Question:
From Brooklyn, New York, USA:
My wife is 28 years old and has Type 1 diabetes since she was 5. She was
very lax in her control of her blood sugars, not checking for many years.
The only thing she was good about was seeing a retina specialist yearly. She
never had any problems with her eyes.
Just recently, her lax ways caught up with her and she had to go to the hospital with ketoacidosis. Luckily,
she came through it okay, but now she was scared. She started taking better
care of herself and she brought her high blood sugars down and is getting
better control. But in her last checkup with the retina specialist, she had
a problem with leakage and required laser treatment in both eyes. Six weeks
later, the problem was still there and another laser treatment was done.
We just read that someone under no control, with high blood sugars, who
gets themselves under control quickly, will do so to the detriment of their
eyes! Is there a basis in fact for this? If so, please give us your take on
this problem. My wife is very anxious about this problem and we would greatly appreciate your
thoughts on this matter.
Answer:
Several studies now have shown that a radical improvement in blood sugar
control can temporarily cause worsening, or the new development of, eye
problems. In the long run, however, radical improvement in blood sugar
control seems to decrease the risk of further eye disease.
I would advise working closely with an endocrinologist to maximize her
blood sugar control and continue to see the eye doctor frequently.
TGL
Original posting 18 Jan 97