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Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease
This paper identifies best practice recommendations for managing diabetes and sight-threatening diabetic eye disease. The authors provide an update for ophthalmologists and allied healthcare professionals on key aspects of diabetes management, supported by a review of the pertinent literature, and r...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437340/ https://www.ncbi.nlm.nih.gov/pubmed/28490797 http://dx.doi.org/10.1038/eye.2017.53 |
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author | Gale, R Scanlon, P H Evans, M Ghanchi, F Yang, Y Silvestri, G Freeman, M Maisey, A Napier, J |
author_facet | Gale, R Scanlon, P H Evans, M Ghanchi, F Yang, Y Silvestri, G Freeman, M Maisey, A Napier, J |
author_sort | Gale, R |
collection | PubMed |
description | This paper identifies best practice recommendations for managing diabetes and sight-threatening diabetic eye disease. The authors provide an update for ophthalmologists and allied healthcare professionals on key aspects of diabetes management, supported by a review of the pertinent literature, and recommend practice principles for optimal patient management in treating visual impairment due to diabetic eye disease. In people with diabetes, early optimal glycaemic control reduces the long-term risk of both microvascular and macrovascular complications. The authors propose more can and should be done to maximise metabolic control, promote appropriate behavioural modifications and encourage timely treatment intensification when indicated to ameliorate diabetes-related complications. All people with diabetes should be screened for sight-threatening diabetic retinopathy promptly and regularly. It is shown that attitudes towards treatment adherence in diabetic macular oedema appear to mirror patients' views and health behaviours towards the management of their own diabetes. Awareness of diabetic macular oedema remains low among people with diabetes, who need access to education early in their disease about how to manage their diabetes to delay progression and possibly avoid eye-related complications. Ophthalmologists and allied healthcare professionals play a vital role in multidisciplinary diabetes management and establishment of dedicated diabetic macular oedema clinics is proposed. A broader understanding of the role of the diabetes specialist nurse may strengthen the case for comprehensive integrated care in ophthalmic practice. The recommendations are based on round table presentations and discussions held in London, UK, September 2016. |
format | Online Article Text |
id | pubmed-5437340 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Nature Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-54373402017-05-25 Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease Gale, R Scanlon, P H Evans, M Ghanchi, F Yang, Y Silvestri, G Freeman, M Maisey, A Napier, J Eye (Lond) Guideline This paper identifies best practice recommendations for managing diabetes and sight-threatening diabetic eye disease. The authors provide an update for ophthalmologists and allied healthcare professionals on key aspects of diabetes management, supported by a review of the pertinent literature, and recommend practice principles for optimal patient management in treating visual impairment due to diabetic eye disease. In people with diabetes, early optimal glycaemic control reduces the long-term risk of both microvascular and macrovascular complications. The authors propose more can and should be done to maximise metabolic control, promote appropriate behavioural modifications and encourage timely treatment intensification when indicated to ameliorate diabetes-related complications. All people with diabetes should be screened for sight-threatening diabetic retinopathy promptly and regularly. It is shown that attitudes towards treatment adherence in diabetic macular oedema appear to mirror patients' views and health behaviours towards the management of their own diabetes. Awareness of diabetic macular oedema remains low among people with diabetes, who need access to education early in their disease about how to manage their diabetes to delay progression and possibly avoid eye-related complications. Ophthalmologists and allied healthcare professionals play a vital role in multidisciplinary diabetes management and establishment of dedicated diabetic macular oedema clinics is proposed. A broader understanding of the role of the diabetes specialist nurse may strengthen the case for comprehensive integrated care in ophthalmic practice. The recommendations are based on round table presentations and discussions held in London, UK, September 2016. Nature Publishing Group 2017-05 2017-05-11 /pmc/articles/PMC5437340/ /pubmed/28490797 http://dx.doi.org/10.1038/eye.2017.53 Text en Copyright © 2017 The Author(s) http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Guideline Gale, R Scanlon, P H Evans, M Ghanchi, F Yang, Y Silvestri, G Freeman, M Maisey, A Napier, J Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease |
title | Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease |
title_full | Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease |
title_fullStr | Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease |
title_full_unstemmed | Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease |
title_short | Action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease |
title_sort | action on diabetic macular oedema: achieving optimal patient management in treating visual impairment due to diabetic eye disease |
topic | Guideline |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437340/ https://www.ncbi.nlm.nih.gov/pubmed/28490797 http://dx.doi.org/10.1038/eye.2017.53 |
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