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The truth about diabetes and cataracts | Features Local

by DrMichaelLee

Diabetes Fuels Soaring Cataract Cases

Eye Health at Risk: Early Detection and Lifestyle Changes are Critical

Cataracts, a leading cause of vision loss, are increasingly linked to diabetes. Experts like Dr. Ronnie Bhola, a retina specialist, are sounding the alarm, emphasizing the need for awareness and proactive management to combat this growing threat.

Diabetes and Eye Health: The Connection

Diabetes, a condition stemming from insufficient insulin production, leads to high blood sugar levels. This excess sugar enters the eye’s lens, transforming into sorbitol, causing swelling and clouding. According to Dr. Bhola, longer-term diabetes and fluctuating blood sugar greatly increase cataract risk.

These cataracts often develop in the lens’s posterior, affecting the path of light to the retina and causing significant early vision problems. Diabetic patients tend to develop these cataracts earlier, frequently requiring surgery in their 50s or 60s.

“The longer one is diabetic and the more the blood sugar fluctuates, the more likely you are to develop a cataract or a clouding of the lens,”

Dr. Ronnie Bhola, Retina Specialist

The rising diabetes prevalence, exacerbated by unhealthy diets, further complicates matters. Roughly 60% of Dr. Bhola’s patients have diabetes, highlighting the gravity of the situation. Roughly 1 in 10 Americans, or 37.3 million people, have diabetes (CDC, 2023).

Beyond Cataracts: Diabetic Eye Complications

Diabetes impacts multiple eye aspects, potentially leading to hemorrhages, vision-blocking, diabetic retinopathy (abnormal blood vessel growth in the retina), and diabetic maculopathy (affecting central vision). Treatment for maculopathy often involves eye injections, a deterrent for some patients.

In diabetics, cataracts seem to develop more at the back end of the lens.

Taking Action: Prevention and Management

Preventing complications begins with diligent blood sugar management, along with blood pressure control. Smoking doubles the risk of diabetic eye complications; therefore, cessation is critical. Regular exercise, HbA1c monitoring, and frequent eye exams are essential for early detection and intervention. As Dr. Bhola stresses, “Early action leads to better outcomes.”

Community Initiatives and Lifestyle Changes

Dr. Bhola advocates for lifestyle shifts, including educational programs and affordable healthy food options. Addressing advertising that promotes unhealthy habits is crucial. Diabetes education in schools and consistent public-private sector efforts are needed to foster long-term change.

Dr. Bhola believes: “We have a serious problem on our hands,” “Diabetes is a lifestyle disease and so people should be fully aware of what they are doing to their bodies so that they understand the risks of an unhealthy lifestyle and the benefits of a healthy one.”

Ultimately, providing accessible and affordable healthy choices is vital for reducing diabetes prevalence and its associated health problems.

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