Awareness of diabetic retinopathy among diabetic patients

Rizwan, Amna; Sufyan, Abu; Asghar, Asfandyar; Khan, Haamid; Ahmad, Bilal; Rabbani, Muhammad Hamza

doi:10.47391/jpma.897

Cited by 8 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 5 The prevalence of DR in Pakistan was estimated to be 28.78% in all diabetics but observed with inconsistent frequency of DR and PDR. 6 Rizwan et al, reported low awareness and outcomes of diabetic retinopathy in diabetics in Pakistan 7 Early detection, strict vigilance of blood glucose, blood pressure, and lipids may decrease the risk of developing DR. Dyslipidemia in Diabetes Type-I and II is strongly associated with the onset and progression of DR Dyslipidemia plays role in early events of DR development 8 but the link between peripheral lipids and retinal microvascular pathology in T2DM is still not clear. In view of this, the present study aims to investigate the role of serum lipids in the onset and progression of Diabetic Retinopathy in Type-II diabetic individuals.…”

Section: Introductionmentioning

confidence: 99%

Changes in serum lipids with the onset and progression of Diabetic Retinopathy in Type-II Diabetes Mellitus

et al. 2022

View full text Add to dashboard Cite

Objective: To investigate the role of serum lipids in the onset and progression of Diabetic Retinopathy (DR) in Type-II diabetes (T2DM) individuals. Methods: This cross-sectional study was conducted at the National Institute of Diabetes and Endocrinology (NIDE), Dow University of Health Sciences (DUHS) from March to May 2019. After signing the informed consent, healthy controls (n=30), T2DM patients (diabetic n=30), proliferative (PDR n=30) and non-proliferative (NPDR n= 30) of age 18 to 65 years were selected by convenient sampling. Background information was gathered through interviews and the fundoscopy was done. Fasting five ml venous blood samples were collected and analysed for triglycerides (TGs), cholesterol, HDL, LDL, VLDL and the HbA1c using commercially available assays. The SPSS, version 24.0, was used for data analysis. Results: The HbA1c level was high in the diabetes, NPDR and PDR groups than control (p<0.05). The serum TGs and cholesterol were raised while the HDL was low in the diabetes group than in control (p<0.05). The cholesterol and LDL were high in the diabetes group compared to NPDR and PDR groups (p<0.05). The cholesterol and VLDL showed a positive moderately strong correlation with HbA1c in the PDR group (p<0.05). Conclusion: The serum lipid levels vary with the HbA1c levels and greater degree of derangement is observed with increasing mean HbA1C independent of diabetic retinopathy. For this reason, strict control of HbA1c and serum lipid level by lifestyle and/or pharmacologic intervention is recommended in diabetes with or without retinopathy. doi: https://doi.org/10.12669/pjms.39.1.6265 How to cite this: Gitay MN, Sohail A, Arzoo Y, Shakir MA. Changes in serum lipids with the onset and progression of Diabetic Retinopathy in Type-II Diabetes Mellitus. Pak J Med Sci. 2023;39(1):---------. doi: https://doi.org/10.12669/pjms.39.1.6265 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

show abstract

Section: Introductionmentioning

confidence: 99%

Changes in serum lipids with the onset and progression of Diabetic Retinopathy in Type-II Diabetes Mellitus

et al. 2022

View full text Add to dashboard Cite

show abstract

“…It has been estimated that 51% of all the patients with blindness due to DR come from the Asia-Pacific region. The prevalence of DR among patients with DM ranges from 10% in India to 43% in Indonesia within the Asia-Pacific ( 43 , 44 ). The highest number of people with DM is in China (116 million), which reflects the rapid economic growth and urbanization in China with significant lifestyle and dietary changes ( 39 ).…”

Section: Discussionmentioning

confidence: 99%

The Association Between Diabetic Retinopathy and the Prevalence of Age-Related Macular Degeneration—The Kailuan Eye Study

