T. Sato et M. Hiwatari, CONTROL OF DIABETES DURING REHABILITATION FOR DIABETIC STROKE, Tohoku Journal of Experimental Medicine, 173(4), 1994, pp. 399-404
Changes of diabetic control during rehabilitation therapy was studied
retrospectively in 33 cases of diabetic stroke. Diabetic control was n
ot deteriorated in any cases during rehabilitation therapy. In 21 case
s, treatment of diabetes was not changed during rehabilitation therapy
and the levels of fasting plasma glucose were decreased in all of the
m. Doses of hypoglycemic agents was reduced without significant deteri
oration of diabetic control in 9 cases whose diabetic control was exce
llent, and in 2 cases who experienced hypoglycemic attack during rehab
ilitation therapy. In these cases, oral hypoglycemic agent was reduced
from 2 to 1 tablet and insulin from 32 to 21 units per day on average
. These results indicate that training in the stroke rehabilitation mo
derately improves diabetic control.