Prevention and treatment of diabetic retinopathy

1, regular check-ups must not be forgotten!
Normal vision may also complications have occurred! Early detection and reasonable treatment.
2.What are the requirements for regular checkups?
When there is no diabetic fundus lesion: if the blood sugar control is stable, the fundus should be checked once every six months with dilated pupil; if the blood sugar control is unstable, it should be checked once in March; for diabetic patients who have a history of internal eye surgery (cataract surgery, glaucoma surgery, vitrectomy, etc.) and existing fundus lesion, the interval of eye examination should be shortened or reviewed according to medical advice. For diabetic women, the fundus should be checked at the hospital within 12 months before the planned pregnancy. After pregnancy, fundus examination should be performed again during the first trimester, and then reviewed regularly.
Examination content: dilated pupil examination of the fundus, fundus angiography fluorescence.
3.How to prevent?
Fully understand the hazards and control the blood sugar – the root of the problem. Regular eye examinations.
Control of blood sugar is very important I diabetic patients with poor blood sugar control, more than 80% of retinopathy occurs after 20 years, only about 10% of patients with good control of retinopathy.
4.What kind of people are prone to get diabetes?
Diabetes is not contagious, but there are the following eight kinds of people are more likely to get the disease.
(1) People who have diabetes in their family.  
(2) Those who are over 40 years old.
(3) People who are obese or who eat too much and do not exercise enough.
(4) Other factors: such as emotional stress, nutritional disorders, viral infections, pregnancy, certain drugs and other triggers.
5.Which patients are at risk of diabetic retinopathy?
(1) Patients with small vascular lesions in other areas, especially renal lesions. 
(2) Patients with hypertension.
(3) Patients with poor glycemic control. 
(4) Patients who are pregnant.
(5) Patients taking oral contraceptive pills.
(6) Patients who smoke.
6.Treatment of diabetic retinopathy?
The first step is to intensively control blood glucose, and the treatment methods are medication, laser, and surgery. Surgical treatment is to perform vitrectomy for more severe diabetic retinopathy domestic stage (stage IV-VI). The high cost of equipment and surgery and the difficulty of surgery make it difficult for primary hospitals to carry out. By the (IV-VI) stage the prognosis is poor, thus early detection and early treatment, so that the disease can be controlled at a relatively light time.
7. Early herbal treatment for diabetic retinopathy can help absorb retinal hemorrhage and exudation.
Chinese medicine is mostly used in the early stage of diabetic retinopathy. Yin deficiency and dry heat type: symptoms include thirst and excessive drinking, elimination of grain and good hunger, red tongue with yellow coating. Fundus examination: retinal hemorrhage, edema and exudation. Treatment is to nourish Yin and clear heat. Recipe: Jade Maiden Decoction (Sheng Di, Zhi Mu, Mai Dong, Gypsum, Niubizi). Blood stasis blocking the ligament type: the disease is prolonged, heat burns the blood, blood stasis in the eye ligament, retinal hemorrhage is seen in the fundus of the eye, which is not absorbed for a long time, or even vitreous hemorrhage, with purple tongue or petechiae. The treatment is to cool the blood and invigorate the blood, with the following formula: Rhinoceros horn and Dihuang Tang plus flavor (Rhinoceros horn or replaced by water buffalo horn, raw earth, white peony, dandruff, danshen, maitong, yuan shen, panax notoginseng powder, cyperus root). Kidney yin deficiency type: symptoms include dry mouth, weakness, soreness and weakness of the waist and knees, light and dark tongue, white coating or less coating, retinal hemorrhage, exudation, edema or mechanization in the fundus, treatment should be nourishing yin and tonifying the kidney, the formula should be used to increase liquid soup combined with Six Flavors Dihuang Wan (Sheng Di, Yuan Shen, Mai Dong, Shan Yao, Ze Di Di, Fu Ling, Cornu Cervi Pantotrichum, Dan Pi) or Six Flavors Dihuang Tang with Lady’s Mantle, Dry Lotus Grass, Zhi Mu and Huang Bai. The combination of laser treatment and surgery during the pre-proliferative period can reduce tissue edema and inflammatory response and improve visual acuity.