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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Diabetic Ratino Malopathy. Eye Effected. What Can I Do About It?

I am a patient of diabetic ratino malopathy. right eye is effected. on 23rd april 2012 phaco for cateract done. after that it happend. doctor of sankara nethralaya of chennai started steroid treatment. on 30th may 1st injection pushed in my eye. but till today no such improvement. what can i do now? NEXT CHECK UP IS ON 16TH AUGUST.is there any remedy?i am 50 years. sugar since last 15 years but more or less controlled. medicine-- amaryl 2 mg, once, pioglar 30 once, gluconorm sr 500 twice, niyalip 500 once in a day. last result--- fasting 116, pp 160, hba1c 6.2. urea , creatinine , lipid profile , LFT all are normal.
Wed, 25 Jul 2012
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Endocrinologist,  's  Response
Dear Mr Mukherjee



Thanks a lot for your question. Your diabetes is under excelllent control as your A1c is 6.2 %. How was it before? The reason I am asking this to you is because sudden very good glycemic control achieved in shorter span of time can worsen existing eye disease ( eg A1c of 10 down to 6.2% in say 2 or 3 months). You seem to be on good medications too. Kindly discuss with your Opthalmologist about the vision problem to see if there are other alternative treatment to retinopathy. There are some newer medications like VEGF available for the treatment. Discuss this with them when you get a chance.
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Have Diabetic Ratino Malopathy. Eye Effected. What Can I Do About It?

Dear Mr Mukherjee Thanks a lot for your question. Your diabetes is under excelllent control as your A1c is 6.2 %. How was it before? The reason I am asking this to you is because sudden very good glycemic control achieved in shorter span of time can worsen existing eye disease ( eg A1c of 10 down to 6.2% in say 2 or 3 months). You seem to be on good medications too. Kindly discuss with your Opthalmologist about the vision problem to see if there are other alternative treatment to retinopathy. There are some newer medications like VEGF available for the treatment. Discuss this with them when you get a chance.