Throughout the world, stroke is a main cause of death and disability. There are many modifiable risk factors for stroke, which include high blood pressure, smoking, sedentary lifestyle and diabetes.
Diabetes is a common chronic disease, which means having too much blood sugar.
High blood sugar levels can cause: –
1. Blood vessels harden
2. Atherosclerosis, or the accumulation of fatty deposits
Diabetes comes in two main forms:
- The body cannot manufacture insulin if one has habitual althehet diabetes begins in childhood, it can also attack adults. Approximately 8% or diabetics are affected.
- If one has type 2 diabetes, body cells do not respond to insulin or body cannot produce enough. It affects about 90% of diabetics and is mainly an adult disease.
People with diabetes are 1.5 to 2 times more likely to have a stroke than those without the disease. In addition, patients with strokes with non -controlled glucose levels are prone to hemorrhagic and ischemic blows; They have worse results after the stroke and a high mortality rate. These dangers can vary according to sex, since women have a higher risk than men. The risk of recurrent stroke, and the results of the stroke can be improved with cleaning or diabetes and other vascular risk factors can be reduced.
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The symptoms of the stroke associated with diabetes are identical to those of any other stroke:
- Speech problems
- Stilling, instability or difficulty walking.
- Abrupt and severe headache
- Double vision or vision problems.
- One side of the body, such as an arm, a leg or one side of the face, can be weak or numb.
To avoid strokes, modifiable risk factors should be handled with pharmacological or surgical procedures, as well as lifestyle modifications.
What can you do?
- Control your diabetes to reduce your risk of stroke: Be sure to do everything possible to stay healthy, verify frequently and see your doctor.
- HBA1C test: less than 7%: This test shows its average blood glucose levels in the last three months. It is recruited that the test is administered two to four times.
- Blood pressure: For most diabetics, blood pressure must be below 140/90 mm Hg. It is common for people with diabetes to also have hypertension, which is another preventable risk factor for stroke. It has been shown that blood pressure control (BP) is beneficial to prevent stroke both in diabetics and non -diabetics. However, it is still debatable if the strictest BP control can help more to cardiovascular diabetics.
- According to cholesterol treatment guidelines, those with diabetes between the ages of 40 and 75 whose LDL-C levels are between 70 and 189 mg/dl in case of a moderate intensity statin. To decide if a statin is recommended, your doctor must evaluate your total risk of cardiovascular disease, regardless of your age and, consequently, process.
- Weight control, the reduction of total fat intake, the intake of saturated fats partularly, increased fiber intake and increased physical activity are lifestyle modifications that can reduce the incidence of diabetes in high -risk individuals. However, intensive lifestyle interventions that are directed only to weight loss do not reduce cardiovascular disease (ECV) in people with overweight or obesity with diabetes II.
The incidence of stroke and morbidity have been related to acute and chronic hyperglycemia; However, severe glucose reduction has not demonstrated the leg to prevent macrovascular events such as stroke. Without etc., it has shown that a multifactorial strategy to control blood pressure, cholesterol and glucose, in addition to the use of statins, inhibitors of the renin-angiotensin and aspirin system (if necessary), the can of the microvascular. It was also shown that this multimodal approach points to the incident of incidents and a recurrent stroke. Separated from the multifactorial approach, additional data has arisen that certain glucose reducing mediations, such as the pioglitazone and the agonist of the peptide-1 receptor similar to glucagon [GLP-1 RAs]It can lesson of the risk of stroke.
! Any medication should only be tasks as prescribed by a doctor; Self -administer is not recommended!
A significant modifiable risk factor for stroke, sentence of ischemic stroke, is diabetes. Diabetes management through all previous forms can make significant change. Early detection and timely intervention are crucial to reduce the possibilities of stroke, as well as other complications related to diabetes.
