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Type 2 diabetes and stroke prevention: reduce your risk

Key takeaways from this article

  • If you’re living with type 2 diabetes, understanding your stroke risk can help you take simple, proactive steps to protect your brain and heart.
  • Stroke often develops quietly over time, but everyday habits - like staying active, eating a balanced diet, and managing your diabetes - can support stroke prevention1.
  • With the right support and a few consistent routines, you can feel more confident in managing your health and preventing diabetes complications.

A stroke can happen suddenly and is a serious condition, but knowing how it happens – and what you can do to reduce your risk – can help you feel more confident and in control1.

Did you know your body’s systems are interconnected? That’s why people with type 2 diabetes are two to four times more likely to experience cardiovascular problems, including stroke2,3. Therefore, if you have type 2 diabetes, it’s important to understand the impact your blood sugar can have on your heart, and how you can manage it4,5. This page offers support, provides helpful information and includes simple steps that can make a real difference to your health.

How are stroke and type 2 diabetes connected?

Uncontrolled blood sugar levels can damage the walls of your blood vessels2. This can lead to a build-up of fatty deposits (called plaques), which narrow the vessels and make it harder for blood to flow2. This process is known as atherosclerosis, and it can increase the chances of blood clots forming2. If a clot blocks blood flow to the brain, it can cause a stroke6. Learn more about how stroke occurs here.

Atherosclerosis can build up over years, often without any symptoms, and strokes can happen without warning6,7. That’s why understanding your risk, and taking steps to prevent stroke, is an important part of your diabetes management. We’ve written more about heart disease risk and type 2 diabetes here.

How can a stroke affect your health?

A stroke can have a wide range of effects, depending on which part of the brain is affected. It may cause8:

  • difficulty with movement or coordination
  • changes in speech, memory or thinking
  • pain or discomfort
  • emotional challenges, such as depression.

For people with diabetes, the risk of long-term complications after a stroke can be higher. This may sound scary, but don’t worry! Many of these risks can be reduced with simple everyday habits.

Daily habits to help prevent stroke

The good news is that small changes can help protect your brain and your heart, and prevent diabetes complications. Follow these tips for managing your blood sugar and reducing your risk of stroke9-12:

stroke
  • Eat a balanced diet that’s low in cholesterol and salt
  • Stop smoking and keep alcohol within recommended limits
  • Stay active – even light movement can help!
  • Drink plenty of water to support healthy blood sugar levels
  • Find ways to manage stress, like walking, breathing exercises or hobbies you enjoy
  • Take your diabetes medication as prescribed and monitor your blood sugar regularly

And remember – you are not alone! Be sure to talk to your healthcare professional – they can help you understand your personal risk and guide you through a plan that feels right for you. With the right support and a few everyday habits, you can take meaningful steps to protect your health and feel your best.

Take a step toward protecting your brain and heart by downloading our conversation guide, to support you in your conversations with your healthcare professional about how to reduce your risk of stroke.

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Learn more about how diabetes impacts your body

Type 2 diabetes and heart disease prevention: what you need to know

Type 2 diabetes and heart disease prevention: what you need to know

When you’re living with type 2 diabetes, your heart health becomes even more important. It’s natural to feel concerned about your risk of heart disease, but understanding the connection can help you feel more confident and in control.

Type 2 diabetes: why blood sugar management matters

Type 2 diabetes: why blood sugar management matters

If you’re living with type 2 diabetes, you’ve probably heard a lot about changes in your blood sugar. But you may have wondered what it really means for your day-to-day health, and why it matters so much.

Tips for monitoring blood sugar levels

Tips for monitoring blood sugar levels

Learn how routine, strict recording methods, accurate readings and being vigilant can help keep track of your blood sugar levels.

Reference
  1.  Stroke Association. Managing risk. Available at: https://www.stroke.org.uk/stroke/manage-risk. Last accessed: August 2025.
  2. Low Wang CC, Hess CN, Hiatt WR, et al. Clinical Update: Cardiovascular Disease in Diabetes Mellitus: Atherosclerotic Cardiovascular Disease and Heart Failure in Type 2 Diabetes Mellitus - Mechanisms, Management, and Clinical Considerations. Circulation. 2016;133:2459-2502.
  3. Committee ADAPP. 10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes—2025. Diabetes Care. 2024;48:S207-S238.
  4. NIDDK. Diabetes, Heart disease & Stroke. Available from: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke. Last accessed: August 2025.
  5. CDC (U.S. Centers for Disease Control and Prevention). Diabetes and Your Heart. Available at: https://www.cdc.gov/diabetes/diabetes-complications/diabetes-and-your-heart.html. Last accessed: August 2025.
  6. Beckman JA, Creager MA, Libby P. Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA. 2002;287:2570–2581.
  7. American Stroke Association. About Stroke. Available at: https://www.stroke.org/en/about-stroke. Last accessed: August 2025.
  8. American Stroke Association. Effects of Stoke. Available at: https://www.stroke.org/en/about-stroke/effects-of-stroke. Last accessed: August 2025.
  9. Drenjančević-Perić I, Jelaković B, Lombard JH, et al. High-salt diet and hypertension: focus on the renin-angiotensin system. Kidney Blood Press Res. 2011;34:1-11.
  10. Mukamal KJ, Chen CM, Rao SR, et al. Alcohol consumption and cardiovascular mortality among U.S. adults, 1987 to 2002. J Am Coll Cardiol. 2010;55:1328-1335.
  11. Venkatasamy VV, Pericherla S, Manthuruthil S, et al. Effect of Physical activity on Insulin Resistance, Inflammation and Oxidative Stress in Diabetes Mellitus. J Clin Diagn Res. 2013;7:1764-1766.
  12. Pan B JX, Jun L, et al. The relationship between smoking and stroke: A meta-analysis. Medicine (Baltimore). 2019.