Diabetes and its Complications in Family Medicine

Diyabet ve Serebrovasküler Hastalıklar
Diabetes and Cerebrovascular Diseases
Buse Rahime HASIRCI BAYIRa, Kemal TUTKAVULa
aİstanbul Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, İstanbul, TÜRKİYE
Hasırcı Bayır BR, Tutkavul K. Diyabet ve serebrovasküler hastalıklar. Dayan A, editör. Aile Hekimliğinde Diyabet ve Komplikasyonları. 1. Baskı. Ankara: Türkiye Klinikleri; 2021. p.30-3.
Article Language: TR
ÖZET
Diabetes mellitus, inme ile ilişkisi kesin olan ve değiştirilebilen risk faktörlerindendir. Tüm yaş gruplarında diyabetik hastalarda, diyabetik olmayanlara göre inme riski yaklaşık iki kat daha fazla olup, iskemik inme riski, hemorajik inmeden daha yüksektir. Diyabetik hastaların özellikle laküner enfarkt geçirme olasılıkları daha fazladır. Ayrıca akut inme sırasında serum glukoz düzeyi 140 mg/dL üstü hastalarda, komplikasyon ve mortalite riski daha yüksek olup, iskemik inmede görülebilen semptomatik hemorajik transformasyon riski de artmıştır. Hiperglisemik akut iskemik inme hastalarının tedavisinde hedeflenmesi önerilen glukoz konsantrasyonu 80-130 mg/dL'dir. Bu derlemenin amacı inme için önemli bir risk faktörü olan diabetes mellitus ile Serebrovasküler Hastalıklar arasındaki ilişkinin incelenmesi ve tedavi yönetim planlarının güncel veriler eşliğinde değerlendirilmesidir.

Anahtar Kelimeler: Diabetes mellitus; serebrovasküler bozukluklar; inme
ABSTRACT
Diabetes mellitus is one of the risk factors whose relationship with stroke is definite and can be changed. In diabetic patients of all age groups, the risk of stroke is approximately two times higher than in non-diabetic patients, and the risk of ischemic stroke is higher than hemorrhagic stroke. The frequency of lacunar strokes is increased in the diabetic patient. Patients with serum glucose levels above 140 mg/dL have a higher risk of complications and mortality after acute stroke, and in case of ischemic stroke the risk of symptomatic hemorrhagic transformation is also increased. The glucose concentration targeted in the treatment of hyperglycemic acute ischemic stroke patients is 80-130 mg/dL. The purpose of this review is to examine the relationship between diabetes mellitus, an important risk factor for stroke, and cerebrovascular diseases.

Keywords: Diabetes mellitus; cerebrovascular disorders; stroke

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