Sleeplessness, stroke, . . . and other stories

Insomnia and strokeThe Health and Retirement Study, a survey of Americans older than 50, finds that self-reported symptoms of insomnia carry an increased risk of stroke. Among more than 30 000 participants, the risk of stroke over nine years’ follow-up was 50% higher in those with the highest insomnia scores compared with those who said that they slept well. People who slept poorly were more likely to have diabetes, hypertension, heart disease, and depression, which explained a substantial part of the increase in stroke risk (Neurology doi:10.1212/WNL.0000000000207449).Complications of diabetes in homeless peopleHomeless people are often in poor health and several studies have shown that their mortality is shockingly high (BMJ Open doi:10.1136/bmjopen-2018-023010). So the findings of an analysis of administrative health data from Ontario, Canada, which reveals that homeless people with diabetes have higher rates of macrovascular complications, admission to hospital, and infections of the skin and soft tissue than…
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