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Yes it can lead to a stroke if untreated as well as other illnesses.
Diagnosis is through testing. Treatment is by replacing or augmenting the insufficient or absent hormones. Addison's disease patients will need this treatment for the rest of their lives and can lead normal ones, as long as they are given proper treatment for their deficiency.
Dogs with diagnosed and treated Diabetes but undiagnosed/untreated Addison's disease may have reduced insulin needs. Please refer to the site below and also Yahoo has a Addisons dogs group

The Adrenal gland: cortisol or cortisone is produced by the outer, or cortex area.
Addison's disease, also known as hypoadrenocorticism, is a chronic condition in which the adrenal glands produce insufficient cortisol. It is the opposite of Cushing's disease.
The adrenal glands produce two types of hormones; we're most familiar with the glucocortoid ones, such as cortisone. Cortisol and other hormonal levels rise during anger or fear, stress or injury. The term "getting one's adrenalin going" in response to these situations applies to the natural response a healthy body has to them. Those with faulty adrenal glands don't produce enough cortisol to allow the body to respond properly.
The other adrenal hormones, known as mineralcorticoids, are what keeps the system in balance regarding proper amounts of salt, potassium, and water in the body. Imbalances of these keys to life can have grave consequences also.
As in diabetes, the problem is not enough--not enough of the hormones the adrenal glands produce necessary for proper bodily function. Also like diabetes, Addison's is an endocrine disease, and its sufferers are at risk of developing neuropathy.
This disease can be controlled go to the above link, it is not a death sentence to your pet .

Please join one of the Canine addisons group, they will have alot of answers for you, this is an illness that is sensitive to answers, an Addisons Dog group will help alot.
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Q: When a dog is diagnosed with Addisions disease can it lead to a stroke risk?
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