The risk for stroke increases with age, smoking, heavy alcohol use, diabetes and hypertension, is more in males than females. While you cannot modify the risk based on your age or gender, you can take certain precautions to reduce the risk for stroke. 1) Keep a watch on your blood pressure and blood sugar levels (have your hypertension and diabetes in check) 2) Have physical activity as per your physician s advice. Based on your general health and your heart condition, he will prescribe you an exercise regimen. 3) Eat a healthy diet rich in fruits and vegetables and low in oil and fat. 4) Have mental activity - like solving the crossword, other puzzles, or reading books which will help you to avoid the other consequence of lacunar infarcts i.e. dementia (memory loss and cognitive decline). You may still consult your neurologist especially because your giddiness could be related to the small infarcts in certain brain areas. You will be prescribed medications that can bring relief of symptoms even though they may not reverse the infarcts that have already occurred.