The newsLINK Group - Diabetic Eye Disease

Editorial Library Category: Health Topics: Diabetes, Eye Disease Title: Diabetic Eye Disease Author: newsLINK Staff Synopsis: People with diabetes are at a greater risk than the general population for eye problems that can lead to blindness. Just how bad are the odds? Editorial: Diabetic Eye Disease 4064 South Highland Drive, Millcreek, Utah 84124 │ thenewslinkgroup.com │ (v) 801.676.9722 │ (tf) 855.747.4003 │ (f) 801.742.5803 Editorial Library | © The newsLINK Group LLC 2 Scheduling regular monthly visits to a health team that consists of a doctor, a nurse educator, a behavioral therapist, and a dietician. Testing blood glucose levels a minimum of four times every day. Using an insulin pump or injecting insulin at least three times a day. Adjusting the size of insulin doses to reflect exercise and dietary choices each day. At the same time, intensive management is not suitable for all patients. The study did not include children, people who had already suffered severe complications, people who had problems with hypoglycemia, or those whose life expectancy was short. Sometimes the effort, risk, and expense do not outweigh the benefits. The most significant side effect that patients who were in the trial experienced while managing blood glucose at an intensive level was an increased risk for hypoglycemia. Some of the episodes that occurred were severe enough that the patient needed help from someone else. If someone already has problems with hypoglycemia, therefore, intensive management might not be a good idea. The obvious question is whether these results apply to those patients with type 2 diabetes. A study called the United Kingdom Prospective Diabetes Study suggests that it does, since patients in that study experienced reduced risk for diabetic eye disease and kidney disease. Another study that focused on people with type 2 diabetes is the Action to Control Cardiovascular Risk in Diabetes (ACCORD). This particular study followed 10,000 patients and had an emphasis on those with high risk for cardiovascular disease, not diabetic eye disease. In addition to controlling blood glucose, there are at least two other important actions that can help your patients who have diabetes: Controlling high blood pressure. Not smoking or (for those who do smoke) quitting. If patients experience warning signs in between their annual checkups, it is important that they contact you so that you can evaluate the seriousness of what they are experiencing. That means you need to teach them the critical warning signs, which are as follows: Blurry vision Difficulty reading signs or books Double vision Pain in one or both eyes Persistent eye redness Eye pressure that the patient can feel Spots or floaters The perception that straight lines are actually curved Reduced peripheral vision Being diabetic is a hard thing. If you can help your diabetic patients to preserve their eyesight, that is a worthwhile goal. Sources: http://www.diabetes.org/living-with- diabetes/complications/eye-complications/ http://www.diabetes.org/living-with- diabetes/complications/eye-complications/eye-care.html http://diabetes.niddk.nih.gov/dm/pubs/control/ Word Count: 986 Copyscape Clear Date: 12.15.2014

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