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Diabetic Retinopathy
According to the National Institute of Health, diabetic retinopathy is a leading cause of blindness and the most common diabetic eye disease among adults in the United States. See below for related articles on the diagnosis, treatment and prevention of diabetic retinopathy.
CME Article: Visual Loss in the Elderly?Part I: Chronic Visual Loss: What to Recognize and When to Refer
Part I: Chronic Visual Loss: What to Recognize and When to Refer CME Article: Visual Loss in the Elderly? Diabetic Retinopathy Diabetic retinopathy is the fourth most common cause of visual loss in the elderly.37-41 Both type 1 and type 2 diabetes may produce diabetic retinopathy, and the incidence of diabetic retinopathy increases with the duration of systemic disease. Routine visual screening is recommended for older patients, and geriatricians should be aware of the four major causes of ...
Featured Content from Clinical Geriatrics
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Common Visual Problems: Symptoms and Treatment, Part II
Our increasing elderly population suffers from very common age-related eye diseases and potential loss of vision. Part I of this two-part article examined the effect of age and disease on vision and overall vision function, as well as the symptoms and current effective treatments of cataracts and glaucoma, two of the most common disorders affecting the elderly. Part II will discuss macular degeneration and diabetic retinopathy, both common conditions for which effective sight-saving therapies are now available, dependent upon early and accurate diagnosis. Dry eye disease, also remarkably common but underappreciated and underdiagnosed, has substantial impact on vision and quality of life, and will also be reviewed in this section. (Annals of Long-Term Care: Clinical Care and Aging 2005;13[9]:41-46)
Featured Content from Annals of Long-Term Care
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Blindness and Visual Impairment in African-American Elderly: Causes, Consequences, and Management
Blindness and Visual Impairment in African-American Elderly: Causes, Consequences, and Management Blindness and Visual Impairment in African-American Elderly: Causes, Consequences, and Management Richard S. Baker, M.D., Glenville A. March, Jr., M.D., and Cabrini T. Scott, M.D. Classification of Visual Status For our purposes herein, visual status is classified into three categories: blindness, visual impairment, ? contrast sensitivity, reduced stereo acuity, and worse visual fields secondary...
Featured Content from Clinical Geriatrics
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Recent Diabetes Abstracts From Medical Literature For the Geriatric Practitioner
Recent Diabetes Abstracts From Medical Literature For the Geriatric Practitioner Recent Diabetes Abstracts From Medical Literature For the Geriatric Practitioner Smoking and Diabetes in Chinese Men Objective: To establish evidence as to whether smoking increases the incidence of diabetes. Using logistic regression analysis (stepwise forward) with age, BMI, alcohol, smoking, and family history of diabetes as independent variables to predict the risk of having diabetes, age and BMI are ...
Featured Content from Clinical Geriatrics
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Visual Impairment
Visual Impairment Visual Impairment By Brenda K. Keller, M.D., and Gary S Rubin, Ph.D Aging is associated with an increasing prevalence of visual impairment. Depth perception, which relies on the performance of both eyes, worsens after age 75. The leading causes for visual impairment in elderly persons who have proper optical refraction are cataracts (38%), age-related macular degeneration (14.2%), diabetic retinopathy (6.6%), glaucoma (4.7%), and other retinal disorders (7.3%). Early ...
Featured Content from Clinical Geriatrics
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Editorial Viewpoint
s Clinical Geriatrics, as part of a continuing series on health issues of minority elderly, Baker and colleagues review the epidemiology, natural history, and management of the primary causes of visual impairment in African-American elderly. Moreover, blindness and visual impairment occur substantially more often at every age group in African Americans in comparison with whites. In addition, because diabetes mellitus occurs more commonly in African Americans (and Hispanics) compared with ...
Featured Content from Clinical Geriatrics
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Common Visual Problems: Symptoms and Treatment, Part I
Our increasing elderly population suffers from very common age-related eye diseases and potential loss of vision. Part I of this two-part article examines the effect of age and disease on vision and overall vision function. Part I also discusses the symptoms and current effective treatments of cataracts and glaucoma, two of the most common disorders affecting the elderly. Part II will discuss macular degeneration and diabetic retinopathy, both common conditions for which effective sight-saving therapies are now available, dependent upon early and accurate diagnosis. Dry eye disease, also remarkably common but underappreciated and underdiagnosed, has substantial impact on vision and quality of life, and will be reviewed in Part II. (Annals of Long-Term Care: Clinical Care and Aging 2005;13 [8]:17-22)
Featured Content from Annals of Long-Term Care
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Management and Treatment of Renal Impairment in Elderly Patients with Diabetes
Management and Treatment of Renal Impairment in Elderly Patients with Diabetes Management and Treatment of Renal Impairment in Elderly Patients with Diabetes Catherine S. Vinen, MRCP, and Hugh S. Cairns, MD, FRCP Click here to download full article in PDF From the Renal Unit, King? 30 Renal function in patients with diabetes can also deteriorate rapidly due to urinary tract infection or obstruction, both of which must be excluded or treated in the patient with diabetes. Prescribing Drugs in ...
Featured Content from Clinical Geriatrics
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Health News
Food choices that persons with diabetes make are very important in order to keep blood glucose levels in good control. For persons with type 2 diabetes, several goals should be kept in mind: good control of blood glucose levels, better blood fat levels, more normal blood pressure, and the maintenance of a healthy weight. DIABETES MONITORING Glucose Monitoring Methods and Medications Continuous Glucose Monitoring System The Continuous Glucose Monitoring System (CGMS), a product of MiniMed, ...
Featured Content from Clinical Geriatrics
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Management of Diabetes Mellitus in the Nursing Home
Diabetes mellitus (DM) is common in older adults and frequently affects residents of nursing homes (NH). Most have complex health status owing to comorbid illness, frailty, and the presence of geriatric syndromes. This complexity increases the risk of adverse events related to treatment. As a result, management of DM in the NH setting requires supreme clinical judgment that balances an understanding of the effects of comorbidity, functional disability, and geriatric syndromes with the resident?s healthcare preferences and estimated life expectancy. Developing goals of care and implementing treatment plans requires knowledge of the balance of potential benefits and burdens of certain treatments, including lifestyle modification and pharmacotherapy. Prevention of macrovascular complications through intensive blood pressure and lipid management is achievable in a much shorter time period than the prevention of microvascular complications through intensive glycemic control. Furthermore, it is often necessary and important to address geriatric syndromes, which may significantly impact the resident?s quality of life. (Annals of Long-Term Care: Clinical Care and Aging 2007;15[5]:27-33)
Featured Content from Annals of Long-Term Care
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