COMPARATIVE ASSESSMENT OF THE SEVERITY AND DISABILITY OF PATIENTS WITH DIFFERENT PATHOGENETIC SUBTYPES OF ISCHEMIC STROKE DEPENDING ON THE PRESENCE OF CONCOMITANT TYPE II DIABETES MELLITUS

The research looks into the impact of type II diabetes mellitus on the severity, disability, and rehabilitation outcomes in ischemic stroke patients. Employing the IMRAD system-Introduction, Methods, Results, and Discussion-the study investigates how T2DM affects the course and recovery from stroke. There is a high burden of stroke and diabetes comorbidity on health care because the presence of one disease contributes to increased disability rates with complex rehabilitation needs. The introduction discusses the relevance of studying T2DM and stroke's dual burden. Diabetes reduces vascular health, so this condition will further worsen neurological outcomes when combined with stroke. This research covers the knowledge gap regarding T2DM's effect on stroke recovery and offers the healthcare provider insight. Material and Methods: This study elucidates the approach taken. Participants were divided into a diabetic and a non-diabetic group. Neurological impairment was measured by the National Institutes of Health Stroke Scale, and functional independence by the Barthel Index. Data was collected at key recovery stages, allowing for a comparative analysis of outcomes. Results indicate that T2DM patients had more severe neurological deficits and slower recovery compared to non-diabetic stroke patients. Higher NIHSS scores at admission and lower Barthel Index scores during follow-up pointed out that diabetic patients had greater disability. This study concluded that T2DM increases the risk of long-term disability and, therefore, requires tailored rehabilitation strategies. The Discussion points to the requirement for an individual approach in the management of stroke patients with T2DM. It suggests early glycemic control and an integrated care model involving neurologists, endocrinologists, and rehabilitation physicians. Personalized rehabilitation protocols focusing on functional independence are essential for diabetic stroke patients. The study calls for recognizing T2DM as a critical factor in stroke management, advocating for patient-centered care to improve outcomes. T2DM significantly impacts stroke severity, recovery, and rehabilitation outcomes. Patients with T2DM face more severe neurological deficits, slower recovery, and higher risks of long-term disability. The importance of early intervention, glycemic control, and tailored rehabilitation for this high-risk group cannot be overemphasized. This study emphasizes the integration of diabetes management into stroke care to achieve better recovery and functional independence.