Ideal blood sugar levels to prevent repeat strokes, heart attacks revealed

In the online issue of Neurology®, the medical journal of the American Academy of Neurology scientists have revealed the possible ideal blood sugar levels for stroke and heart attack patients to prevent further episodes.

Scientists say that maintaining blood sugar levels is key to preventing stroke and heart disease and now the new study says that if these patients maintain ideal target blood sugar range, they will be at a lower risk of different types of vascular diseases like a stroke or heart attack later on.

The study involved 18,567 people with diabetes with an average age of 70. All participants were admitted to the hospital for an ischemic stroke, which is caused by a blood clot. Upon admission, researchers used a test called the hemoglobin A1C to determine people’s average blood sugar level over the past two to three months. This test measures a percentage of hemoglobin proteins in the blood coated with sugar. A level below 5.7% is considered normal; 6.5% or higher generally indicates diabetes. The participants had an average A1C of 7.5%.

Researchers then followed up one year later to find out if there was an association between A1C levels with the risk of having another stroke, a heart attack, or dying from these or other vascular causes.

Of all participants, 1,437, or about 8%, had a heart attack or died from vascular disease within a year of starting the study, and 954, or 5%, had another stroke.

The study found that people admitted to the hospital with A1C levels above the 6.8% to 7.0% range had an increased risk of having a vascular event like a heart attack, as well as having another stroke.

After adjusting for factors like age and sex, researchers found that people’s risk for a heart attack or similar vascular diseases was 27% greater when they were admitted to the hospital with A1C levels above 7.0%, compared to those admitted with A1C levels below 6.5%. People’s risk for having another stroke was 28% greater when admitted to the hospital with A1C levels above 7.0%, compared to those below 6.5%.

A limitation of the study is that people’s blood sugar levels were measured only at the start of the study; no follow-up levels were available.

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