Author Topic: Visit to the Ophthalmologist.  (Read 383 times)

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Offline Alan

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Visit to the Ophthalmologist.
« on: 04 May 2018, 11:26:33 PM »
I posted this on Facebook yesterday but I should have posted here first. Apologies for that.

Just got back from the Ophthalmologist. Eyes are still a bit dilated and bleary from a very thorough examination. I've been remiss, it was my first visit for three years. Apparently I have some early signs of age-related cataracts (not happy about that :( but there is a price to be paid for three score and ten plus a year) but otherwise my eyes are perfectly healthy. He noted that was unusual for a 16 years post-dx type 2. No retinopathy signs, no macular degeneration, not a hint of glaucoma, no other problems. I'm very happy about that!

The doc chatted about my methods. In the conversation I quoted my sig: there is nothing I could eat I like more than my eyes.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Slow Cooked Beef Brisket)
Born Under a Wandering Star (Surviving Long-haul Flights in Cattle Class)

Offline Pattidevans

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Re: Visit to the Ophthalmologist.
« Reply #1 on: 04 May 2018, 11:38:23 PM »
Whooo hoooo.. way to go Alan!  You really do rock.

Also you did have a touch of retinopathy I believe, so well done on reversing it!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Alan

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Re: Visit to the Ophthalmologist.
« Reply #2 on: 04 May 2018, 11:47:52 PM »
Whooo hoooo.. way to go Alan!  You really do rock.

Also you did have a touch of retinopathy I believe, so well done on reversing it!

Thanks Patti. Some years ago (2006) he discovered scarring from past healed retinopathy. By 2015 those had faded; yesterday he could not find the scar.

He noted that was rare. A comment by Richard Vaughn (a long term T1) on my FB post mentioned he had a similar experience. So it is possible to reverse some complications if good blood glucose control is maintained over time.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Slow Cooked Beef Brisket)
Born Under a Wandering Star (Surviving Long-haul Flights in Cattle Class)

Offline Pattidevans

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Re: Visit to the Ophthalmologist.
« Reply #3 on: 04 May 2018, 11:56:48 PM »
Which is an example to all of us!

Bit worried as I have not had the usual summons yet this year .... normally early May!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Blueduck

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Re: Visit to the Ophthalmologist.
« Reply #4 on: 06 May 2018, 07:22:42 AM »
That’s really fantastic Alan😄
Cheryl

Spelling is not everything!
Humalog and  Lantus. 4 metformin a day
Diagnosed T2 2010 Now find I am T1 2017

Offline Liam

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Re: Visit to the Ophthalmologist.
« Reply #5 on: 06 May 2018, 08:13:34 PM »
Always good to hear our members are doing well and hard work paying off. Well done Alan.

I also feel that posts like this can give hope to others which is always a good thing.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline sedge

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Re: Visit to the Ophthalmologist.
« Reply #6 on: 07 May 2018, 11:37:46 AM »
Richard 157 was correct Alan - cos I've had it happen too!

Had a thing that looked like a little knot on one of the veins in my left eye for years (since the mid 90s) then in 2010 12 months after getting my first pump, I also had one in my right eye.  12 months later they'd both disappeared and not been seen since.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Dr DeEath

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Re: Visit to the Ophthalmologist.
« Reply #7 on: 08 May 2018, 01:45:24 PM »
An excellent result. Through my previous association with a support group I have known people suffer severe loss of vision after a decade or so of Type II. Partially I blame GPs who tell them they have "mild diabetes" or " touch of diabetes" which make them not take it as seriously as they should. Eyes are strange as I have only had minor changes of no real significance until the retinal bleed last year - so things can change fast. Still wonder if my annual review had not been postponed so much if it would have been caught earlier and less lasering involved?*!

I had cataracts done years ago. A bit of a strange sensation but a "walk in the park" compared to many things!
T1 for over 50 years.  MDI on Porcine insulin.  Lisinopril and Atorvastatin.

