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Diabetic retinopathy, curable?

Diabetic retinopathy, curable?

Treatable!!: Tremendous advances in therapies for this issue, all dictated by extent of changes. Critical you are under care of retinal specialist to counsel you on best treatment protocols. ...Read more

Dr. Robert Chang
1,033 doctors shared insights

Glaucoma (Definition)

A condition that causes damage to your eye's optic nerve and gets worse over time. It's often linked to a buildup of pressure inside your eye. Without treatment, glaucoma can cause total permanent blindness ...Read more


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Is diabetic retinopathy reversible?

No: Diabetic retinopathy may be prevented by good blood sugar control ( HGB A1c of <7.0) and may be treated with laser photo coagulation or anti-vegf( vascular endothelial growth factor) injections if it is detected early enough but although the changes may be stabilized and neovascularization may involute the retinopathy is not reversible. ...Read more

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Insulin resistance? fasting insulin 76pmol/l after 75gOral glucose- 1hr-insulin-849pmol/l . 2 hr-864pmol/l glucose fast 5.4mmol/l 1hr10.4 2hr7.5

Insulin resistance? 
fasting insulin 76pmol/l 
after 75gOral glucose- 
1hr-insulin-849pmol/l . 2 hr-864pmol/l

glucose fast 5.4mmol/l
1hr10.4
2hr7.5

Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, suggesting insulin resistance. Now is the time to start getting your weight under control, proper diet, and physical activity. Talk to your doctor about your particular situation. ...Read more

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Is diabetic retinopathy treatable?

Is diabetic retinopathy treatable?

Yes: Diabetic retinopathy is very treatable with laser, steroids, and a new class of medicines called vegf inhibitors. The specific treatment needed depends on the type and extent of the retinopathy. The most important thing is that early treatment always gives the best results. Diabetics need to be monitored at least every year to evaluate for any retinopathy. ...Read more

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What is diabetic retinopathy?

What is diabetic retinopathy?

Bad: Diabetic retinopathy is caused by blood vessel damage due to high sugar levels. It can cause leakage of fluid from vessels causing swelling. It can also cause the vessels to die leading to the retina not getting enough blood. Both of these can permanently impair vision. The best way to avoid this is control of sugars. Many treatments exist for diabetic retinopathy. ...Read more

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How is diabetic retinopathy diagnosed?

How is diabetic retinopathy diagnosed?

Eye exam.: An eye doctor, usually an ophthalmologist or a specialist in the diseases of the retina, diagnosis diabetic retinopathy through a careful eye exam that includes dilating the pupils. Other tests of the may also be performed using photographs, computer scans (oct), or injecting a dye into a vein in the arm and analyzing the dye's flow through the blodd vessels in the back of the eye (fa). ...Read more

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Does this suggest diabetes? Glucose - 62, Glucose Fasting - 69, Insulin Fasting

Does this suggest diabetes? Glucose - 62, Glucose Fasting - 69, Insulin Fasting

Nope: Those are excellent numbers, even going to a little low. Diabetes is not a concern until your fasting glucose starts going over 100, and it isn't called diabetes until higher than that. A1c would also be much higher (6.5% or above is diabetes, 5.7-6.4% is increased risk, 4-5.6% is normal). Good luck! ...Read more

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How dose amaryl (glimepiride) affect blood sugar, insulin?

How dose amaryl (glimepiride) affect blood sugar, insulin?

Lowers blood sugar: Amaryl (glimepiride) stimulates the pancreas to release insulin, which will cause the blood sugar to fall. This release of Insulin occurs without relation to whether one has eaten, so if one goes a long period without eating, the blood sugar can become abnormally low. ...Read more

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What is a diabetic hyperglycemic hyperosmolar coma?

Dehydration: If you have type 2 diabetes that gets very out of control due to infection, stress, surgery, cortisone or other factors, you can become severely dehydrated as well as have a very high glucose. This can even lead to coma, with an up to 50% morbidity if not treated quickly and effectively with large amounts of IV fluids, a small amount of insulin, control of the original cause and adjustment of elec. ...Read more

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Is Non-Diabetic Hypoglycemia overdiagnosed?

Is Non-Diabetic Hypoglycemia overdiagnosed?

Reactive hypogly. : If you're referring to reactive hypoglycemia, then that to which you refer is fairly common. It's related to the overly brisk response of the pancreas to ingestion of simple sugar. ...Read more

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What is impaired fasting glucose?

What is impaired fasting glucose?

101-125: Between 101 and 125mg/dl when measured by a lab draw out of a vein after an 8-hour fast. This is not for a finger-stick glucose. (ada criteria) check w/your doctor and begin treatment now. ...Read more

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Does elevated intraocular pressure cause retinal detachment?

Does elevated intraocular pressure cause retinal detachment?

No: These are two unrelated conditions. Elevated pressure in the eye can cause permanent blindness, but does not in any way cause the retina to detach. ...Read more

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Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Need C-peptide test: Since exogenous (injected) insulin will show on a blood test, C-peptide should be measured to assess for endogenous insulin. Proinsulin is made by the pancreas, then cleaved into C-peptide & insulin. Exogenous insulin has no C-peptide. ...Read more

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Hb1ac=6,6%(48 mmol).basal glycemia=82mg/dl. Basal insuline=38mUI/mL.Am I diabetic?thanks

Hb1ac=6,6%(48 mmol).basal glycemia=82mg/dl. Basal insuline=38mUI/mL.Am I diabetic?thanks

Yes: A Hba1c above 6.5% is consistent with diabetes. Although your fasting glucose is normal, you likely have high sugars later in the day after eating. You should obtain a glucose monitor and start checking your sugar at different times of the day to see when it is running high. ...Read more

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Amaryl (glimepiride) to control blood sugars?

Amaryl (glimepiride) to control blood sugars?

For type 2 diabetes: Amaryl (glimepiride) is an oral medication which helps the pancreas make more Insulin in patients with type 2 diabetes. ...Read more

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What is diabeta (glyburide)?

What is diabeta (glyburide)?

Diabetes pill.: Diabeta is a brand of the medication glyburide. It is an effective treatment for type 2 diabetes. It is available as generic Glyburide (lower in cost). It may not be the safest of this class, known as sulfonylurea medications, however (concerns about hypoglycemia in patients with kidney disease and heart effects in patients with heart disease). ...Read more

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How's hyperosmolar hyperglycemic nonketotic coma treated?

How's hyperosmolar hyperglycemic nonketotic coma treated?

Insulin and fluid: Insulin and saline are administered intravenously and other medications added depending on the clinical findings and lab tests. ...Read more