• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Why reduce your BS?

SouthernGeneral6512 wrote
If you have diabetic retinopathy then what's the point?

http://medweb.bham.ac.uk/easdec/rapidprogression.html
Click to expand...


"In Manchester 2011 Prof Harding recommended that patients whose HbA1c was very high eg 11% , with very active retinopathy, bring their level down by 1% each year. But this seems far too slow to me....the slow reduction will help the eyes, but NOT PREVENT THE OTHER DIABETIC COMPLICATIONS." (emphasis mine)(from same report)

The report concerns only four cases. All T1 poorly controlled.
Seems to suggest some halting/slowing of retinopathy versus complications.
That's a personal choice.

Geoff
 
SouthernGeneral6512 said:
If you have diabetic retinopathy then what's the point?

http://medweb.bham.ac.uk/easdec/rapidprogression.html



Slightly strange comment?

3.there is probably no such rebound effect if someone stops smoking, only benefit. Similarly, there is only benefit if blood pressure and cholesterol are reduced"

http://medweb.bham.ac.uk/easdec/retinop ... ession.htm
Click to expand...


In your shoes SG I would discuss your concerns with your opthamologist who will hopefully advise you.
 
librarising said:
SouthernGeneral6512 wrote
If you have diabetic retinopathy then what's the point?

http://medweb.bham.ac.uk/easdec/rapidprogression.html
Click to expand...


"In Manchester 2011 Prof Harding recommended that patients whose HbA1c was very high eg 11% , with very active retinopathy, bring their level down by 1% each year. But this seems far too slow to me....the slow reduction will help the eyes, but NOT PREVENT THE OTHER DIABETIC COMPLICATIONS." (emphasis mine)(from same report)

The report concerns only four cases. All T1 poorly controlled.Seems to suggest some halting/slowing of retinopathy versus complications.
That's a personal choice.

Geoff
Click to expand...
In one of the links this comes up ...

CONCLUSIONS/INTERPRETATION:
After initiation of insulin treatment in Type 2 diabetes, clinically significant worsening of retinopathy over a 3-year period was uncommon in those with no retinopathy (2.6%) but occurred in 31.8% of patients with any retinopathy at baseline. The risk of serious worsening of retinopathy after insulin therapy is started in all patients with Type 2 diabetes may have been previously overestimated.

... so is the problem at least to some extent to do with insulin since the 4 patients in his own research are T1?

http://www.ncbi.nlm.nih.gov/pubmed/1530 ... t=Abstract
 
Back
Top