Neurol. praxi. 2010;11(1):56-58

Stroke in diabetic patients

doc.MUDr.Jaromír Chlumský, Ph.D., prof.MUDr.Jindra Perušičová, DrSc., prof.MUDr.Milan Kvapil, CSc.

Interní klinika 2. LF UK a FN Motol, Praha

It is estimated that the risk of stroke is increased by 1.5–3 fold for patients with diabetes. Diabetes also doubles the risk of stroke recurrence,

and stroke outcomes are significantly worse among patients with diabetes with increased mortality, more residual neurological deficit

and longer hospital stays. Diabetes increases the risk of ischaemic stroke more than haemorrhagic stroke. Despite the higher prevalence

of stroke in patients with diabetes, they have been shown to be less likely to develop transient ischaemic attack. Tight glycaemic control

is recommended to prevent microvascular complications, but its benefits on macrovascular disease and stroke risk are still unproven.

The management of patients with diabetes and acute stroke should include multifactorial intervention – antihypertensive, lipid-lowering

and antiplatelet agents and, where appropriate, surgical intervention.

Keywords: ischemic stroke, diabetes, treatment

Published: March 1, 2010  Show citation