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View Poll Results: Check the category that applies to you
Diabetes for 10-20 years and no retinopathy 22 34.38%
Diabetes for 10-20 years and non-proliferative retinopathy - no laser treatments 8 12.50%
Diabetes for 10-20 years and non-proliferative retinopathy - had/having laser treatments 0 0%
Diabetes for 10-20 years and proliferative retinopathy - no laser treatments 0 0%
Diabetes for 10-20 years and proliferative retinopathy - had/having laser treatments 2 3.13%
Diabetes for 20+ years and no retinopathy 21 32.81%
Diabetes for 20+ years and non-proliferative retinopathy - no laser treatments 4 6.25%
Diabetes for 20 + years and non-proliferative retinopathy - had/having laser treatments 1 1.56%
Diabetes for 20+ years and proliferative retinopathy - no laser treatments 0 0%
Diabetes for 20+ years and proliferative retinopathy - had/having laser treatments 6 9.38%
Voters: 64. You may not vote on this poll

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  #1 (permalink)  
Old 06-12-2007, 09:52 AM
belyro's Avatar
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I am a: Type 1
 
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Location: Manitoba, Canada
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Question Duration of Diabetes and Retinopathy

Well, in light of my recent "proliferative retinopathy" diagnosis, shortly after my 25-year D-anniversary, I've been getting curious about the incidence of retinopathy once one gets "up there" in D-years like me.

I really don't know what to expect with this poll, and if it turns out that LOTS of D-veterans have retinopathy, I hope it doesn't scare any D-newbies. That's not my intent. This is just something I really want to know as part of my processing of this news.
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Type 1 since I was 3 (1981) - 26 years now
Pumping as of Sept. 13, 2007 - Paradigm 522 with NovoRapid (Novolog)
(Previously on Levemir and Humalog)
CGMS as of Apr. 2008
Laser treatments (scatter) on both eyes - Jul. 4, 2007-Sept. 12, 2007
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  #2 (permalink)  
Old 06-12-2007, 10:02 AM
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I was disappointed there was no spot for "Diabetes for 40+ years and NO retinopathy"! According to my eye doctor, my eyes have no "signs of diabetes" whatsoever, now in my 42nd year of it.

Michael
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  #3 (permalink)  
Old 06-12-2007, 10:05 AM
belyro's Avatar
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Quote:
Originally Posted by Mick View Post
I was disappointed there was no spot for "Diabetes for 40+ years and NO retinopathy"! According to my eye doctor, my eyes have no "signs of diabetes" whatsoever, now in my 42nd year of it.

Michael
Wow! Congrats Michael! I'd by lying if I said I wasn't jealous.
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~ Bethany ~

Type 1 since I was 3 (1981) - 26 years now
Pumping as of Sept. 13, 2007 - Paradigm 522 with NovoRapid (Novolog)
(Previously on Levemir and Humalog)
CGMS as of Apr. 2008
Laser treatments (scatter) on both eyes - Jul. 4, 2007-Sept. 12, 2007
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  #4 (permalink)  
Old 06-12-2007, 10:21 AM
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42 years + and no signs of Retinopathy.
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  #5 (permalink)  
Old 06-12-2007, 10:53 AM
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21 years and no sign of retinopathy. A spot or two to watch, but that is it. I will always worry.
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Despite the high cost of living, it remains popular.

diagnosed type 1 October 1986
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  #6 (permalink)  
Old 06-12-2007, 11:44 AM
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I have around 7 'spots' total in both eyes - 31 years of diabetes.

I had a detached retina that needed to be lasered from my fighting days, not D related.

I was diagnosed with Macular Edema by 3 physicians 'eye balling it'. On the tests I made them do there was no physical evidence that I had MA. The tests where:

Florecent Angiogram -- peeing after this one is weird. Your urine turns BRIGHT carrot orange. It's pretty trippy after staring at lights most of the day. Its a non painful, and very easy test imo.

Optos Retina Scan - best thing since sliced bread for the retinas imo. I really hope you can get this done Beth.

I can't remember the name of the last test, but basically what they do is measure with a laser the 'swelling' that is occuring with the macula - it came back perfect.

My kidneys are what I worry about more .

Isn't diabetes just so fun? If the sex, drugs, and rock and roll wont kill me, there is always the sugar.
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  #7 (permalink)  
Old 06-12-2007, 11:54 AM
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You didn't include a surgery option.
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T1 1975, MM 722 pump
A1C 7/08 5.9%
HDL - 1.55 (59.9)
LDL - 1.76 (68.1)
Triglicerides - 0.44 (40.0)

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  #8 (permalink)  
Old 06-12-2007, 12:25 PM
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Quote:
Originally Posted by BriOnH View Post
I have around 7 'spots' total in both eyes - 31 years of diabetes.

I had a detached retina that needed to be lasered from my fighting days, not D related.

I was diagnosed with Macular Edema by 3 physicians 'eye balling it'. On the tests I made them do there was no physical evidence that I had MA. The tests where:

Florecent Angiogram -- peeing after this one is weird. Your urine turns BRIGHT carrot orange. It's pretty trippy after staring at lights most of the day. Its a non painful, and very easy test imo.

Optos Retina Scan - best thing since sliced bread for the retinas imo. I really hope you can get this done Beth.

