Management of Retinopathy and Neuropathy in Diabetes

Authors

  • Reena Pabari University of Calgary

Abstract

A combination of metabolic and vascular dysfunction in patients with diabetes can often lead to the development of retinopathy and neuropathy. These complications are the cause of significant morbidity and increased mortality in patients with diabetes, including blindness and lower limb amputation. The microvascular complications of diabetes require both prevention and treatment. This review aims to help future physicians understand the pathogenesis of diabetic retinopathy and neuropathy, and provides a summary of the evidence-based recommendations for screening and management. Past studies have shown the importance of strict control of blood glucose levels to prevent or slow progression of microvascular complications in diabetes. There is also strong evidence that aggressive treatment of hypertension, dyslipidemia and lifestyle modifications are important. A key aim is to slow the development of microvascular disease, as there are limited options for treatment of established disease. Additionally, the importance of a multi-disciplinary approach is emphasized.

Author Biography

Reena Pabari, University of Calgary

M.Sc, MD Candidate (Class of 2013)

Published

2012-03-15