Zhang

Wang

Zhou

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

This study aimed to investigate the prevalence of age-related macular degeneration (AMD) in patients with diabetes mellitus (DM) and diabetic retinopathy (DR) and analyze whether DR is a risk factor for AMD. This population-based epidemiological study included 14,440 people from the Kailuan Eye Study in 2016, of whom 1,618 were patients with type 2 DM aged over 50 years, and 409 had DM with DR. We analyzed whether there were differences in the prevalence of AMD between DM with DR and DM without DR, and conducted a hierarchical statistical analysis according to different stages of DR. Using variable regression analysis, we explored whether DR constituted a risk factor for AMD. In the DM population, the prevalence of wet AMD in patients with DM with and without DR was 0. 3 and 0.2%, respectively, with no significant difference (P = 0.607). Meanwhile, the prevalence of dry AMD in patients with DM with and without DR was 20.8 and 16.0%, respectively, with a significant difference. In the subgroup analysis of dry AMD, the prevalence of early, middle, and late dry AMD in DM with DR was 14.4, 5.9, and 0.5%, respectively. In DM without DR, the prevalence of early, middle, and late dry AMD was 10.5, 4.8, and 0.7%, respectively (P = 0.031). In the subgroup analysis of DR staging, statistical analysis could not be performed because of the limited number of patients with PDR. In the variable regression analysis of risk factors for dry AMD, after adjusting for age, sex, body mass index, hypertension, and dyslipidemia, DR constituted the risk factor for dry AMD. In conclusion, DM did not constitute a risk factor for AMD, and the prevalence of wet AMD and dry AMD in patients with DM and DR was higher than that in patients with DM without DR (among which dry AMD was statistically significant). Multivariate regression analysis confirmed that DR is an independent risk factor for dry AMD. Reasonable control of DM and slowing down the occurrence and development of DR may effectively reduce the prevalence of AMD in patients with DM.

show abstract

“…Daha önce farklı bir popülasyonda DRP farkındalığını inceleyen bir çalışmada hastaların yarısından fazlasının diyabetin gözleri etkileyebileceğinin farkında olmasına rağmen, DRP ve sonuçları açısından farkındalıklarının düşük olduğu görülmüştür. 24 Bu durum DRP'nin kronik bir süreç olması ve hastalardaki semptomların genelde aniden olmayıp yavaş yavaş gelişmesi, bu nedenle hastalarda DRP farkındalığının oluşmaması ile ilgili olabilir.…”

Section: Discussionunclassified

Atatürk Üniversitesi Eğitim Aile Sağlığı Merkezlerine Kayıtlı Hastalarda Diyabetik Retinopati Sıklığı, İlişkili Faktörler ve Diyabetik Retinopati Farkındalığı: Kesitsel Bir Çalışma

YILDIRIM

Çayır

Yıldırım

2022

Turkish Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

Objective: We aimed to evaluate the frequency of diabetic retinopathy (DRP), related factors and DRP awareness of diabetic patients. Materials and Methods: The study was conducted between February 2019andApril 2020. Three hundred and fifty diabetic patients were contacted by phone and invited to the study. A total of 200 patients with DM over 18 years were included. Sociodemographic and clinical characteristics of the patients were recorded and DRP awareness questionnaire was applied. The patients were referred to a secondary healthcare center and an ophthalmologist performed detailed ophthalmic examinations. Data were analyzed with SPSS 20. Significance level was set at p <0.05. Results: The mean age was 56.8±9.9 years, 45.5% (n=91) were women. DRP was detected in 36% (n=48) of the patients and 60.4% (n=29) of those with DRP had microhemorrhage. The frequency of DRP was higher in smokers, elderly patients, patients with a longer diagnosis of DM, high mean HbA1c and systolic blood pressure (p<0.05). Duration of DM diagnosis, HbA1c level and smoking were determined as the most important variables predicting the probability of DRP. 'How often should diabetics have an eye examination?' was answered as 'once a year' at a rate of 33.5% (n=37). While 58.5% of the participants (n=117) had their last eye examination more than a year ago; 6.5% (n=13) of them had never had an eye examination, and 20% of those (n=14) who recommended an eye examination by a physician were recommended by the family physician. Conclusion: The rate of DRP was high; it was higher in smokers, elderly, and with long-term DM, high HbA1c and systolic blood pressure. The knowledge and awareness of patients about DRP was insufficient. The role of family physicians is important in this field. It is important to provide smoking cessation counseling and to regulate blood sugar and blood pressure with close follow-ups to prevent the development of DRP.

show abstract

Awareness of diabetic retinopathy among diabetic patients

Cited by 8 publications

References 0 publications

Changes in serum lipids with the onset and progression of Diabetic Retinopathy in Type-II Diabetes Mellitus

Changes in serum lipids with the onset and progression of Diabetic Retinopathy in Type-II Diabetes Mellitus

The Association Between Diabetic Retinopathy and the Prevalence of Age-Related Macular Degeneration—The Kailuan Eye Study

Atatürk Üniversitesi Eğitim Aile Sağlığı Merkezlerine Kayıtlı Hastalarda Diyabetik Retinopati Sıklığı, İlişkili Faktörler ve Diyabetik Retinopati Farkındalığı: Kesitsel Bir Çalışma

Contact Info

Product

Resources

About