Abstract
This study used the Korean National Health Insurance System database to examine how poststroke disability and stroke type affect the risk of diabetes mellitus (DM) in stroke survivors. Data for 217 157 stroke survivors and 312 138 matched controls were analyzed. The relative risk of DM was assessed using multivariate Cox proportional hazards regression models. Compared with the controls, stroke survivors had a 2.7-fold higher risk of newly diagnosed DM in the first year and a 15% increased risk thereafter. Severe disability was associated with an elevated DM risk in the first year, but the risk was not significant when a one-year lag period was applied. Ischemic stroke survivors showed significantly higher DM risk than controls, but no significant difference was observed for hemorrhagic stroke survivors. These findings suggest that the type and severity of stroke play crucial roles in the development of DM. Close monitoring and early screening for DM in stroke survivors, particularly those with severe disability or ischemic stroke, could help improve long-term outcomes.
Get full access to this article
View all access options for this article.
References
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
