What are the AHA/ASA guidelines for the prevention of stroke in patients with type 2 diabetes mellitus (DM)?

Updated: Oct 23, 2019
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
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Answer

The 2010 American Heart Association/American Stroke Association (AHA/ASA) guidelines for the primary prevention of stroke include the following recommendations for patients with diabetes:

  • Regular blood pressure screening

  • Physical activity; 30 minutes or more of moderate-intensity activity on a daily basis

  • A low-sodium, high-potassium diet to reduce blood pressure; a diet emphasizing consumption of fruits, vegetables, and low-fat dairy products (eg, the Dietary Approaches to Stop Hypertension [DASH] diet) may lower stroke risk

  • A blood pressure goal of less than 130/80 mm Hg

  • Drug therapy with ACE inhibitors or ARBs

  • Statin therapy, especially in patients with other risk factors; monotherapy with fibrates may also be considered to lower stroke risk

The AHA/ASA guidelines note that the benefit of taking aspirin for the reduction of stroke risk has not been fully demonstrated in diabetic patients.


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