Dr. David Greenman of Greenman Eye Associates discusses the relationship between diabetes and eye health.
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Question: What is the relationship between diabetes and eye health? Dr. David Greenman: With diabetes there is high blood sugar floating at this high sugar floating around in the blood. This is the same sugar that you put in your coffee it's floating around it's unable to be processed and they can be bought into cells in working down or as toward to this energy and so -- damages preference your blood vessels. The step that we can see related to the diabetes in the yes we can see glaucoma, which is painless loss so for poor vision to damage to the optic nerve this is that cable that release the signal from the eye ball to the brain. In a cataract formation which is covering the lens of the eye this is just like the lens of a camera and then you have a diabetic retinopathy, which is actual damage to the blood vessels in the retina the redness is like the film in the camera that allows us to see. Question: How prevalent are diabetes-related eye complications? Dr. David Greenman: Diabetes is a leading cause of blindness in United States between the ages of 25 and 74 approximately 20 million Americans having this disease. What therapy spokes to know you can know that they have diabetes. By the year 20-25 approximately 35% of the population is expected to have diabetes. Question: Are diabetes eye complications avoidable? Dr. David Greenman: You are not always going to have eye problems if you take, if you look at those cause in diabetic I study in over and they fall diabetes and was causing over 20 years, they found that for type 1 diabetes 90% of those had some diabetic retinopathy. In type 2 diabetics 60% of those had some diabetic retinopathy. So over all you serves over the long run there may be some diabetic changes in the eyes, but the thing what diabetes is to try to have good control of the blood sugar and then also the blood pressure in the cholesterol the diet exercise and medication usage to prevent these changes to the eyes to minimize them. Diabetes and eye health: Advice to the patients. Dr. David Greenman: Good control of the blood sugars and then all these vitreous factors that the cholesterol, the diet exercise blood pressure and the medication usage we can prevent these changes and that's what I want to tell patients make sure you are going for really high exams and make sure they have a good dilating the exam have their eyes check out I mean try and get the hemoglobin and once you that blood sugar for a three month period under control try to get around seven if they can.