Peculiarities of transient hyperglycemia in ischemic hemispheric stroke in patients with obesity

Ischemic strokes in abdominally obese patients have more severe clinical course. We analyzed glycemia indicators during the first day after hemispheric ischemic strokes in patients with different obesity types and with definite cerebral lesion volumes. Poststroke transient hyperglycemia in abdominally obese patients is more frequent and significantly more intensive in comparison with normal weight patients. Moreover, in abdominally obese patients with non-lacunar hemispheric infarcts larger than 20 cm(3) poststroke transient hyperglycemia is significantly more pronounced in comparison with abdominally obese patients who have lacunar strokes or non-lacunar infarcts less than 20 cm3. This phenomenon may be one of the factors that determine more severe stroke clinical course in abdominally obese patients.