Factors associated with stroke among patients with type 2 diabetes

A study examined the prevalence of stroke and associated factors of stroke in patients with type 2 diabetes(T2DM) in China. The study participants were over 18,000 T2DM patients in China.
The study found that smoking (OR = 1.60, 95%CI: 1.26-2.03), hypertension (OR = 2.96), dyslipidemia (OR = 2.00), family history of stroke (OR = 2.02), obesity (OR = 1.21) and sleep duration < 6 h/day (OR = 1.44) or > 8 h/day (OR = 1.22 were positively associated with stroke, whereas drinking 1-3 days/week (OR = 0.64) or daily (OR = 0.45), effective exercise (OR = 0.65) and underweight (OR = 0.30) were negatively related to stroke. Researchers found that the risk of stroke increased substantially with accumulation of above seven modified risk factors. The odds ratio values of stroke in patients having ≥ 5 of the above seven risk factors was 14.39.
The authors conclude that the prevalence of stroke was high among T2DM in China. It is of great significance to strengthen comprehensive management of health-related behaviors including smoking cessation, moderate alcohol consumption, effective exercise, 6-8 h of sleep duration, keeping normal weight and the prevention of hypertension and dyslipidemia to have sustained beneficial effects on improvements of stroke risk factors.
Source: He C, Wang W, Chen Q, Shen Z, Pan E, Sun Z, Lou P, Zhang X. Factors associated with stroke among patients with type 2 diabetes mellitus in China: a propensity score matched study. Acta Diabetol. 2021 Nov;58(11):1513-1523.