How is your eyesight?

RussG

Well-Known Member
Messages
401
If that last picture showing the effect of diabetic retinopathy (albeit clearly meant to represent a severe case) isn't enough to make you worry about good control, I don't know what is....
 

Sid Bonkers

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3,976
Type of diabetes
Type 2
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Diet only
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Customer helplines that use recorded menus that promise to put me through to the right person but never do - and being ill. Oh, and did I mention customer helplines :)
Have to agree there, the diabetic retinopaphy looks terrible, hope my background retinopaphy never develops into that :cry:
 

TheSparkyPony

Well-Known Member
Messages
136
A very worrying sight :( They should have this kind of imagery displayed more publicly - in diabetic clinics, doctors surgeries, opticians etc.
Everyone can tell you that bad control can lead to amputations etc but I feel eye damage is low on people's priorities and it really shouldn't be!
 

donnellysdogs

Master
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13,233
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Pump
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People that can't say sorry.
Frightening!!!
 

Unbeliever

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Messages
1,551
Yes indeed it is frightening. What I find even more frightening is that bringing sugars down too quickly can cause it {as happened to me initially} and that achieving better control {as I have recently} can undo all the effects of the treatment.

I certainly don't wish to put anyone off achieving good control but this effect is so common I am surprised GP's and Dsn's are not more aware of it.

I had only background retinopathy when diagnosed but when my bg fell suddenly 18 months later
I suffered a massive bleed. Although the GP was aware of this fall in my levels and i was already atending the hospital for check ups noone seemed to be aware of the possible problems this fall in levels might cause .

I have recently been prescribed januvia , started lowcarbing and increased my exercise. My HBA1c has greatly improved . My macular oedema has reverted to original levels despite two years of treatment by an excellent surgeon.

I don't suppose anything could have been done to prevent this happening to me but I can't help feeling that pressure to reduce BS while of course, extremely important ,should be balanced by
consideration of the problems too hasty reduction of high levels.
 

noblehead

Guru
Retired Moderator
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Serves as a reminder to keep good control of our diabetes! :(

Nigel
 

Anthony88

Member
Messages
6
Diabetic for 16 years and I had some laser treatment last year. The visual damage tends to only be if untreated, so make sure you get your eyes screened atleast once a year.
The actual surgery is really simple. No need to slice off the lens like you'd assume when you hear "laser surgery." Best of all is the pernament reminder to get my bloods under control. Little dark rings on the photos where the laser was fired.
 

Unbeliever

Well-Known Member
Messages
1,551
It isn't possible to say how long the blurring lasts. There are differnt intensities of laser and much depends upon the intensity and just how much neeeds o be done.

When I first had laser treament a few years ago I was given a leaflet which old me the effecs could last in some people for a few months. So I didn;'t worry too much when his happened to me.

Unfortunately , when I wen back I was told the blurring was not a resul of the lasrer as hese effects wear off wihn a few days!

Since then I have had a great deal of laaser reatment and i generally find that it wears off within a day.
I was very pleased on a recen visit for injecions o find that it is now becoming the norm for paients to be offered injections before laser to stop the bleeding. This is far more effective.

I can vouch for that. My original two sessions of laser made matters much worse as here was oo much fluid present . Not ionly did it have no effect on the condition but it left me with a great deal of scarring on the retina,

I know I would probably have been horrified initially if offered injections but i they would have prevented a great deal of trouble later and i might even be OK now.

The thing wih the bg levels and the reinopahy is to try to keeep your bg level - no sudden rises or drops in levels. Both are equally bad . This is one of those areas where you have o be very careful.

