Alcohol
Elimination or reduction in alcohol consumption in both men and women.
Drugs
Intravenous drug users encouraged to stop
Glycemic control
Aim for HbA1c to be less than 7%. For this, Metformin combined with a glucagon-like peptide-1 agonist (GLP-1 agonist) or a sodium-glucose cotransporter 2 inhibitor (SGLT-2 inhibitor) are recommended.
Hyperlipidemia
Aftern non embolic stroke, prescribe atorvastatin 80 mg per day, if low-density lipoprotein cholesterol level is greater than 100 mg per dL; in high-risk patients, consider adding ezetimibe and proprotein convertase subtilisin/kexin type 9 inhibitor to lower the stroke risk.
Hypertension
Lower blood pressure to less than 130/80 mm Hg
Hypertriglyceridemia
When triglycerides are 135 to 499 mg per dL in patients already taking a moderate- or high-intensity statin, consider adding icosapent ethyl
Nutrition
Mediterranean-style diet, consider reducing sodium to 1 g per day.
Obesity
Encourage weight loss.
Physical activity
Moderate-intersity exercise for 10 minutes four days a week or 20 minutes intense exercise activity two day a week.
Smoking
Encourage to stop use
Stimulants use
Encourage to stop use