Most patients with diabetes and hypertension should be treated to a blood pressure of < 140/90 mm Hg; individuals at high risk for stroke may have lower targets, such as < 130/80 mm Hg. Studies have reported that a lower blood pressure for high-risk individuals reduced the risk for stroke, retinopathy, and albuminuria.
Long-term intensive glycemic control has not been shown to improve cerebrovascular outcomes in patients with type 2 diabetes. Systolic blood pressure may be a stronger risk factor for cerebrovascular disease in patients with type 2 diabetes than glycemic control.
According to the American Diabetes Association, statin therapy is recommended for all patients with type 2 diabetes between the ages 40 and 75 years. Higher-intensity statins and a longer duration of statin therapy may reduce the risk for atherosclerotic events, including stroke.
Thirty minutes or more of moderate-intensity daily physical activity is recommended for the primary prevention of stroke in patients with diabetes.
Learn more about type 2 diabetes.
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Cite this: Romesh Khardori. Fast Five Quiz: Type 2 Diabetes and Cerebrovascular Disease - Medscape - Apr 27, 2022.