本文３８例糖尿病性脑血管病患者，多发生于血糖控制不佳，糖尿病史较长的中老年患者，合并症多，病情复杂，除做好饮食护理、预防感染外，使用降压药后要严密观察，预防直立性低血压，及时监测血糖、尿糖，防止低血糖反应，避免加重脑组织损伤。 38 cases of diabetic patients with cerebrovascular disease, mostly in poor blood glucose control, diabetes, a long history of older patients with more complications, the condition is complicated, in addition to good diet and prevent infection, the use of antihypertensive drugs to Close observation and prevention of orthostatic hypotension, timely monitoring of blood glucose, urine sugar, to prevent hypoglycemic reactions, to avoid aggravating brain damage.