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Several major medical groups currently recommend routine yearly eye exams, starting after three to five years of diabetes duration, for people with type 1 diabetes, a condition where the body does not make insulin. Diabetic retinopathy occurs when diabetes damages the light-sensitive tissue in the back of the eye.
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For people with type 1 diabetes and a current average blood glucose level of 6 percent, the researchers recommend the following eye exam schedule:. Researchers also recommended people with higher current average blood glucose levels for example, percent, versus 6 percent have eye exams more often, as they are at higher risk to develop eye disease. Overall, researchers found the new, individualized schedule would result in earlier detection of advanced retinopathy that requires treatment to save vision compared with annual exams, while at the same time reducing the frequency of eye exams.
Over 20 years, the new schedule would result in eight exams on average, a greater than 50 percent reduction in eye examinations compared with annual exams. David M. Beginning in , the DCCT study enrolled 1, people between ages 13 and 39 with recent-onset type 1 diabetes.
Half were assigned at random to intensive blood glucose treatment designed to keep blood glucose as close to the non-diabetic range as safely possible, and half to the conventional treatment at the time. The DCCT ended in when the intensive treatment group was found to have substantially less eye, nerve and kidney disease. All participants were then taught the intensive therapy and followed during the ongoing EDIC study.
During the EDIC follow-up, the original intensive treatment group has continued to show a long-term benefit, with reduced development of kidney disease, severe eye problems, heart disease and stroke. They are also likely to live longer. Griffin P. More information about the study can be found through ClinicalTrials.
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