Stroke in diabetes

Abstract

Stroke is still the third cause of death worldwide. has been established that the main risk factors stroke are: age, hypertension, atrial fibrillation, ischaemic heart disease, obesity, lipid disorders and betes. Diabetes not only increases the risk of stroke but also is associated with worse outcome. Factors leading to these process are: chronic and acute perglycaemia,pertension, ischaemic heart disease, obesity, blood agulation disorders, dyslipidaemia and perhomocysteinemia. Although diagnostic and therapeutic advances,stroke in diabetic patients is one of the worse complication and the main cause of disability. It been demonstrated that the risk of stroke in betic is much higher than in nondiabetic subjects because of chronic hyperglycemia, hyperinsulinism and frequent coexistence with diabetes other sorders i.e. hypertension, coronary heart disease, dyslipidaemia and obesity. It has also been proved that thigh metabolic control and first of all reduction of blood pressure and administration of antiplatelet drugs can significantly decrease the frequency of stroke in diabetes.