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A big scare after the eye clinic
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<blockquote data-quote="Type2_2000" data-source="post: 403461" data-attributes="member: 67922"><p>Hi Zombiegirl. </p><p></p><p>I can't really add to the advice you've already had but I just wanted to say that I really can relate to how you feel as I'm in a similar situation. </p><p></p><p>At my last screening I was found to have had some haemorrhages and some evidence of leakage (called Hard Exudates). I was told to tighten up on diabetic control and did so - I went from a HBa1c of 88 in March to 48 in June! I was quite anxious about this as its quite rapid and went back to both my eye clinic and Diabetes Consultant last month. Both told me that whilst a rapid reduction can temporarily make things worse, it is generally Diabetics who have had very poor or no control for a long time and who suddenly improve control very quickly e.g. T1's who go on to pumps and normalise their BG in a few weeks having had Hba1c above say 100. Stable figures are better than very low ones and in the short-term good blood pressure and Cholestorol control will be most beneficial (this is all stuff that's been mentioned already). Also if retinopathy does get worse as the result of rapid lowering that doesn't mean that it will necessarily get worse to the point that you need treatment. Having said that a gradual lowering is a good precaution and hypos in themselves can't be a nice experience. I'm not suggesting that rapid lowering isn't a risk but that it is possible it might not happen. </p><p></p><p>I would definitely go back to see your specialists. In my case my eye specialist was irritated to be seeing me again so soon as there was no worsening (I took this irritation to be a good sign!). However my Diabetes Consultant was really nice and took the time to talk me though the report from my eye clinic and also address my concerns. </p><p></p><p>I wish you all the very best.</p><p></p><p></p><p></p><p></p><p></p><p></p><p>Sent from the <a href="http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig" target="_blank">Diabetes Forum App</a></p></blockquote><p></p>
[QUOTE="Type2_2000, post: 403461, member: 67922"] Hi Zombiegirl. I can't really add to the advice you've already had but I just wanted to say that I really can relate to how you feel as I'm in a similar situation. At my last screening I was found to have had some haemorrhages and some evidence of leakage (called Hard Exudates). I was told to tighten up on diabetic control and did so - I went from a HBa1c of 88 in March to 48 in June! I was quite anxious about this as its quite rapid and went back to both my eye clinic and Diabetes Consultant last month. Both told me that whilst a rapid reduction can temporarily make things worse, it is generally Diabetics who have had very poor or no control for a long time and who suddenly improve control very quickly e.g. T1's who go on to pumps and normalise their BG in a few weeks having had Hba1c above say 100. Stable figures are better than very low ones and in the short-term good blood pressure and Cholestorol control will be most beneficial (this is all stuff that's been mentioned already). Also if retinopathy does get worse as the result of rapid lowering that doesn't mean that it will necessarily get worse to the point that you need treatment. Having said that a gradual lowering is a good precaution and hypos in themselves can't be a nice experience. I'm not suggesting that rapid lowering isn't a risk but that it is possible it might not happen. I would definitely go back to see your specialists. In my case my eye specialist was irritated to be seeing me again so soon as there was no worsening (I took this irritation to be a good sign!). However my Diabetes Consultant was really nice and took the time to talk me though the report from my eye clinic and also address my concerns. I wish you all the very best. Sent from the [url=http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig]Diabetes Forum App[/url] [/QUOTE]
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