Mixed
Aggregation of modifiable risk factors (hypertension, overweight/obesity, dyslipidemia, smoking) significantly increases the prevalence of stroke in middle-aged and elderly Chinese patients with type 2 diabetes.
If you have Type 2 Diabetes, managing your blood sugar is not enough to prevent stroke. You must aggressively manage your blood pressure, maintain a healthy weight, control cholesterol, and avoid smoking. The risk of stroke multiplies as you accumulate these risk factors.
After adjustment for age and gender, the odds ratio values of stroke in subjects having 1, 2 or 3 of 4 risk factors, including smoking, overweight or obesity, hypertension and dyslipidemia, were 2.302... 4.089... 6.023... compared with subjects without any of the above 4 risk factors.
Why this rating
Large sample size (4,629 subjects) and statistical significance, though reliance on self-reported stroke history introduces potential information bias.
Source
Prevalence of stroke and metabolic disorders in the middle-aged and elderly Chinese with type 2 diabetes
Zhang Xuebing et al. · Chinese Medical Journal · 2014
DOI 10.3760/cma.j.issn.0366-6999.20141018
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