Consultation with ophthalmologist, type 1...what you need to do to stop the retinopathy progressing

Your retinopathy

 

Laser / Avastin / is needed   

   

Prognosis

Laser and good diabetic control improve the prognosis. At present:

   this risk is 


Medical treatment

Your ophthalmologist has beed advised by the specialist diabetes team. Here are some ideas that need to be discussed with your diabetes nurse /doctor.

Diabetes education

The DAFNE program is highly recommended to help people control their diabetes.

Patients with problems need a period of intensive support (NICE recommendations). This really means 1-2 weekly visits to your doctor/nurse, gradually learning what changes to make to your insulin dose, diet, glucose testing times etc. If your doctor/nurse cannot provide this, BCHT can provide this. It appears from the eye clinic:

Smoking: 20 day = 400% more retinopathy

      

Insulin/glucose ideas

Blood pressure ideas:

Your systolic BP is  is      Target 130 systolic in clinic, 120 at home.

Mental health

Mental health problems prevent good control of diabetes. You seem to have

Weight

Reducing your insulin dose reduces your weight (but causes complications) and vice versa, so weight control is part of diabetic care. Your weight is  . You need to

Your exercise

2 hours/day if overweight

Good control can be achieved

There are clinics around the world where nearly all the patients have good diabetic control. This is achieved by having intensive support available when needed, and regular contact with professionals. This is often 2 monthly visits to nurse & doctor & psychologist & dietician. This level of care of care is not available in the UK, and so you have to do a lot more on your own initiative. Pumps can be very helpful in the right patient.

Ideas..ophthalmologists comments

 text for pasting    type2 no insulin  type 2 insulin  type 1 home
Birmingham Community Health Care NHS Trust (BCHT) organises the DAFNE & XPERT programs, intensive diabetic care, and GP training and support in diabetes care.