Is there a link between diabetes and stroke?
Yes, there is a higher prevalence of stroke with diabetes as all vascular conditions are increased in people with diabetes. The recently published United Kingdom Prospective Diabetes Study specifically looked at diabetes control and stroke and the American Diabetes Association published the following statement about the study and blood pressure:
"The American Diabetes Association believes the evidence is in - and the main 'take home' message of the UKPDS study is clear. People with type 2 diabetes and their health care team should work hard to lower blood glucose levels as close to normal as possible, and, if high blood pressure is present, to lower it as close to normal as possible.
If people with type 2 diabetes aggressively reduce blood glucose, they can see their risk of blindness and kidney failure reduced by 25%. If they also have high blood pressure and they aggressively reduce it, they can see major reductions in their risk of stroke (44%) and heart failure (56%), in addition to the eye and kidney benefits. In other words, it does, indeed, matter if people with type 2 diabetes aggressively treat their blood glucose and blood pressure."
The American Diabetes Association clinical practice recommendations recormmend patients may benefit from taking a regular aspirin a day as a preventive measure for both heart problems and stroke. You may want to discuss this with your physician and certainly work with your doctor to get your blood glucose and blood pressure into good control; that means a blood glucose in the 80-120 range before meals and blood pressure less than 130/85.
Original posting 2 Dec 1998
Posted to Complications
Last Updated: Tuesday April 06, 2010 15:09:00
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