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Diabetes Management
Diabetes Complications
Retinopathy & Maculopathy following fast reduction of HbA1c
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<blockquote data-quote="Dark Horse" data-source="post: 1891907" data-attributes="member: 52527"><p>Don't panic yet - screening is quite sensitive and it's not unusual for changes to be picked up at a level where no treatment is required, just 'watchful waiting'. If you've been referred to ophthalmology (rather than to the surveillance arm of the eye screening) you will need further tests. Depending on the results of these you might be discharged straight back to eye screening, you might be re-tested at intervals in the ophthalmology department or you might be offered treatment. Try not to worry about treatment before you know whether any is needed. If any treatment is offered, explain about the autism and talk over your fears with the ophthalmologist - they may be able to offer you additional help to cope with the procedure. Once again, try not to worry too much at this stage - just enough to make sure you attend all your eye appointments and carry on with keeping good control.</p><p></p><p>Although a rapid improvement in diabetic control is thought to 'worsen' retinopathy in the short-term, it is beneficial in the long-term and no-one really knows the 'correct' rate at which HbA1c should be lowered.</p></blockquote><p></p>
[QUOTE="Dark Horse, post: 1891907, member: 52527"] Don't panic yet - screening is quite sensitive and it's not unusual for changes to be picked up at a level where no treatment is required, just 'watchful waiting'. If you've been referred to ophthalmology (rather than to the surveillance arm of the eye screening) you will need further tests. Depending on the results of these you might be discharged straight back to eye screening, you might be re-tested at intervals in the ophthalmology department or you might be offered treatment. Try not to worry about treatment before you know whether any is needed. If any treatment is offered, explain about the autism and talk over your fears with the ophthalmologist - they may be able to offer you additional help to cope with the procedure. Once again, try not to worry too much at this stage - just enough to make sure you attend all your eye appointments and carry on with keeping good control. Although a rapid improvement in diabetic control is thought to 'worsen' retinopathy in the short-term, it is beneficial in the long-term and no-one really knows the 'correct' rate at which HbA1c should be lowered. [/QUOTE]
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