DOI: https://doi.org/10.36347/sasjm.2025.v11i09.004

Pages: 847-852

Background: Stroke remains a leading cause of mortality and disability worldwide, with increasing incidence in South Asia. Emerging evidence suggests that prediabetes, often undiagnosed, significantly contributes to vascular risk and may influence stroke outcomes. Aim of the study: The aim of this study was to assess the demographic and metabolic risk profile in first-ever stroke patients with undiagnosed prediabetes. Methods: This cross-sectional observational study was conducted in Department of Medicine, Sher-E- Bangla Medical College Hospital, Barisal, Bangladesh from 30th March 2015 to 29th September 2015. Total 100 patients aged ≥40 years with first ever acute stroke with no history of diabetes mellitus were included in this study. Result: The mean age of patients was 57.08 ± 6.78 years, with a male predominance (78%). Males presented younger, while females were mainly aged 61–70 years. Hypertension (68%) and smoking (42%) were the leading risk factors, followed by family history of CVD (30%) and obesity (24%). Based on glycemic status, 18–34% had prediabetes and 18–26% had diabetes, depending on criteria used. Ischemic stroke accounted for 68% of cases, while 32% had hemorrhagic stroke, with most undiagnosed dysglycemia revealed during evaluation. Conclusion: A large proportion of first-ever stroke patients have undiagnosed prediabetes, often with metabolic and vascular risk clustering. The demographic profile shows a male predominance and urban concentration, with females presenting at relatively older ages.