Health + Wellness

Seeing the Big Picture: What to Ask Your Doctor About DME


diabetic macular edema

Despite our well-intentioned New Year’s resolutions, sugar is very much still a weakness for many in 2024. If you’re already diabetic and controlling your sugar intake as part of your daily routine, the start of the new year is an ideal time to lay out a plan with your doctor for maintaining and improving your health and wellness while also managing diabetes. This is especially true of current patients experiencing symptoms of Diabetic Macular Edema (DME), or retinal thickening in the center of the macula.

DME is currently the most common cause of vision loss in patients with either type 1 or 2 diabetes. These patients may develop symptoms that include blurry or double vision, increased difficulty distinguishing colors, and seeing dark strings or “floaters.”

If you develop DME it means you already have diabetic retinopathy, a growth of abnormal blood cells in the retina of the eye. Both conditions are a result of poorly controlled blood sugar. However, vision loss may be prevented with early and persistent treatment. While diabetes can be reversed in most cases, diabetic retinopathy is not fully reversible.

Mismanaged diabetic retinopathy may result from high blood pressure, high cholesterol, gestational diabetes if you’re pregnant, and frequent tobacco use. Given the alarming statistic that diabetes affects the Black community at a rate 60 percent higher than white peers, it’s more important than ever to keep the community healthy and vital.   

Any diabetes discussion with your doctor should revolve around reaching an ideal blood sugar target, especially if you’re over the age of 35. The National Institute of Health (NIH) has suggested blood sugar levels before a meal should be at 80 to 130 milligrams per deciliter (mg/dL). Your blood sugar levels should be below 180 mg/dL two hours after beginning a meal.

RELATED: 7 Signs Of DME And What To Do About It

The NIH also recommends a list of foods to help regulate and hopefully reverse diabetes enough to keep the DME more easily manageable. These include fruits, vegetables, whole grains (rice, oats, barley, and wheat), protein, and dairy.

The best sources of protein are leaner meats, eggs, skinless poultry, fish, beans, and tofu. Heart-healthy fats found in avocado, salmon and nuts are also highly recommended.

When grilling or frying foods, room-temperature canola, avocado, or olive oils are much more beneficial for your long-term health than cooking with butter.

For those venturing toward a vegan diet, kale has been found to contain levels of protein comparable to red meat, and has similar or higher

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