Approximately 3% of the population are affected by diabetes. Increases in blood glucose concentration (hyperglycaemia) occur when there is a lack of naturally produced insulin in the body. There are two main types of diabetes, Type 1 (Insulin Dependent) which affects those with damage to certain cells in their pancreas and usually occurs for individuals in their teens. Insulin injections must be administered regularly. Type 2 (Non-Insulin Dependent) diabetics do not necessarily have to inject insulin and often has a later onset (50+ years). It can be controlled through good diet and with the occasional use of tablets.
Any diabetic should have their internal eye health checked annually using pupil dilation in conjunction with retinal camera photography. These images will be archived for future comparison. The diabetic retina characteristically shows a progression of circumstances including different types of “exudates”, “haemorrhages”, “cotton wool spots” and ultimately end-stage retinal detachment. Although, with good blood glucose regulation most diabetics can prevent significant eye damage.
In Leicestershire, the retinal screening programme is organised by your GP. This should be carried out every year. If it has been over 1 year please contact your doctors surgery.
While the partial laser treatment offered (photocoagulation) can be effective, the best means of prevention is accomplished solely through good diabetic respect and frequent eye assessment.