Basic Considerations for Prevention of Blindness in Diabetes Care and Education Prof. Morsi Arab Emeritus Professor of Medicine University of Alexandria Age Group 10 20 30 40 50 60
PowerPoint Slideshow about 'Age Group 10 20 30 40 50 60' - oshin
An Image/Link below is provided (as is) to download presentation
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Significant Observations in DR1- DR takes a long time to become manifest. During this time it is asymptomatic 2- DR. may not be arrested after establishment of normoglycaemia ( bec. glycated subs. can continue to bind to proteins after …) 3- However , glycaemic control at earlystages is effective in controlling progression of DR ( DCCT)
Prevalence of DR in relation to GlycaemiaThe DCCT ( type 1)intensified Rx reduced progression of DR by 76% in primary preven. cohort 54% in secondary preven. cohort 47% progression to severe NPDR 56% necessity for Laser RxDCCT results show importance of both Duration and Glucose exposure ( hyperglyceamia) for the development of DR
Screening for and follow up of DRin type 1 :screen within 3-5 yrs after diag. ( onset) ( not necessary before age 10 )in type 2 : screen shortly after diagnosis Follow up : - repeat annually if no DR - more frequently if DR is progressing N.B. : In Pregnancy : -- Screen at planning preg. or during first trimest. – Follow up through preg.
Education for Prevention of DR ( basic considerations ) 1- knowledge of the Risk factors 2- control of glycaemic level 3- control hypertension 4- screen + follows up , and early intervention 5- close observation in pregnancy 6- control serum lipids 7- discourage smoking 8- no restriction on aspirin ( if required for cardiac )