Kernan Walter N, Forman Rachel, Inzucchi Silvio E
Yale School of Medicine, New Haven, CT.
Stroke. 2023 Mar;54(3):894-904. doi: 10.1161/STROKEAHA.122.038163. Epub 2022 Dec 21.
Diabetes is a heterogeneous disease that affects 9% of the world's population (11% in the United States). The consequences of diabetes for the brain are severe; it nearly doubles a person's risk of stroke and is a major contributor to risk for cerebral small vessel disease and dementia. These effects on the brain are in addition to peripheral neuropathy, retinopathy, nephropathy, and coronary heart disease. In this article, we explain the treatments that can prevent or mitigate its harmful effects and propose a role for neurologists and other neurology clinicians in managing patients during routine care.
糖尿病是一种异质性疾病,全球9%的人口受其影响(美国为11%)。糖尿病对大脑的影响很严重;它使一个人中风的风险几乎翻倍,并且是导致脑小血管疾病和痴呆风险的主要因素。除了外周神经病变、视网膜病变、肾病和冠心病外,糖尿病还会对大脑产生这些影响。在本文中,我们解释了可以预防或减轻其有害影响的治疗方法,并提出了神经科医生和其他神经科临床医生在日常护理中管理患者方面的作用。