ORIGINAL ARTICLE SWEET-FIX A Quality Improvement Initiative for Hospitalized Stroke Patients With Undiagnosed Diabetes or Prediabetes Bruce Ovbiagele, MD, MSc DIABETES AND STROKE Abstract: The consequences of type-2 diabetes can be devastating and Presence of type-2 or maturity onset diabetes, is very com- include a high risk for incident stroke. Fortunately, appropriate and timely 5,6 mon among stroke patients, and is associated with poor outcomes treatment of diabetes may avert future complications and improve clinical 5,7 after stroke. This notwithstanding, data from the Get With the outcomes. However, it would appear that up to 25% of the general population Guidelines (GWTG)-Stroke database suggest that almost 1 of 3 in the United States with diabetes may be undiagnosed, thereby exposing hospitalized acute ischemic stroke patients had diabetes diagnosed these individuals to the relentlessly progressive and unmitigated effects of or treated. However, GWTG-Stroke also found that quality of diabetes on the systemic vasculature, with resultant major end-organ damage. diabetes-related care (Table 1) had several deﬁciencies: compliance Coordinated identiﬁcation of underlying diabetes especially in persons with was poorest with respect to HbA1c testing (only 45% were tested) prevalent symptomatic vascular disease, could help target patients at very and treatment with angiotensin-converting enzyme
Critical Pathways in Cardiology – Wolters Kluwer Health
Published: Dec 1, 2010
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