Diabetic eye

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December 19, 2023

 

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So said the sign on a hanging bridge over a river in Central America. Sadly, most Americans are overweight, and many are obese. 

Diabetes and Eye Disease.

Overweight and obese Americans are at risk for or already have diabetes because of the high sugar content in their blood. Diabetes can significantly affect eye health, leading to several eye diseases.

Diabetic Retinopathy.

The most common eye condition associated with diabetes is diabetic retinopathy. This condition occurs when high blood sugar levels damage the blood vessels in the retina, the light-sensitive layer of cells at the back of the eye.

In its early stages, diabetic retinopathy may cause blood vessels in the eye to enlarge in certain spots (microaneurysms), become blocked, or leak fluid and blood into the retina. As the condition progresses, it can lead to the growth of weak, new blood vessels in the eye, which are prone to bleeding. In severe cases, this can result in scarring on the retina and other parts of the eye, potentially leading to vision loss or blindness​​​.

Diabetes also increases the risk of developing other eye problems like glaucoma and cataracts. People with diabetes are about twice as likely to develop these conditions compared to those without diabetes.

If You’re Overweight, Get Your Eyes Checked.

Diabetes and eye health

Managing diabetes is the key to preventing or slowing the progression of diabetic retinopathy and other eye problems. This includes controlling blood sugar levels, blood pressure, and cholesterol, quitting smoking, and maintaining a healthy lifestyle with regular exercise​​​.

A significant portion of the U.S. adult population is at risk of developing diabetes.

In 2019, about 96 million American adults aged 18 years or older, which is more than 1 in 3, had prediabetes. This condition is characterized by blood glucose levels that are higher than normal but not high enough to be classified as diabetes. Prediabetes is particularly concerning because it increases the risk of developing type 2 diabetes.

The Increase in Obesity and Type 2 Diabetes.

From 2019 to 2023, there has been a notable trend in the United States regarding obesity and its impact on diabetes. The prevalence of obesity has been consistently linked to an increased risk of developing Type 2 diabetes. This trend underscores the urgency for healthier lifestyles to mitigate the risk of diabetes and other related health conditions.

Reducing and controlling blood sugar levels to lower the risk of diabetes primarily involves lifestyle modifications. Here are some key strategies:

  1. Healthy Diet: Adopt a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit intake of processed foods and sugary beverages. Portion control is also necessary.
  2. Regular Physical Activity: Aim for at least 150 minutes per week of moderate activity, such as brisk walking, swimming, or cycling,
  3. Weight Management: Losing weight can impact blood sugar levels. Even a modest weight loss can reduce the risk of developing Type 2 diabetes.
  4. Monitor Blood Sugar Levels: Understand how different foods, activities, and other factors affect blood sugar levels.
  5. Manage Stress: Stress can affect blood sugar levels. Techniques such as mindfulness, yoga, and meditation can help manage stress.
  6. Adequate Sleep: Aim for 7-9 hours of quality sleep per night.
  7. Avoid Smoking and Limit Alcohol: Smoking increases the risk of diabetes, and excessive alcohol can affect blood sugar levels.
  8. Regular Health Check-ups, including eye exams: Regular exams can catch any early signs of prediabetes or diabetes.

Regular eye exams are essential for people with diabetes.

For those with type 1 diabetes, annual eye exams should start within five years of diagnosis. Those with type 2 diabetes should begin eye exams immediately after diagnosis. Pregnant women with diabetes should have an eye exam before pregnancy or within the first three months and may need more frequent exams during pregnancy and until one year after delivery​.

In summary, diabetes can lead to serious eye diseases, but early detection through regular eye exams and proper diabetes management can greatly reduce the risk of severe vision problems.

Are You in One of These Three High-Risk Groups?

As we continue to navigate our health in an ever-changing world, it’s crucial to understand the importance of regular eye exams, especially for certain groups who are at a heightened risk of eye diseases related to diabetes. At Van’s Eyecare in Loveland, Colorado, Dr. Kenneth Van Amerongen emphasizes the necessity of comprehensive eye exams for the following specific groups:

diabetes and eye health

  1. Individuals of All Ages Who Are Overweight and at Risk for Prediabetes: Being overweight is a significant risk factor for prediabetes, a condition that precedes the development of type 2 diabetes. Prediabetes can often go undetected as it doesn’t always present with obvious symptoms. However, an eye exam can play a critical role in early detection. Dr. Van Amerongen’s comprehensive eye exams are designed to catch any early signs of prediabetes or diabetes, enabling timely intervention and management.
  2. Women Who Are Pregnant or Have Recently Been Pregnant: Pregnancy can bring about various changes in the body, including the eyes. Conditions such as gestational diabetes can develop during pregnancy, posing risks to both the mother and baby. Regular eye exams during and after pregnancy can monitor these changes and ensure both the mother’s and the baby’s ocular health.
  3. Individuals with Diabetes Who Have Not Had an Eye Exam in the Past Year: For those living with diabetes, regular eye exams are critical. Diabetes can lead to conditions like diabetic retinopathy, which is the most common cause of vision impairment and blindness in working-age adults. Early detection and treatment are necessary to prevent serious eye and vision problems.

Dr. Van Amerongen’s comprehensive eye exams include essential tests such as:

  • Tonometry: This test measures the fluid pressure inside your eyes, helping detect glaucoma, a common condition in diabetic patients.
  • Slit Lamp Exam: This exam checks the structures inside your eyes for any signs of eye disease.
  • Retinal Imaging: Using a Confocal Scanning Ophthalmoscope, this advanced technology gives Dr. Van a detailed view of the blood vessels in the back of your eyes, which is crucial for spotting signs of diabetic retinopathy.

Be Proactive. Schedule That Exam Now!

By scheduling a comprehensive eye exam at Van’s Eyecare, you’re not just ensuring your vision health; you’re taking a proactive step in managing your overall well-being. Early detection of eye conditions related to diabetes can prevent more harmful complications.

Don’t neglect the health of your eyes, especially if you fall into one of the three groups above.

Contact Van’s Eyecare today to schedule your comprehensive eye exam with Dr. Kenneth Van Amerongen and stay ahead in your eye health journey.

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