Diabetes & Unexpected Health Problems

Diabetic eye disease and eye problems are well known by most patients because their primary care physician and eye doctor tell them repeated about the need to for tight blood sugar control in order to prevent eye problems. But most patients with diabetes are unaware of some unexpected health problems that can be related to diabetes and can be easily overlooked.

Cognitive, Memory & Brain Function Decline

It is not uncommon for Type 2 Diabetics to experience diminished ability in memory recall and focus, as well as organizing, planning and completing tasks. Research shows that people with diabetes have abnormal blood flow to the brain, which affects function and activity. This explains why, with age, diabetics may experience slower mental performance. This is another reason why managing your diabetes  requires a proactive effort to carefully follow your doctor’s instructions for proper diet, exercise, medications, lifestyle and glucose levels, as well as scheduling regular follow up visits and keeping all appointments.

Hearing Loss

Did you know that diabetics are twice as likely to experience hearing loss as they age? The National Institutes of Health also reports that 30 percent of pre-diabetics, with higher-than-normal glucose levels, can experience hearing loss. The disease can affect the small blood vessels in the inner ear, causing impairment. Protect hearing by regularly monitoring blood sugar levels.

Gum & Periodontal Disease

Did you know that diabetics are more prone to developing periodontal disease, an infection of the gums that can lead to tooth loss? A study of 9,000 people at the Columbia University Mailman School of Public Health discovered that individuals with higher levels of periodontal disease were more likely to become diabetic within the next two decades, as compared to those without the disease. Periodontal disease can increase blood sugar, making it even more difficult to control diabetes. Be proactive and prevent oral health and gum problems by brushing twice daily, flossing once each day and using an antiseptic mouthwash daily.

Obstructive Sleep Apnea

About 50 percent of diabetics experience obstructive sleep apnea. People who are obese and have a collar size of more than 17 for men or 16 for women are more likely to suffer from apnea when they sleep. Researchers reporting in American Journal of Respiratory and Critical Care Medicine noted that people with severe cases of obstructive sleep apnea may have a 30 percent higher risk for developing diabetes. OSA is an increases risk factor for many eye problems including glaucoma.

While these are some unexpected diabetic health problems, the avoidance and management of diabetic retinopathy is critical. The best way to prevent vision loss from diabetic retinopathy is through early detection, diagnosis and treatment with regular eye exams. If you or someone you know is diabetic and needs a diabetic eye exam please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser. 

Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354. 

Story from Florist about Cataracts

“For 20 years I have been a florist.  Day in and day out I deal with lots of different colors.  I started noticing over the course of a few months that things seemed very dark and dim.  I don’t wear glasses except just to read so I wasn’t sure it was a vision issue.  I made an appointment and found out that I had cataracts. I always thought that “old” people could only get cataracts.  I guess I was wrong! I had them removed by Dr. Buck and I am amazed at how bright everything is! Colors are bright and bold and I even think my floral arrangements look better!”

If you or some you know is experiencing cataract symptoms such as cloudy foggy vision, glare or difficult night driving and would like to learn more about cataract surgery & lens implants please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser for Free LASIK Consultation. 

Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354. 

Stroke Recovery Takes Time

It is not uncommon for us to see patients who experience vision and eye problems from having suffered a stroke. These can often include double vision, loss of peripheral vision and even loss of sections of their visual field which can affect safe comfortable mobility, and sometimes just reduced vision. It is important, and we tell patients, that recovering from a stroke doesn’t end with the first weeks of acute care and the period of functional rehabilitation that follows. Negative effects of a stroke can present themselves well past the initial event. In healthy older adults, exercise training and a social network that allows both intellectual and social engagement have been shown to be effective measures for helping recovery from a stroke. Using your eyes and vision may be fatiguing even for normal recreational activities but is very important to recovery.

If you or someone you know has had a stroke and needs an eye exam we are happy to help. Please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser.  

Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354. 

