Stroke Patterns in Diabetes

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Questions and Answers

Which type of strokes are individuals with uncontrolled diabetes at risk for?

  • Transient ischemic attacks
  • Both ischemic and hemorrhagic strokes (correct)
  • Ischemic strokes
  • Hemorrhagic strokes

What are some specific clinical patterns of ischemic stroke in individuals with diabetes?

  • Visual disturbances and confusion
  • Limb weakness and dysarthria (correct)
  • Memory loss and dizziness
  • Headache and nausea

According to the Diabetes Control and Complications Trial (DCCT) and the Epidemiology of Diabetes Interventions and Complications (EDIC) study, how much did intensive diabetes therapy (INT) reduce aggregate cardiovascular disease (CVD) risk?

  • 25%
  • 42% (correct)
  • 57%
  • 12%

In the Diabetes Control and Complications Trial (DCCT) and the Epidemiology of Diabetes Interventions and Complications (EDIC) study, how much did intensive diabetes therapy (INT) reduce major CVD events (MI, stroke and CVD deaths)?

<p>57% (B)</p> Signup and view all the answers

In the Lausanne Stroke Registry, what was the relative prevalence of subcortical infarction in patients with diabetes compared to intracerebral hemorrhage (ICH)?

<p>Higher relative prevalence of subcortical infarction (A)</p> Signup and view all the answers

What was the p-value for the reduction in aggregate CVD risk due to intensive diabetes therapy (INT) in the Diabetes Control and Complications Trial (DCCT) and the Epidemiology of Diabetes Interventions and Complications (EDIC) study?

<p>0.016 (D)</p> Signup and view all the answers

Which group had the highest annual event rate (vascular death, MI, stroke or rehospitalization for ischemia or bleeding) in the CAPRIL trial?

<p>All groups had similar event rates (D)</p> Signup and view all the answers

What was the risk of bleeding in the clopidogrel group in the CAPRIL trial?

<p>1.5% (D)</p> Signup and view all the answers

Did clopidogrel demonstrate a stroke prevention benefit in individuals without diabetes in the CAPRIL trial?

<p>No (C)</p> Signup and view all the answers

Which study showed a 44% risk reduction in strokes with tight blood pressure control in individuals with diabetes?

<p>The United Kingdom Prospective Diabetes Study (B)</p> Signup and view all the answers

What was the recommended blood pressure goal for patients with diabetes and chronic kidney disease according to the National High Blood Pressure Education Program?

<p>&lt; 130/80 mm Hg (C)</p> Signup and view all the answers

Which study showed that targeting SBP < 120 mm Hg reduced the risk of any strokes and nonfatal strokes in subjects with type 2 diabetes?

<p>The ACCORD study (D)</p> Signup and view all the answers

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