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Type 1 Diabetes
New partner is type 1 diabetic, need advice
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<blockquote data-quote="Dark Horse" data-source="post: 1679345" data-attributes="member: 52527"><p>Here's some facts about diabetic retinopathy and sight-loss:- </p><p></p><p>Regarding incidence of sight-threatening retinopathy due to diabetic retinopathy, in 2015-2016 in England less than 3% of people screened that year required referral to ophthalmology. There they can be given treatment, if needed, to prevent sight-loss.</p><p></p><ul> <li data-xf-list-type="ul">3,083,401 people were known to have diabetes<br /> <br /> </li> <li data-xf-list-type="ul">2,590,082 were offered eye screening<br /> <br /> </li> <li data-xf-list-type="ul">2, 144,007 actually had eye screening<br /> <br /> </li> <li data-xf-list-type="ul">0.35% were referred urgently to ophthalmology<br /> <br /> </li> <li data-xf-list-type="ul">2.45% were referred routinely to ophthalmology<br /> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429356/" target="_blank">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429356/</a></li> </ul><p></p><p></p><p>Regarding incidence of sight-loss due to diabetic retinopathy, in Wales less than 0.1% of people with diabetes received certification for sight-loss in 2015.</p><p></p><ul> <li data-xf-list-type="ul">0.047% of people with diabetes received new certification of sight impairment (a fall of 43% since 2007)<br /> <br /> </li> <li data-xf-list-type="ul">0.016% of people with diabetes received new certification of severe sight impairment (a fall of 49% since 2007)<br /> <a href="http://bmjopen.bmj.com/content/7/7/e015024" target="_blank">http://bmjopen.bmj.com/content/7/7/e015024</a></li> </ul><p>(Rates are likely to be similar for England and Wales.)</p><p></p><p>Regarding the effect of blood glucose on retinopathy, good control reduces risk:-</p><p></p><ul> <li data-xf-list-type="ul">if diabetes is controlled (HbA1c less than about 53mmol/ l or 7% ) retinopathy may never develop, or develop very slowly<br /> <br /> </li> <li data-xf-list-type="ul">if using insulin, good control is harder to achieve but if HbA1c is 53mmol/ l (7%), retinopathy develops at a much slower rate than someone whose level is 75mmol/ l (9.0%) .<br /> <a href="http://www.diabeticretinopathy.org.uk/prevention/hba1c_and_retinopathy.htm" target="_blank">http://www.diabeticretinopathy.org.uk/prevention/hba1c_and_retinopathy.htm</a></li> </ul></blockquote><p></p>
[QUOTE="Dark Horse, post: 1679345, member: 52527"] Here's some facts about diabetic retinopathy and sight-loss:- Regarding incidence of sight-threatening retinopathy due to diabetic retinopathy, in 2015-2016 in England less than 3% of people screened that year required referral to ophthalmology. There they can be given treatment, if needed, to prevent sight-loss. [LIST] [*]3,083,401 people were known to have diabetes [*]2,590,082 were offered eye screening [*]2, 144,007 actually had eye screening [*]0.35% were referred urgently to ophthalmology [*]2.45% were referred routinely to ophthalmology [URL]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429356/[/URL] [/LIST] Regarding incidence of sight-loss due to diabetic retinopathy, in Wales less than 0.1% of people with diabetes received certification for sight-loss in 2015. [LIST] [*]0.047% of people with diabetes received new certification of sight impairment (a fall of 43% since 2007) [*]0.016% of people with diabetes received new certification of severe sight impairment (a fall of 49% since 2007) [URL]http://bmjopen.bmj.com/content/7/7/e015024[/URL] [/LIST] (Rates are likely to be similar for England and Wales.) Regarding the effect of blood glucose on retinopathy, good control reduces risk:- [LIST] [*]if diabetes is controlled (HbA1c less than about 53mmol/ l or 7% ) retinopathy may never develop, or develop very slowly [*]if using insulin, good control is harder to achieve but if HbA1c is 53mmol/ l (7%), retinopathy develops at a much slower rate than someone whose level is 75mmol/ l (9.0%) . [URL]http://www.diabeticretinopathy.org.uk/prevention/hba1c_and_retinopathy.htm[/URL] [/LIST] [/QUOTE]
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