Medical Journal of the Islamic Republic Of Iran

en Glycemic State in Diabetic Patients during the Post-Stroke Recovery Phase Physical Medecine& Rehabilitaion Physical Medecine& Rehabilitaion Original Research Original Research Background: Hyperglycemia is common in the early acute stroke phase especially in patients with diabetes. To the best of our knowledge, no study has evaluated the course of hyperglycemia in patients with diabetes  during the post-stroke recovery phase.    Methods: It was an observational study conducted in Tabassom Rehabilitation Center for Stroke Patients, Tehran, Iran, 2018-2021. Forty-seven consecutive patients with diabetes and stroke were enrolled and included if at least 3 months had passed from their stroke . Any change in glycemic control before and after stroke was controlled by monitoring drugs used for diabetes treatment and laboratory results. To assess categorical variables, the Pearson chi-squared test was used. Quantitative variables before and after the stroke were analyzed by the paired sample t-test.    Results: The mean age was 63.6 ± 6.9 years, and 22 patients were women. The median time from occurrence of  stroke to the first visit was 5 months and 6 days. Glycemic control improved among patients with diabetes during the post-stroke recovery phase. There was a significant decrease of 0.7 ± 1.3 % in HbA1c (P = 0.001). The number and the dose of drugs needed for diabetes treatment decreased. No significant correlation could be found between changes in HbA1c and weight.    Conclusion: Despite the initial increase in glycemia in patients with diabetes in the acute phase of stroke, glycemic control improves after stroke, and often, it is necessary to decrease diabetes drugs to prevent hypoglycemia. This topic is important and should be addressed by guidelines and institutions involved in the care of patients with diabetes and stroke.   Diabetes, Glycemic Control, Rehabilitation, Stroke, Post-Stroke Recovery 118 123 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-7739-1&slc_lang=en&sid=1 Rouzbeh Kazemi drrok9141@gmail.com 200319475328460088837 200319475328460088837 No Tabassom Stroke Rehabilitation Clinic, Tehran, Iran Alireza Amirbeigloo amirbaigloo@razi.tums.ac.ir 200319475328460088838 200319475328460088838 No Practicing in Private Office, Tehran, Iran Ali Ghotbi dr.a.ghotbi@gmail.com 200319475328460088839 200319475328460088839 No Tabassom Stroke Rehabilitation Clinic, Tehran, Iran Mahsa Nazifi Mahsanazifi.nut@gmail.com 200319475328460088840 200319475328460088840 No Tabassom Stroke Rehabilitation Clinic, Tehran, Iran Fahimeh Soheilipour soheilipour.f@iums.ac.ir 200319475328460088841 200319475328460088841 Yes Invasive Surgery Research Center, Aliasghar Children Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran