the continuum of care is available on the Canadian Stroke Strategy (CSS) Best Practices Recommendations website (http://www.strokebestpractices.ca).
Highlights of Revisions
This chapter is a new addition to the guidelines.
Patients with ischemic stroke or transient ischemic attack (TIA) should be screened for diabetes with a fasting plasma glucose, glycated hemoglobin (A1C) or 75 g oral glucose tolerance test soon after admission to hospital [Grade D, Consensus].
All patients with diabetes and ischemic stroke or TIA should receive the same treatments that are recommended for patients with ischemic stroke or TIA without diabetes since they benefit equally [Grade D, Consensus].
Reproduced with permission from Canadian Journal of Diabetes
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