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A 30-year-old member asked:

Can diabetes cause chronic microvascular ischemic change in brain?

2 doctor answers5 doctors weighed in
Dr. Bennett Machanic
Neurology 53 years experience
Unfortunately YES: Diabetes is one of many causes of accelerated cerebral artery and arteriole constriction due to atherosclerosis. Other causes include aging, hypertension, high lipids, elevated homocysteine, and perhaps vasculitis or arteritis. In some cases, antiphospholipid antibody syndrome may be a culprit. These lesions may warn of future stroke.
Dr. Georgianne Snowden
35 years experience
Yes: It along with hypertension (high blood pressure) are the most common causes of chronic microvascular changes.

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