Prevalence and risk factors of stroke in type 2 diabetic patients at Phatthana Nikhom hospital, Phatthana Nikhom District, Lopburi province

Cerebrovascular disease is one of the leading health problems of the Thai population today. Unfortunately, despite the development of the Thai public health system, there is still an increase in the death rate from stroke. This study aimed to study cerebrovascular disease's prevalence and risk factors in patients with type 2 diabetes mellitus at Phatthana Nikhom Hospital, Pattananikom District, Lopburi Province. The researcher and research collaborator went to collect data at Phatthana Nikhom Hospital. Phatthana Nikhom District Lopburi Province By collecting data on stroke patients with diabetes (N =2,648 samples), Diabetes Mellitus means a 12-hour Fasting Plasma Glucose (FPG) blood test with a blood glucose level ≥ 126 mg / dL or a previously diagnosed diabetic. Alternatively, they were treated with oral medication or injections to lower blood sugar. We analyzed the risk factors for acute ischemic stroke in people with diabetes from a questionnaire using logistic regression analysis by preliminary analysis by univariate logistic regression analysis. The magnitude of the correlation of risk factors for acute ischemic stroke in patients with diabetes mellitus from a single factor was the crude odds ratio (OR), along with a 95% confidence interval. In-depth analysis was performed to adjust the correlation from the effects of other factors (adjusted for other potential confounders) by multivariate logistic regression analysis, showing the adjusted odds ratio (OR) and the 95% confidence interval. The magnitude of the relationship was statistically significant. (statistically significant) at p-value <0.05. Ischemic stroke is still a health problem in many populations. Our study showed the prevalence of ischemic stroke among patients with diabetes was 6.6% and found that only being male, aspirin used and the first HbA1c level significantly associated with ischemic stroke among patients with diabetes. We suggest that diabetic patients pay attention to glycemic control and keep HbA1c to glycemic goal, especially in male diabetic patients, to decrease the risk of ischemic stroke.