Hyperglycemic Attack

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Hyperglycemia And Hypoglycemia In Stroke

Practice Essentials Preexisting hyperglycemia worsens the clinical outcome of acute stroke. Nondiabetic ischemic stroke patients with hyperglycemia have a 3-fold higher 30-day mortality rate than do patients without hyperglycemia. In diabetic patients with ischemic stroke, the 30-day mortality rate is 2-fold higher. [1] With regard to hypoglycemia, the condition can mimic acute stroke or symptoms of transient ischemic attack (TIA). [2, 3, 4, 5] Signs and symptoms Hyperglycemia in stroke Patients may come to the attention of clinicians because of preexisting diabetes mellitus Diabetes may also be seen with other risk factors for stroke, such as hypertension and hypercholesterolemia High glycemic levels may also be seen in the setting of an acute stroke without a history of diabetes, presumably due to a sympathetic response to the infarct Retinopathy, neuropathy, and peripheral vascular disease may be found in patients with long-standing diabetes Hypoglycemia in strokelike occurrences In the literature, signs of an acute stroke, such as hemiplegia, aphasia, and cortical blindness, have been reported with hypoglycemia. In individuals presenting with low glycemic levels and strokelike Continue reading >>

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Popular Questions

  1. NYC-Hot-Stuff

    Bad breath as a sign of ketosis

    The item is from WebMD.com. I hadn't heard of bad breath as a possible sign of overdoing a low-carb diet and ketosis. Is the breath connection commonly known?
    "This can make your breath stinky:
    "Correct! You answered: A very low-carb diet
    "If you eat too few carbs, your body may have to burn fat for energy, and that creates acidic chemicals called ketones. These can make your breath smell fruity or like nail-polish remover. This is called ketosis, and it can become dangerous if too many ketones build up in your body."

  2. Cathy H.

    I learned about it back when Atkins Diet was all the rage, they talked about it a lot.

  3. Sai F.

    It's common, at least with all the people I know who have been following a low carb diet. It's because of acetone that is in both your urine (urinary acetoacetate) and breath, but it does go away after awhile. Thank goodness it's not permanent.

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