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Blood Pressure Control Curbs Diabetic Eye Problem
Blood Pressure Control Curbs Diabetic Eye Problem -- Posted by Gumbo on 12-06-04 21:16
Blood Pressure Control Curbs Diabetic Eye Problem
on Tuesday, November 16 @ 17:13:52 EST
1148 Patients with Type 2 diabetes were followed for more than 9 years and
keeping BP at or below 150/85, showed a significant reduction in retinal
damage or retinopathy.
People with diabetes are prone to develop damage to their retinas, but tight
control of blood pressure slows the progression of this complication and
helps prevent vision loss.
Dr. David R. Matthews, from the Churchill Hospital in Oxford, and colleagues
studied 1148 patients with type 2 diabetes and high blood pressure who were
assigned randomly to either a tight or a less-tight blood pressure control
strategy.
The blood pressure goal for the tight-control group was set at a reading of
150 over 85; for the others, the goal was 180 over 105. The participants
were followed for an average of was 9.3 years.
Compared with less-tight blood pressure control, tight control was
associated with a significant reduction in all types of retinal damage.
Tight control slowed retinal disease progression, and patients were less
likely to need photocoagulation to repair retinal damage than those in the
less-tight control group, the team reports in the Archives of Ophthalmology.
Tight control also reduced the risk of blindness in one eye by about 25
percent.
In an editorial, Dr. Ronald Klein, from the University of Wisconsin at
Madison, comments: "Ophthalmologists should tell their diabetic patients
about the benefits of blood pressure control in reducing loss of vision ...
and emphasize the need for routine monitoring of blood pressure."
Archives of Ophthalmology, November 2004.
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