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Type 2 Diabetes
Worried by my Retinal Screening Result
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<blockquote data-quote="Dark Horse" data-source="post: 1791843" data-attributes="member: 52527"><p>The theory of 'metabolic memory' says that current retinopathy status is based on past, not current, HbA1c values.</p><p></p><p style="margin-left: 20px"><em>HbA1c 2 to 3 years earlier had the greatest relative risk contribution to current progression of retinopathy. HbA1c up to 5 years earlier made a greater contribution than current values, while values from 8 years earlier still had an important impact. When HbA1c had been at 8% for a long period and was subsequently lowered to 7%, the salutary effects did not begin to appear until 2 to 3 years after lowering.</em></p> <p style="margin-left: 20px"><a href="https://link.springer.com/article/10.1007/s00125-010-1706-z" target="_blank">https://link.springer.com/article/10.1007/s00125-010-1706-z</a></p> <p style="margin-left: 20px"></p><p>Background retinopathy does not affect your eyesight. Just a single microaneurysm will result in a 'background retinopathy' letter and tends to last a few years before it disappears. Thus, even if no new retinopathy occurs, the person continues to get a 'background retinopathy' result. Retinopathy is likely to improve with continued good glycaemic control.</p></blockquote><p></p>
[QUOTE="Dark Horse, post: 1791843, member: 52527"] The theory of 'metabolic memory' says that current retinopathy status is based on past, not current, HbA1c values. [INDENT][I]HbA1c 2 to 3 years earlier had the greatest relative risk contribution to current progression of retinopathy. HbA1c up to 5 years earlier made a greater contribution than current values, while values from 8 years earlier still had an important impact. When HbA1c had been at 8% for a long period and was subsequently lowered to 7%, the salutary effects did not begin to appear until 2 to 3 years after lowering.[/I] [URL]https://link.springer.com/article/10.1007/s00125-010-1706-z[/URL] [/INDENT] Background retinopathy does not affect your eyesight. Just a single microaneurysm will result in a 'background retinopathy' letter and tends to last a few years before it disappears. Thus, even if no new retinopathy occurs, the person continues to get a 'background retinopathy' result. Retinopathy is likely to improve with continued good glycaemic control. [/QUOTE]
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Worried by my Retinal Screening Result
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