Good afternoon. Just a quick reminder that we've got an online catch up at 6pm. You can join through the calendar section in the app. Hope to see you there!

Hi, a couple of years after my stroke a friend told me to gargle. He seemed to know what he was talking about and I now gargle with mouthwash every day. Apart from improved dental hygiene I wonder if it has done any good? My thought is it can’t have done any harm and I am training the muscles in my throat?

Chronic stress is a major cause of stroke and is one of the 10 factors identified by the INTERSTROKE study that cause 90% of strokes. However, most people have no way to catch rising stress. We usually spot it when it's too late. So today's tip: Once a day ask yourself: “Am I reacting more than I’m responding?” If yes → use 30 seconds of slow breathing or a short walk. It’s a simple cue that interrupts stress-driven cortisol surges. Then use the headspace you've bought to do something constructive that will meaningfully reduce your stress going forward. Tackle the underlying cause of your stress.

Morning all I’m really struggling at the moment controlling my Hbac1. I’ve always found it a challenge but I’ve managed to keep it pretty low. Now it’s consistently high. Especially after lunch. Any tips?

Hi. I'm talking at the UK Stroke Forum tomorrow and Wednesday. One of the talks will be on the environment and stroke. In preparing the talk I learned that in the UK there is a 7% difference in stroke rate between those living in the 10% most air polluted areas Vs those in the 10% least polluted. So my tip for today is to avoid air pollution. Try to exercise and socialise away from busy roads and avoid smoggy areas if you can. I know it's maybe hard to do if you live somewhere polluted, but well worth at least being aware of.