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Diabetes and Stroke Prevention : A Review
Joint Authors
Hewitt, Jonathan
Fernández-Moreno, María del Carmen
Castilla-Guerra, Luis
Sierra-Benito, Cristina
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Stroke and diabetes mellitus are two separate conditions which share multiple common threads.
Both are increasing in prevalence, both are diseases which affect blood vessels, and both are associated with other vascular risk factors, such as hypertension and dyslipidemia.
Abnormal glucose regulation, of which diabetes is one manifestation, is seen in up to two-thirds of people suffering from an acute stroke.
Surprisingly, aggressive management of glucose after an acute stroke has not been shown to improve outcome or reduce the incidence of further strokes.
More encouragingly, active management of other cardiovascular risk factors has been demonstrated to prevent stroke disease and improve outcome following a stroke in the diabetic person.
Hypertension should be treated with a target of 140/80 mmHg, as a maximum.
The drug of choice would be an ACE inhibitor, although the priority is blood pressure reduction regardless of the medication chosen.
Lipids should be treated with a statin whatever the starting cholesterol.
Antiplatelet treatment is also essential but there are no specific recommendations for the diabetic person.
As these conditions become more prevalent it is imperative that the right treatment is offered for both primary and secondary prevention in diabetic people, in order to prevent disease and minimize disability.
American Psychological Association (APA)
Hewitt, Jonathan& Castilla-Guerra, Luis& Fernández-Moreno, María del Carmen& Sierra-Benito, Cristina. 2012. Diabetes and Stroke Prevention : A Review. Stroke Research and Treatment،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-489376
Modern Language Association (MLA)
Hewitt, Jonathan…[et al.]. Diabetes and Stroke Prevention : A Review. Stroke Research and Treatment No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-489376
American Medical Association (AMA)
Hewitt, Jonathan& Castilla-Guerra, Luis& Fernández-Moreno, María del Carmen& Sierra-Benito, Cristina. Diabetes and Stroke Prevention : A Review. Stroke Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-489376
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489376