糖尿病伴发脑血管病变的发生率不断上升,并已成为糖尿病患者的主要死亡原因之一。据报导国外糖尿病人比非糖尿病人其心血管及脑血管病发生率要高2～3倍以上,死亡率也高。日本报告糖尿病人并发脑卒中死亡率为25.7～41.6%,心肌梗塞死亡率为15～36%。由此可见糖尿病是脑卒中的主要危险因素。因此,研究和讨论糖尿病与脑血管病的关系,从而寻求可能减轻、延缓或防止糖尿病人脑血管病发病的较有效措施,极为迫切需要。 The incidence of diabetes mellitus with cerebrovascular disease is on the rise and has become one of the leading causes of death in people with diabetes. It is reported that foreign patients with diabetes than non-diabetic patients with cardiovascular and cerebrovascular disease incidence of 2 to 3 times higher mortality rate is also high. Japan reported a mortality rate of 25.7% to 41.6% in stroke patients and a myocardial infarction rate of 15% to 36%. This shows that diabetes is a major risk factor for stroke. Therefore, it is imperative to study and discuss the relationship between diabetes and cerebrovascular disease so as to seek more effective measures that may reduce, delay or prevent the onset of cerebrovascular disease in diabetic patients.