Abstract:
:Thirty-three type l diabetics who used continuous subcutaneous infusion of insulin (CSll) and 24 diabetics on conventional treatment (maximum of two injections per day) were studied prospectively with ophthalmologic examinations, fundus photography, fluorescein angiography, and glycosylated hemoglobin (HbA1) determinations. Both groups were similar with respect to age, duration of diabetes, and length of follow-up. At entry almost all patients had only mild forms of diabetic retinopathy although three CSll patients had early proliferative retinopathy. The CSll groups achieved superior glycemic control throughout the study (mean HbA1 = 7.4% vs. 10.2%). After an average follow-up of more than 30 months, the CSll group showed significantly less progression of diabetic retinopathy as measured by macular aneurysm counts and by modified ETDRS grading. Careful control of glycemia may delay the progression of diabetic retinopathy.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Friberg TR,Rosenstock J,Sanborn G,Vaghefi A,Raskin Pdoi
10.1016/s0161-6420(85)33903-9subject
Has Abstractpub_date
1985-08-01 00:00:00pages
1051-8issue
8eissn
0161-6420issn
1549-4713pii
S0161-6420(85)33903-9journal_volume
92pub_type
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