Stroke Incidence Declines Among Swedish Diabetics
Stroke Incidence Declines Among Swedish Diabetics — The incidence of strokes among both diabetics and nondiabetics in Northern Sweden declined between 1985 and 2003. The overall decline in strokes among diabetics may be partly due to more intensive treatment of hypertension, smoking cessation and cholesterol-lowering efforts. More recurrent strokes occurred among diabetic than nondiabetic patients, so more intensive secondary prevention for diabetic patients is needed. Comment: It is difficult to extrapolate studies in small relatively homogenous countries with universal health care to the U.S. Such studies need replicating in more heterogeneous groups first. Further the tactics use are well known in the U.S. but the US population does not respond to national direction in the same way. .