I can't remember the name of the last test, but basically what they do is measure with a laser the 'swelling' that is occuring with the macula - it came back perfect.

My kidneys are what I worry about more .

Isn't diabetes just so fun? If the sex, drugs, and rock and roll wont kill me, there is always the sugar.

Brother, don't let the sugar kill you. Work harder on letting the sex, drugs or rock and roll kill you.
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  #9 (permalink)  
Old 06-12-2007, 01:06 PM
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This is just my personal opinion, but if we think about it, there are so many factors involved in the "why" or "why not" of who may or may not get complications.

Some people have different complications after 25+ years. Some have had the beginnings of retinopathy, and have been able to reverse the effects....others have dealt with different complications (i.e. dental issues, etc.). Again, there are so many variables.

Things like self-care & BG control, genes, how the individual body reacts to situations (which varies greatly from person to person) can all play a role in whether or not we wind up with complications.

I've had Type I for 25 years, and in the past, have dealt with the beginnings of background retinopathy. I was able to reverse the effects by tightening the reigns on my control. However, this doesn't ring true for everyone. I will say that that is why I'm so harsh on myself over A1Cs of 6.1 (or 6.3). While those numbers may be great for some, others (like myself) may experience more high levels to achieve those results. Likewise, while others may think a person has to have a hypo a day (or many trips to the ER) to get A1Cs of 5.8 or 5.6, others won't have such problems & will still be able to achieve those results.

The bottom line is that like most things, even complications are a very individual thing, and I don't know if we can truly gauge complications by the amount of time we've had Diabetes. Please don't take what I'm saying wrong, I know this hasn't been easy for you, Beth, and I understand you're trying to make sense of it all.
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  #10 (permalink)  
Old 06-12-2007, 01:43 PM
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Diabetes 32+ years. I have mild nonproliferative diabetic retinopathy in the form of 1 or 2 microaneursysms at my last check up(this has slowly been improving over the past couple of years). The iScan report from this past November showed no macular edema and a retinopathy level of 20(click on iScan link, then on the 20, to see explanation). I feel extremely fortunate.

Mark
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  #11 (permalink)  
Old 06-12-2007, 01:57 PM
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Quote:
Originally Posted by xMenace View Post
You didn't include a surgery option.
I was only allowed 10 options.
__________________
~ Bethany ~

Type 1 since I was 3 (1981) - 26 years now
Pumping as of Sept. 13, 2007 - Paradigm 522 with NovoRapid (Novolog)
(Previously on Levemir and Humalog)
CGMS as of Apr. 2008
Laser treatments (scatter) on both eyes - Jul. 4, 2007-Sept. 12, 2007
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  #12 (permalink)  
Old 06-12-2007, 06:20 PM
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I wish there were more options. I agree that there are many factors.

I went 27 years with none, then got to 44 years before it became proliferative. After laser, all was well for a year and a half until I got my pump, then the laser scar tissue formed, causing bleeds and pulled retina tissue. Not sure if it was getting the pump or the fact that 18 months had passed. There is some research to support sudden tighter control being associated with onset of other complications.

Now I've followed up with treatment for detached retina which required three (count 'em THREE) vitrectomies. Three different detachments on the same retina. My optho, bless his heart will not give up on me.

I still feel lucky. Otherwise healthy, Fairly good sight in my other eye. One other note: My diabetic GG Grandmother was pretty much blind from hers. A genetic component perhaps?


Mich
Going on 48 years type 1
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  #13 (permalink)  
Old 06-12-2007, 06:43 PM
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My optho said he wouldn't know I was diabetic by looking at my eyes. Almost 24 years and no signs of retinopathy. I do have floaters from time to time but were told that anyone can get them, not just diabetics.
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  #14 (permalink)  
Old 06-12-2007, 06:47 PM
xMenace's Avatar
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Quote:
Originally Posted by Mich View Post
I wish there were more options. I agree that there are many factors.

I went 27 years with none, then got to 44 years before it became proliferative. After laser, all was well for a year and a half until I got my pump, then the laser scar tissue formed, causing bleeds and pulled retina tissue. Not sure if it was getting the pump or the fact that 18 months had passed. There is some research to support sudden tighter control being associated with onset of other complications.

Now I've followed up with treatment for detached retina which required three (count 'em THREE) vitrectomies. Three different detachments on the same retina. My optho, bless his heart will not give up on me.

I still feel lucky. Otherwise healthy, Fairly good sight in my other eye. One other note: My diabetic GG Grandmother was pretty much blind from hers. A genetic component perhaps?


Mich
Going on 48 years type 1

Wow, hang in there.

I didn't think laser scar tissue led to detachement. Are you sure you never had bleeding?
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In Defense of Food with Michael Pollan


T1 1975, MM 722 pump
A1C 7/08 5.9%
HDL - 1.55 (59.9)
LDL - 1.76 (68.1)
Triglicerides - 0.44 (40.0)

John


Postcards received: 17 of 20
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  #15 (permalink)  
Old 06-12-2007, 07:14 PM
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Yes, I had bleeding in that eye. Perhaps I misunderstood. I thought he said both the bleeding and the laser scarring led to the detachment. I go see him again the 18th and will ask him to explain it again, then share it here.
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