The data associated with diabetes in the U.S. demands attention: More than 34 million Americans have diabetes, and more than 88 million have prediabetes, reports the American Diabetes Association (ADA). Additionally, the ADA reports that 1.5 million Americans are diagnosed with diabetes every year. Further, diabetic retinopathy affects almost one-third of adults older than age 40, according to the Centers for Disease Control (CDC).

Diabetes has become an even greater concern recently. The ADA reports that, based on current data, people with diabetes are more likely to have serious complications from COVID-19. Also, having heart disease or other complications, in addition to diabetes, could worsen the chance of getting seriously ill from COVID-19.

TOOLS FOR DIABETES CARE

Our goal with the “Practicing Medical Optometry” (PMO) section of this month’s Optometric Management is to provide tools to help in the care of patients who have diabetes. Dr. Jacqueline Theis leads off with a discussion on the technology used to identify signs of diabetic retinopathy (“Diabetes: Employ Diagnostic Imaging”). The best way to prevent visual impairment in DR is to “detect, refer and treat vision-threatening DR as early as possible,” she writes.

Dr. Austin Lifferth answers a common patient inquiry in “Is Diabetes a Risk Factor for Glaucoma?” Looking at the research, Dr. Lifferth provides evidence-based insights into the link between diabetes and glaucoma.

Because optometrists see much of the diabetic population, they are well-suited to contribute to the education of patients regarding diabetes, writes Dr. Kathleen F. Elliot in “Diabetes: Link It With Lifestyle." Specifically, she provides resources to answer common patient questions. Through answers, “O.D.s can increase the likelihood that patients will pursue healthier lifestyles,” she says.

In fact, an ADA position paper (see bit.ly/ADADiabetesLifestyle ) emphasizes that lifestyle management is “a fundamental aspect of diabetes care.” Beginning with the patient’s initial comprehensive exam and continuing through all subsequent evaluations and follow up, “patients and care providers should focus together on how to optimize lifestyle.” OM