November 14th is World Diabetes Day. This year, the theme of World Diabetes Day is women and diabetes. The goal of this campaign is to promote awareness of the importance of equal and affordable access for all women, whether they are at risk or already living with diabetes, to the treatments and to obtain the best possible outcome of the disease. Dr. Leong and Dr. Bui have seen several patients who did not realize the extent of damage already caused to their eyes by diabetes since there were no tell-tale symptoms.
Here are some facts about women and diabetes around the World:
- 199 million - the number of women living with diabetes to date.
- 313 million - the projected statistic for the year 2040.
- 1 out of 7 - the number of births worldwide affected by gestational diabetes.
- 1 out of 2 - the number of women with gestational diabetes that develop type 2 diabetes within 5-10 years after giving birth.
- 1 out of 2 - the number of cases of gestational diabetes that are found in women under 30 years of age.
Much of these incidences of diabetes occur in women lacking access to proper medical care, education, physical activity and information they need to prevent and manage the disease. If more efforts and monies were put toward improving this situation, these numbers could drop significantly.
Pregnant women with hyperglycemia and gestational diabetes are also a major cause of concern. Limited access to screening tests, pre-pregnancy planning services, education and medical care could also improve the outcome of both the mother and the baby in these cases. The majority of instances of gestational diabetes occur in women from low and middle-income countries or households with limited access to maternal care.
Diabetes and Your Eyes
Diabetes damages many systems in your body including your eyes and vision. Most individuals with diabetes will eventually develop some extent of retinopathy or eye disease due to the consistently high levels of glucose in the blood which damage the blood vessels in the eye. Diabetic retinopathy can be a devastating disease that can leave you with permanent vision loss or blindness. It is a leading cause of blindness worldwide. Diabetes also speeds up the formation of cataracts and other ocular diseases which can lead to further vision loss and complications.
Women who have been diagnosed with diabetes prior to becoming pregnant have to be especially careful during pregnancy. It is much more difficult to regulate blood sugars during pregnancy, and more rapid progression of diabetic retinopathy can occur if one is not careful. Keeping track of diet and exercise, and taking medications as directed, can prevent or delay the impact of diabetes on the eyes.
In addition to poorly managed blood sugar levels, additional factors that contribute to developing diabetic retinopathy are high blood pressure, high cholesterol, Hispanic or Native American descent, smoking, pregnancy, and the length of time you have the disease. The condition can be managed with regular eye exams in combination with steps to control blood sugar levels.
It's important to note that diabetes sometimes causes symptoms of vision fluctuation (good days and bad days with vision or focusing) but many times the damage is asymptomatic. This is why it is essential to have regular checkups even when you have no pain or vision symptoms.
If you or someone you know has diabetes, regular eye exams are essential to monitor and prevent vision loss. Stay informed and spread awareness about this challenging condition. You can help be part of the change to improve the lives of women and people all over the world that suffer from diabetes and the serious complications that come with it.