Diabetes
If you have Diabetes, you probably know that your body cannot use or store sugar properly. When your blood sugar gets too high, it can damage the blood vessels in your eyes. This damage leads to Diabetic eye disease called Diabetic Retinopathy and can only be detected in a dilated eye examination. Between 40-45% of all diabetics have some stage of Diabetic eye disease. The American Diabetic Association guidelines state a Diabetic should have a dilated eye examination annually (or more often if needed). Below is information that will help you achieve the best eye health possible:
When you come for an eye examination, what should you be prepared to tell the doctor about your blood sugar status?
• Length of time you have been a Diabetic
• When did you last see your Diabetic provider?
• What is your most current A1C level and when was it performed?
• What was your last BS stick?
• What medications are you taking now for BS? Have the medicines or dosages changed?
Why do I need to know my A1C level?
Your A1C level is your Diabetic report card and tells you how well your Diabetes is controlled. An A1C test is a blood test ordered by your PCP.
How do I know if my A1C level is too high?
An A1C level of 7 or above is a positive indication that you might be developing Diabetic damage in your eyes, kidneys and feet.
What type of damage occurs when my sugar is not controlled?
The most common is bleeding in the back of the eye (retina) which may produce permanent sight loss. This is known as Diabetic Retinopathy.
How can I prevent this from happening?
Have regular Diabetic eye examinations (at least once a year)
By knowing and monitoring your A1C level - keeping it at 6-6.5
Watch what and how much you eat
Keep your blood pressure and cholesterol under control
Exercise regularly
Regular visits with your primary care physician (PCP)
If I develop Diabetic Retinopathy, what can be done about it?
In mild cases, adjustment of your medication is needed, closer monitoring and diet with exercise
In severe cases that threaten your vision, you will need referral to a Retinal Specialist for the necessary treatment such as laser surgery or injections in the eye
If you need help in controlling your diet or changing your lifestyle, there are Diabetic classes locally that provide you with menus, support and wonderful ideas to make your Diabetes easier to handle. Ask our clinic or your primary care physician for details!
