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Stroke. 1996 Aug;27(8):1316-8.

Autonomic neuropathy predicts the development of stroke in patients with non-insulin-dependent diabetes mellitus.

Author information

1
Department of Clinical Physiology, Kuopio University Hospital, Finland. jtoyry@messi.uku.fi

Abstract

BACKGROUND AND PURPOSE:

Our aim was to determine the predictive factors for stroke in patients with non-insulin-dependent diabetes mellitus (NIDDM).

METHODS:

We studied 133 patients with NIDDM at the time of diagnosis and 5 and 10 years later.

RESULTS:

The number of new fatal or nonfatal strokes was 19 (14.7%; 14 after 5-year examination). High initial fasting blood glucose (odds ratio [OR], 1.2; 95% confidence interval [CI], 1.04 to 1.4) and the use of beta-blocking agents (OR, 6.7; 95% CI, 2.1 to 21.5) at baseline and the presence of parasympathetic neuropathy (OR, 6.7; 95% CI, 1.5 to 29.9), or sympathetic autonomic nervous dysfunction (OR, 1.1; 95% CI, 1.01 to 1.2), hypertriglyceridemia (OR, 5.7; 95% CI, 1.1 to 31.0), or use of beta-blocking agents (OR, 6.4; 95% CI, 1.3 to 31.2), and high fasting plasma glucose (OR, 1.2; 95% CI, 1.0 to 1.5) determined at 5-year examination predicted the development of stroke.

CONCLUSIONS:

Autonomic neuropathy is an independent risk factor for stroke in NIDDM.

PMID:
8711794
[Indexed for MEDLINE]

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