Potentially. However, most diabetic retinopathy occurs after several years of high blood sugar, particularly in combination with high blood pressure. Studies show that individuals are less likely to have severe vision loss from diabetic retinopathy if the hemoglobin A1c is less than 7.0.
Yes. It is possible but less likely than someone with markedly high blood sugars.
Blood sugar. Eliminate all refined carbohydrates (white sugar, white flour, white rice). Eliminate all fruit juices. Consume only complex carbohydrates, but not more than 30% of your total daily food consumption. Check your vit. D3 levels as low levels often increase blood sugar. As well, adrenal stress hormones also raise sugar levels. Stress control and regular exercise also help.
Lifestyle. Diet, exercise, and adherence to your doctor's recommendations and medication schedule. I suggest a support group since it's a tough disease to keep up with but it's extremely common even in your age group. Don't give up - long term.
Endocrinologist. Talk to your primary care doctor for possibly a referral to an endocrinologist. If blood sugar control is very difficult or sugar levels are unsteady, you may be a candidate for an Insulin pump. This will depend on a lot of factors. Your doctor may need to adjust your medications.
Does diabetic retinopathy halt its progress when you are healthy and your blood sugars and such are at normal levels?
Retinopathy is. Always a potential problem in anyone with prediabetes, diabetes or just Insulin resistance. To decrease your risk, keep as lean and active as possible, keep bp, lipids and glucose as close to normal as possible, and follow-up with your doctors on a regular basis. Exact results are impossible to predict, but prevention is a lot better than worry.
Yes. Keeping blood sugar under control will mostly help preventing retinopathy (eyes) and neuropathy (nerve) and also nephropathy (kidney).
Slows it down. Tight control of blood sugar slows down progression of diabetic retinopathy, but does not always stop it. To further slow retinopathy, keep your blood pressure under control and exercise. Try to reduce stress in your life if possible. Retinopathy can occur in prediabetes, controlled diabetes, or uncontrolled diabetes, but there is much you can do to help yourself.
Probably yes. From the clinical stand point you should and could only benefit by seeing a specialist however depending on your primary doctor's practice style and the type of diabetes that you have it may not be necessary. Type 1 diabetics and type 2 with poor control would benefit the most. The fact that you have retinopathy speaks for poor control over the preceeding 5 years.
Obligatory. I hope that eye problems are not your primary issue and that your diabetes has been managed in the past. You need to have a retinal specialist evaluate and treat your retinopathy. He can refer you to a diabetic specialist as the outcomes will be better in the long run if the diabetes is brought under good control.
You should. Endocrinologists are trained for years specifically to take care of people with disorders like diabetes. Managing blood sugar becomes more complicated when there's already eye disease so it's important that you consult with the right specialist. Additionally, many patients with diabetic retinopathy may also have kidney disease as well which an endocrinologist will address as well as other issues.
Is diabetic retinopathy likely to occur in a pre-diabetic of age 20? If I get my blood sugars back to normal will I have to worry about blindness?
Retinopathy is. Always a potential problem in anyone with prediabetes, diabetes or just Insulin resistance. To decrease your risk, keep as lean and active as possible, keep bp, lipids and glucose as close to normal as possible, and follow-up with your doctors on a regular basis. Prevention is a lot better than worry.
No. Diabetic retinopathy is usually not developed in pre-diabetics. Once you have established diabetes and are treated for it, if the blood sugar is well controlled it takes 10-15 years before onset of retinopathy or even longer. Poor control of hga1c brings on diabetic retinopathy at an accelerated rate. Have your eyes examined every 9 months.
Yes. Given your young age and possible early diabetes, you are high risk of developing diabetic eye disease during your lifetime. Work with your doctor to gain control over your body and this will lessen, but not eliminate, the risk of getting diabetic eye disease.
Can someone with just a slightly high blood sugar level (not diabetes) develop diabetic retinopathy?
Yes. High blood sugar over a period of years will cause diabetic retinopathy. The line between high blood sugar and diabetes can be fuzzy. Anytime sometime is diagnosed as prediabetic, it is important to get yearly dilated eye exams from an ophthalmologist. Often diabetic eye disease can be assymptomatic in its early stages but most easily treated then.
Maybe? The sugar level varies throughout the day, so what is slightly high? If you're asking can borderline diabetics develop dr, certainly, but it may take a lot longer than for someone who does have diabetes.
Diabetic retinopathy. The course of diabetic retinopathy (dr) varies from person to person and is dependent on how long they have their diabetes and how well controlled it is. How do you know you are not diabetic? Is your hb a 1c normal, or elevated? Dr is dependent on two things, glucose and hbp control. Looking at the figure, you can see that BP control reduces dr better than glucose control. Speak to your physician.
Typically no. If you are sure you do not have diabetes, you should not develop diabetic retinopathy. However, it is a good idea to have an ophthalmologist give you a baseline eye exam to ensure that the eye is indeed healthy.
Unlikely.. Usually, we would look for other causes. Sometimes anemia and other conditions can lead to a hemorrhage in the eye. On occasion, especially with another ischemic process such as high blood pressure, we can see changes in the retina that may be identical to some seen in diabetic retinopathy.
Is “pre-diabetes” a risk factor for diabetic retinopathy? My doctor said I have “pre-diabetes, ” that is my blood sugar is high but not high enough to be called diabetes. I'm working to lower it, but I'm worried if I can't I might also get diabetic retino
Your. Your concern is understandable. There is not a clear answer to your question. Some people even at diagnosis of diabetes have some retinopathy with sugars that are not that high. But in general, the higher your a1c (sugar average) the higher your risk of retinopathy. So work to prevent diabetes from happening by losing about 10 pounds and staying physically active. Keep your a1c below 6 % if possible but definitely less than 6.5. As to what drugs you might use, see my blog post below.
Yes!! About 10-15 % of newly diagnosed patients with diabetes, already have diabetic complications eye, kidney, nerve disease.
Yes.. You must aggressively change your lifestyle. Mobile Health games can help. Physicians recommend water, increased veggie intake and walking 10k steps a day. Changing your behavior is HARD! Here is a health game that will help! Commit to tracking your nutrition and weighing in weekly. Losing just 10 pounds can reverse diabetic state. Https://itunes. Apple. Com/us/app/personal-medicine+/id846379884? m.
Yes. The diabetes prevention program (dpp- please look at their website for information) has shown that proper diet and exercise (5-7% weight loss, 30 min of moderate activity 5 days per week) can prevent progression from pre-diabetes to diabetes. This is the best stage to get motivated and start working on your diet and exercise regimen.
Sticks to the walls. Microangiopathy is what you describe and it is proportional to your blood sugar contol over time. High glucose will stick to proteins on the cell layer of small blood vessels and basement membranes causing a change in permeability with leakage into tissues of larger proteins and disruption of flow causing other vessels to grow and bleed. Proliferative retinopathy and diabetic glomerulopathy result.
See below. Uncontrolled hyperglycemia causes nonenymatic glycosylation (glycation) of proteins found in blood vessel walls (pericytes and endothelial cell) that cause these blood vessels to leak and bleed, leading to organ damage.