[Treatment of stroke in patients with and without diabetes--similarity and differences].
Diabetic patient with the stroke h is the more and more frequent patient of the neurologist. This results from increasing prevalence of the diabetes at keeping morbidity on the stroke. The management with patient in the acute stroke does not deviate considerably from the diagnostics and the therapy of remaining patients. It is proper however to mind about necessaries of the precise monitoring level of blood glucose, intensive insulin therapy and contraindications to using of the thrombolysis at some patients with the diabetes. The primary and secondary prevention of the stroke at patients with the diabetes is based on similar bases. At patient with the diabetes one ought to trend to the optimization of the glycemy, lower values of the hypertension and lipids than in the population without the diabetes. Some data speak too the greater advantage from using clopidogrel vs aspirin in the secondary prevention at patients with the diabetes.
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Samodzielny Publiczny Zakład Opieki Zdrowotnej Działdowo, Oddział Neurologii z Pododdziałem Udarowym. neurologiadz@o2.pl
D001786:Blood Glucose; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D011322:Primary Prevention; D020521:Stroke / Q000097:blood / Q000150:complications* / Q000188:drug therapy*; D016896:Treatment Outcome
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin