Control of diabetes during rehabilitation for diabetic stroke

Changes of diabetic control during rehabilitation therapy was studied retrospectively in 33 cases of diabetic stroke. Diabetic control was not deteriorated in any cases during rehabilitation therapy. In 21 cases, treatment of diabetes was not changed during rehabilitation therapy and the levels of fasting plasma glucose were decreased in all of them. Doses of hypoglycemic agents was reduced without significant deterioration of diabetic control in 9 cases whose diabetic control was excellent, and in 2 cases who experienced hypoglycemic attack during rehabilitation 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 moderately improves diabetic control.