Offline BBarb

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Re: Visit to the Ophthalmologist.
« Reply #8 on: 12 May 2018, 09:49:41 AM »
I am chief cook and bottle-washer for a type 2 who refuses to take things seriously.  He has been prescribed metformin but has never (as far as I know) been given an eye exam.
I wonder why not.
Its me, the non diabetic, who's had all the trouble - both cataracts removed, lazer treatment to remove fogging afterwards, retinal vein blockage, ocular injections and now the start of AMD.  So pleas everyone, do make sure you go for eye appointments, its doubly important for you and your sight is soooooo precious!

Offline Pattidevans

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Re: Visit to the Ophthalmologist.
« Reply #9 on: 12 May 2018, 10:28:12 AM »
Barb


Thank you for the warning.  However, your husband should have an annual eye check.  He should get a letter and usually attend a special clinic to have the ocular photography done.  If he is not getting this check you need to speak to your Dr’s surgery.  It’s one of the most important diabetic checks along with the foot check that should be done annually.


Sorry to hear of your own bad luck with your eyes.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline nytquill17

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Re: Visit to the Ophthalmologist.
« Reply #10 on: 13 May 2018, 01:40:56 AM »
BBarb, I'm so sorry to hear of all your troubles with your eyes.

The thing with diabetic eye damage is that generally by the time you have any symptoms of anything wrong in your vision, it's quite late in the game, maybe even too late to save the vision in that eye. Things are much more treatable and much easier to treat if they are caught early, but they won't be caught early without regular screening. I say this more for your husband than for you, if he's waiting until he "feels sick" to see the doctor (i.e. until something is noticeably wrong) -- he WILL NOT have any symptoms of problems in his eye until the damage is already done. You don't get blurry vision or fog or pain or headaches or anything that suggests that you should maybe get to the doctor, until you suddenly have a bleed in your eye or a (possibly permanent) black spot in your vision (here's a nice simulation of what it looks like https://youtu.be/PqrdnGoYLEc ) If he wants to catch problems at the stages at which those problems are treatable, he needs to attend regular eye screenings - and not assume that if his doctor hasn't brought it up, it isn't important.

It's standard practice with diabetes to have your eyes checked every year with a retinal photograph or slit exam or both (with or without dilating drops - usually with though!). In the UK I believe this is part of the NICE standard of care for diabetic patients, so if he's not getting referred for an eye check once a year it's definitely the doctor's office that is falling down on the job!
T1 DX 1995
Levemir + Novorapid
 
  ~-~-~-~
"If you can't ride, can you fall?"
"I suppose anyone can fall," said Shasta.
"I mean can you fall and get up again without crying, and mount again and fall again and yet not be afraid of falling?"
"I - I'll try," said Shasta.
  ~C.S. Lewis, The Horse and His Boy
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Offline BBarb

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Re: Visit to the Ophthalmologist.
« Reply #11 on: 13 May 2018, 02:38:58 PM »
Thanks for the replies, its the same for all these eye problems, the sooner they're found the more chance you have of regaining at least some of your vision.  My problems are being addressed but of course there's no chance these days of my being able to discuss my husband's difficulties with his GP.
And of course there's little chance of my nagging resulting in his taking off to the GP surgery himself but it doesn't mean I'll stop trying.
As for your cataracts - don't worry, the op to remove them is painless (yes really) but a little wierd and the improvement in your sight is phenomenal.

Offline sedge

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Re: Visit to the Ophthalmologist.
« Reply #12 on: 13 May 2018, 04:31:05 PM »
You don't have to discuss it with a doctor!  All you need to do is ring the surgery and ask, has he been referred for retinopathy screening and if so, who does he need to contact in view of not having received an invitation to take part?  Obviously you are ringing because he's a farmer and not in the house during the day.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline BBarb

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Re: Visit to the Ophthalmologist.
« Reply #13 on: 13 May 2018, 04:59:39 PM »
Thanks, nothing ventured nothing gained - so yes, I'll give it a go on Monday. 
I really answered this post to point out how important it is to get your eyes looked at regularly when non-diabetics can have the same problems without realizing it!
I do like Alan's quote about food and eyes    ;D   and he's sooo right!