Risk of falls up with mild, moderate diabetic retinopathy

November 19, 2017

(HealthDay)—Among Asians, individuals with mild and moderate diabetic retinopathy (DR) are more likely to have fallen, and greater perceived barriers to diabetes self-management (DSM) are associated with the severity of DR, according to two studies published online Nov. 16 in JAMA Ophthalmology.

Preeti Gupta, Ph.D., from Singapore National Eye Centre, and colleagues conducted a cross-sectional post hoc analysis of the Singapore Epidemiology of Eye Diseases study; they included 9,481 participants in the analysis. The researchers found that 13.2 percent of patients without diabetes, 16.3 percent with no DR, 14.2 percent with minimal DR, 26.2 percent with mild DR, 27.2 percent with moderate DR, and 19.9 percent with vision-threatening DR had a history of falls. Compared to those without diabetes, individuals with DR were more likely to have fallen (odds ratio, 1.31). Individuals with mild or moderate nonproliferative DR were more likely to have fallen compared to those with diabetes but without DR (odds ratios, 1.81 and 1.89, respectively).

Ryan Eyn Kidd Man, Ph.D., from the Singapore National Eye Centre, and colleagues examined the correlation between perceived barriers to DSM and the severity of DR in a population of 361 Asian patients with type 2 diabetes. The researchers found that a greater magnitude of perceived barriers to DSM was correlated with increased odds of having any DR, mild to moderate DR, and severe DR (odds ratios, 1.32, 1.3, and 1.36, respectively). The correlation was independent of control, presenting visual acuity, and socioeconomic indicators.

"These results suggest that greater perceived barriers to DSM are independently associated with severity of DR," Man and colleagues write.

Explore further: Mapping IDs geographic access barriers for diabetic retinopathy

More information: Abstract/Full Text (subscription or payment may be required)—Gupta
Abstract/Full Text (subscription or payment may be required)—Man

Related Stories

Mapping IDs geographic access barriers for diabetic retinopathy

May 25, 2017
(HealthDay)—Geographic information systems mapping can visualize geographic access barriers to eye care among patients with diabetes, while telescreening can increase the rate of diabetes retinopathy evaluation, according ...

Arterial stiffness linked to incidence of diabetes

October 29, 2017
(HealthDay)—Increased arterial stiffness, as measured by carotid-femoral pulse wave velocity (c-f PWV), is associated with increased incidence of diabetes, according to a study published online Sept. 29 in Diabetes Care.

Vision-threatening stages of diabetic retinopathy associated with higher risk of depression

July 7, 2016
In a study published online by JAMA Ophthalmology, Gwyneth Rees, Ph.D., of the University of Melbourne, Australia, and colleagues examined the association between severity of diabetic retinopathy and diabetic macular edema ...

Arsenic metabolism linked to development of type 1 diabetes

November 22, 2016
(HealthDay)—Arsenic metabolism seems to be associated with type 1 diabetes in young people, with a potential interaction by folate levels, according to a study published online Nov. 11 in Diabetes Care.

Moderate, severe OSA linked to elevated blood coagulability

August 21, 2017
(HealthDay)—Moderate and severe obstructive sleep apnea (OSA) are associated with elevated blood coagulability markers, according to a study published online Aug. 17 in JAMA Otolaryngology-Head & Neck Surgery.

Diabetes linked to increased incidence of conjunctivitis

January 6, 2017
(HealthDay)—Diabetes is associated with increased incidence of conjunctivitis, according to a study published online Dec. 29 in Diabetes Care.

Recommended for you

Womb natural killer cell discovery could lead to screening for miscarriage risk

December 14, 2017
For the first time the functions of natural killer cells in the womb have been identified.

Hormone discovery marks breakthough in understanding fertility

December 12, 2017
Scientists at The University of Nottingham have shown, for the first time, that a naturally occurring hormone plays a vital part in regulating a woman's fertility, a discovery that could lead to better diagnosis and treatment ...

Study reveals Viagra to be 'ineffective' for fetal growth restriction

December 8, 2017
A University of Liverpool led international clinical trial has found an anti-impotence drug to be ineffective at improving outcomes for pregnancies complicated by fetal growth restriction.

Obese first-time mums more likely to have premature babies

December 4, 2017
Obese women are up to three times more likely to have a premature child during their first pregnancy, according to a study from University College Dublin.

Stillbirth is not just stillbirth—more information is needed

December 4, 2017
Forty two babies are stillborn in Australia every week, and 60 per cent of them are recorded as "unexplained".

First baby from a uterus transplant in the US born in Dallas

December 2, 2017
The first birth as a result of a womb transplant in the United States has occurred in Texas, a milestone for the U.S. but one achieved several years ago in Sweden.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.