My macular oedema seems o have been caused by rosiglitazone causing my bg to drop too sharply .
Then I had the rament above which caused more problems. The consultant opthamologist . who is very good was convinced that all would be well if I reduced my bg levels {which were not dreadful} so I went to see the consultant diabetologist and managed to reduce them , had excellent results , reduced my weight to pre-diagnostic levels, was given medication o stop the "spikes" which were the real problem . All the Drs were delighted. Unfortunately all it did for my eyes was to make the bleeding worse. I understand that it is supposed o take 3 years of good control to impact on retinopathy. I am sure he hypos I experienced in trying to reduce my levels, experimenting with diffferent amounts of exercise etc must have conributerd to my present state,

Unfortunately he surgeons think good control equals cure and assume that the medical people will do their bit. My opthamologist referred me to the diabetic department in the end but although they helped I feel that it was too late. Not that I am blaming him of course, on the contrary i am extremely grateful to him. I just feel that as primary care is so inconsistent there should be some system of auomatically referring patients to a specialist when they develop complications.

I realise that this is unlikely to happen but it could prove o be very cost effective.
 

viviennem

Well-Known Member
Messages
3,140
Type of diabetes
Treatment type
Other
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Football. Bad manners.
I had a real panic last Friday! I've been eating out a bit, more carbs, because of visitors. Mid-Friday afternoon, sudden blurred vision - Help! can retinopathy stirke that quickly?! :shock:

Real guilt over the extra carbs, as you can see :lol:

Then I thought to check my (hard) contact lenses. One had slipped off the cornea - so one eye 20/20, one very short-sighted! Pushed the lens back - hey presto! No more blurs!

Viv 8)
 

lee39

Active Member
Messages
29
ive only had type1 for 3 months and when i was first diagnosed i had terrible blurry vision and then after 6 weeks it got alot better.But now my vision has got worse than it ever was my average bs is about 6.Anyways i got my diabetic eye test on thursday so hope they can tell me whats going on.
lee
 

liklejojo

Well-Known Member
Messages
94
Does anyone find that when your sugars are high your vision is blurred and then when your settled again you can see clearly? I wear glasses anyway but only a low strength so it doesn't affect me loads but I definately know when I'm going or have been high for a bit eek!
 

Unbeliever

Well-Known Member
Messages
1,551
Blurred vision is not the same thing as retinopathy. Blurred vision is a sign that your blood sugar levels are either too high or too low.

The only time I have blurred vision nowadays is after treatment for my retinopathy.

IReinopathy can be symptomless until a very advanced stage. That is why they have retinal screening.
 

liklejojo

Well-Known Member
Messages
94
I always get my eyes screened once a year and also get normal eye exams at my optians. They have picked up mild retinopathy from my yearly screens but it's been the same for the past 3 years - fingers crossed it stays that way, I certainly don't fancy any lasers! :( your brave to have had it done so muc, i'd freak out.
 

Unbeliever

Well-Known Member
Messages
1,551
The only alternative to lasers and injections is unthinkable. There are worse thngs than lasers.

Much depends upon the operator and the extent necessary. Its not painful just strange .

If its only a little it doesn't affect you much. If very intense you might need to lie down when you get home for a while..Not keen on the injections myself . It is even more important that these are done by the "right" people. I had another nasty experience last week.....

It is very important to be able to trust your surgeon .

One thing I can tell you - it is not like the laser treatment you see on he TV for correction of short sight.

I have actually met people who were jealous because they thought I had had treatment on the NHS which they had paid thousands for privately.

The thing with the treatments for retinopathy is that it is all just like putting a plaster on it.
Much better avoided in the first place.

My advice to the unwary would be - to be aware that levels coming down too quickly can cause retinopathy and that if you are offered laser treatment ask if the fluid in the eye needs to be dried up first with injections. if i it isn't not only will laser treatment not work , the retina can be scarred and he condition made worse. This is not a worsee case scenario or a rare side effect but a well known occurrenc.
 

the_anticarb

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liklejojo said:
Does anyone find that when your sugars are high your vision is blurred and then when your settled again you can see clearly? I wear glasses anyway but only a low strength so it doesn't affect me loads but I definately know when I'm going or have been high for a bit eek!


I find my vision can go a bit funny when I'm going hypo. Hard to describe, but a bit fuzzy. I guess because my brain is running on empty so it doesn't have enough fuel to devote to all the brain processes, inc seeing