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November is Diabetes Awareness Month

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Diabetes is a growing health crisis in North America as an estimated 29 million Americans and 3.4 million Canadians are currently living with the disease. Chances are it affects you or someone you know. November has been dedicated as a time to spread awareness about the disease, its risk factors and the effects it has on your body, your daily life and the lives of your loved ones.

Diabetes and Your Eyes

Diabetes is a systemic disease that causes fluctuations in glucose (blood sugar) levels which can affect blood vessels throughout the body including those in your eyes and visual system. People with diabetes are at higher risk for blindness than the general population, however with regular eye exams and proper care, most of the complications are minor and treatable.

Minor changes in glucose levels could result in complications such as blurred or double vision, floaters or even visual field loss. These conditions are usually quite treatable. Diabetics are also at greater risk for developing eye diseases such as glaucoma (40% increase risk) and cataracts (60% increased risk). With early detection, both of these conditions can be treated and the majority of vision restored.

Diabetic eye disease often has NO noticeable symptoms or pain, so comprehensive eye exams that include dilating the pupils are essential to detect signs of diabetes. Online vision assessments will not detect diabetic eye disease.

The condition that is the most concerning risk of diabetes is called diabetic retinopathy which can lead to blindness if not diagnosed and treated.

What You Need to Know About Diabetic Retinopathy

Diabetic retinopathy occurs when the tiny blood vessels or capillaries in the back of the eye develop weakened vessel walls. If not treated, the vessels leak fluid and become blocked. This can progress to hemorrhages in the retina, and over time the eye does not receive enough oxygen and nutrients. As a result, new fine blood vessels start to grow. These proliferating vessels leak and can cause further bleeding, scarring and potentially lead to blindness. A special zone in the central retina called the macula is especially susceptible to diabetes. Diabetic macular edema (when fluid seeps into the macula) can cause permanent vision loss if not promptly detected.

There are treatments for stopping the progression of the disease such as laser therapy or intraocular injections, although once damage to vision has occurred, it is often permanent. This is why the condition must be diagnosed and treated early on.

All diabetics should have a regular comprehensive eye exam to catch any early signs of diabetic retinopathy or other vision threatening conditions. Because risk factors vary, speak to your eye doctor about how often you should have an exam. Risk factors for diabetic retinopathy include:

  • Length of time living with diabetes
  • Uncontrolled blood sugar levels
  • High blood pressure
  • Smoking
  • Alcohol consumption
  • Pregnancy
  • Genetics

Although blindness from diabetes is preventable it is still a leading cause of blindness among working-age adults. If you or someone you know has the disease, make sure that proper eye care is a priority.

In an effort to further protect our patients and staff, we are taking the following precautions at our office:

When you arrive in the office for your appointment:

  1. The door will remain locked and open only for patients that have been initially screened
  2. Careful Screening:  All persons entering the office will be screened for symptoms of COVID-19 by 1) being asked a series of screening questions and 2) their temperature will be taken before entering the office.  If the patient's temperature is greater or equal to 100.4 degrees F (38 degrees C), that person will be denied entrance and asked to see their primary care physician.
  3. No additional family, friends, etc will be allowed to accompany the patient into the office
    1. *Exception: children and others requiring assistance - 1 single parent or accompanied guardian allowed
  4. We ask that you please wear cloth or medical MASKS when entering our office. A mask will be required for entry through the door.
  5.  We will be implementing a *$50 “No Show Fee”* for no shows or cancellations if we are not notified at least 24 hours prior to your scheduled appointment.

Safety and Sanitization Precautions:

Frame Selections, Adjustments, Repairs and Dispensing:

 

Although there may be some changes to your normal visit to our office, we assure you that we are doing our best to follow all CDC, California Department of Public Health, California Optometric Association and local public health guidelines to keep our patients, staff and community safe without compromising our standard of excellence and quality during this time.

We ask that you all are mindful of the following precautions. We are all in this together. We look forward to SEEing you all soon!

Aloha Family Optometric Team