As detailed on the slide, diabetes and higher cumulative glucose levels in the blood appear to contribute to greater risk of cognitive decline and dementia in patients after stroke.1-3 This association represents a point of intervention for healthcare professionals, to help patients to preserve cognitive functions after stroke.2
References:
1. Hadley G, Zhang J, Harris-Skillman E, et al. Cognitive decline and diabetes: a systematic review of the neuropathological correlates accounting for cognition at death. J Neurol Neurosurg Psychiatry 2022; 93 (3): 246–253.
2. Levine DA, Chen B, Galecki AT, et al. Associations between vascular risk factor levels and cognitive decline among stroke survivors. JAMA Netw Open 2023; 6 (5): e2313879.
3. Pendlebury ST, Rothwell PM; Oxford Vascular Study. Incidence and prevalence of dementia associated with transient ischaemic attack and stroke: analysis of the population-based Oxford Vascular Study. Lancet Neurol 2019; 18 (3): 248–258.