Diabetes and stroke: Part one - Risk factors and pathophysiology

被引:22
作者
Baliga B.S. [1 ]
Weinberger J. [1 ]
机构
[1] Division of Endocrinology and Metabolism, North General Hospital, New York, NY 10031
关键词
Metabolic Syndrome; Ischemic Stroke; Hyperglycemia; Hemorrhagic Stroke; Nondiabetic Subject;
D O I
10.1007/s11886-006-0006-1
中图分类号
学科分类号
摘要
Diabetes is a major risk factor for stroke and is associated with an increase in overall stroke mortality. The metabolic syndrome associated with insulin resistance is also a significant risk factor for stroke. The etiology of stroke in diabetics is frequently microvascular disease from fibrinoid necrosis, which causes small subcortical infarcts designated as lacunar strokes. Diabetics also have an increased incidence of large vessel intracranial vascular disease. Although strict control of blood sugar has not been shown to reduce the overall incidence of stroke in diabetics, careful management of other associated risk factors, particularly hypercholesterolemia and hypertension, are imperative for the prevention of stroke in diabetic patients. Copyright © 2006 by Current Science Inc.
引用
收藏
页码:23 / 28
页数:5
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