Secondary stroke prevention can reduce the risk of recurrent stroke by 90%. Special primary care units enhance the prospect of secondary prevention in diabetics. To assess the contribution of our diabetes- lipid unit to the secondary stroke prevention in diabetics with a first-ever ischemic stroke two years after the event. All the patients included in the survey (N=65) were under medical supervision in our diabetes- lipid unit every three months for at least two years. 35 diabetic men and 30 diabetic women who suffered a first-ever ischemic stroke were included in the survey. Patients with AF, CAD, HF(NYHA>2) and smokers were excluded. BMI, HBA1c, LDL and TG were always tested and interventions were made accordingly. Finally, we checked who of these patients had a second event in a two-year period after the first one.Among the diabetic men, 82.9% had high LDL, 51.4% had high TG and only 14.2% had a normal BMI. After two years of therapy 71.4% achieved the LDL goal, 94.2% the TG goal, 40% had desirable HBA1c, yet 22.9% increased their BMI. Among the diabetic women, 90% had high LDL, 30% had high TG and only 6.7% had a normal BMI. After two years of therapy 60% achieved the LDL goal, 100% the TG goal, 73.3% had desirable HBA1c, yet 16.7% increased their BMI. After two years of therapy  at our Special diabetes-lipid primary care unit only 5/35 men and 4/30 women had  had a second cerebral ischemic event.Special diabetes-lipid primary care units contribute to the close monitoring of risk factors and therefore avoidance of recurrent stroke