Stroke, diabetes, . . . and other stories

Stroke in people with type 2 diabetesIn Denmark, time trends of ischaemic stroke in people with type 2 diabetes are showing a striking decline. Between 1996 and 2015, the incidence of stroke dropped by around 50%. The fall coincided with an increase in the use of prophylactic cardiovascular medications, especially statins (where the prevalence of use increased from 5% to 50%) and multiple antihypertensive drugs (where the prevalence of use increased from 18% to 33%) (Diabetes Care doi:10.2337/dc22-0440).Antibiotic prophylaxis before dental proceduresCurrent UK guidelines advise against routine antibiotic prophylaxis for people with structural cardiac defects before invasive dental procedures (https://www.nice.org.uk/guidance/cg64). However, a case crossover study from the US reports a strong temporal association between infective endocarditis and dental procedures in the preceding four weeks among people at high risk. The risk was greatest for extractions and oral surgical procedures (J Am Coll Cardiol doi:10.1016/j.jacc.2022.06.030).How to get a baby to sleepAn…
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