Nutrition & Prevention of Eye Problems

Age Related Macular Degeneration, Dry Eye Syndrome and Cataracts are very common senior eye problems. While we rarely think about nutrition problems in the U.S., there is global information that tells us what CAN happen if we allow people to develop nutritional deficiencies and thus what types of supplements and vitamins might be helpful in preventing these eye problems According to research presented in the Journal of Clinical Dermatology on the role of vitamins, essential fatty acids and antioxidants in age-related macular degeneration, dry eye syndrome and cataract, there is useful information and it helps us advise our patients on a daily basis. When we look around the world, we find that visual impairment is a global epidemic. In developing countries, nutritional deficiency and cataracts continue to be the leading cause of blindness, whereas age related macular degeneration (AMD) and cataracts are the leading causes in developed nations. The World Health Organization has instituted VISION 2020: "The Right to Sight" as a global mission to put an end to worldwide blindness. In industrialized societies, patients, physicians, researchers, nutritionists, and biochemists have been looking toward vitamins and nutrients to prevent AMD, cataracts, and dry eye syndrome (DES).

We know that nutrients from the AREDS2 -lutein, zeaxanthin, vitamin C, vitamin E, zinc, copper, EPA and DHA as set forth by the National Institutes of Health remain the most proven nutritional therapy for reducing the rate of advanced AMD. We also know that Omega-3 fatty acids, especially DHA, have been found to improve dry eye syndrome in randomized clinical trials. Finally we know that there continue to be conflicting results with regard to multivitamin supplementation on the prevention of cataract.

When you visit us for your regular eye exam, we may very well ask you about your nutrition and what vitamins and supplements you already take. If you are in a risk group for AMD or have complaints about dry eye symptoms we may also recommend supplements or vitamins to help you. Please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser.  

Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354. 

Shopping for Health Insurance & Deductibles

Obamacare was supposed to help patients become better healthcare consumers by allowing them to shop for high deductible health plans at lower cost. High deductible health plans are sold as a way for consumers to take greater control over managing their medical costs, but new research shows people on those plans are no better at price shopping for health care professionals or services than people on traditional insurance. The study surveyed more than 1,000 “high deductible" health insurance enrollees of which 71% believe out of pocket costs were important to consider when choosing a doctor. They compared this to 852 enrollees traditional of “low deductible” plans and they had the exact same perspective. The researchers also found that during their last use of medical care, the “high deductible” plan enrollees were no more likely than traditional plan enrollees to consider going to another professional for care or to compare out of pocket costs across health care professionals. They concluded that “having more skin in the game” makes no difference on how consumers shop for health care and insurance.

If you need help understanding your health insurance as it relates to any aspect of eye care service we provide please do not hesitate to ask us by calling Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser.  

Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354. 

Cataracts, Cataract Surgery & Driving

Blurry, cloudy vision from cataracts is a well known driving risk, especially for seniors where declining vision is often caused by cataract development. Researchers reporting in the Journal of Cataract & Refractive Surgery studied cataracts and the outcomes of cataract surgery and how these impacted crash risk, driving self-regulation practices, and driving performance. Not surprising there was clear consistent evidence that cataract negatively affects driving and that cataract surgery is beneficial to driving outcomes. What was not clear and requires further study is how specific vision measures such as visual acuity, contrast sensitivity and glare sensitivity specifically affect crash risk and driving performance so that we can be optimally effective in prioritizing cataract patients for surgery.

If you or someone you know has been told they have a cataract and is having difficulty with driving especially at night or in dim illumination or with glare please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser. 

Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354. 

Dry Eye during Breast Cancer Treatment

Dry Eye Problems during Breast Cancer Treatment

Did you know that certain types of breast cancer treatment medications can cause dry eye symptoms? The class of medications called “aromatase inhibitors” (AIs) has been studied and found to cause dry eyes. Fortunately, we also know that this is a newly emerging, and easily treated side effect of AIs. But we need to know that you are taking one of the AIs in order to offer help for your dry eyes. Some of the medications in this class include Arimidex, Aromasin and Femara-although there are many others. Researchers used a validated questionnaire to assess the presence of Dry Eye Syndrome (DES). They found that DES is significantly more prevalent in women on AIs compared with controls. They recommend routine screening of patients on AIs with the Ocular Surface Disease Index (OSDI) questionnaire with the aim of improving patient quality of life and possibly adherence.

If you or someone you know is being treated for breast cancer with aromatase inhibitors (AIs) and suffers from dry eyes, grittiness or is generally experiencing eye problems of fatigue or dryness please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center, Google+ or facebook.com/nwindianaeyeandlaser. 

Northwest Indiana Eye & Laser Center offices are located at 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354.