July 23rd, 2010
06:41 PM ET

New therapies slow vision loss in diabetics

Researchers have found two new treatments that could slow the progression of vision loss in high-risk adults with type 2 diabetes. The vision loss, called diabetic retinopathy, is caused by damage to the blood vessels in the retina. In diabetics with retinopathy, the blood vessels can leak and causing the retina to swell. Abnormal new blood vessels can also develop which causes vision loss.
In the largest study of its kind to date, trial investigators followed 2,865 type 2 diabetics. Just under 50 percent of patients had mild retinopathy at the start of the trial. Over a four-year period, researchers took retinal photographs that recorded any changes in the blood vessels and the progression of retinopathy.

"Many people with diabetes have microvascular problems, which can result in problems with the kidneys and amputation of toes and feet, and the only place that you can directly observe the microvasculature is in the back of the eyes," said Walter Ambrosius, Wake Forest University Baptist Medical Center, and principal investigator of the ACCORD Eye Study. "What we have seen in the eyes is potentially an indicator of what is happening in other parts of the body."

Patients in the study were given three types of treatments. Therapy to control and normalize their blood sugar, treatments to control blood pressure and bring it within normal levels and a combination of lipid and fenofibrate therapy. Fenofibrates are cholesterol-lowering drugs that lower triglycerides-fat stored in the body–and raise HDL levels, also known as good cholesterol.

They found both the intensive blood sugar control and the combination therapy decreased the progression of vision loss by one-third. The third treatment, statin therapy plus a placebo had no effect.

"Previous clinical trials have shown the beneficial effects of intensive blood sugar control on slowing the progression of diabetic retinopathy in people with type 1 diabetes or newly diagnosed type 2 diabetes," said Paul Sieving, director of the National Eye Institute at the National Institutes of Health. "The ACCORD Eye Study expands these findings to a larger population of adults who had type 2 diabetes for an average of 10 years, and demonstrates that the eye benefits from the reduction of glucose below previously established levels."

But  researchers said there was one safety concern. Patients in the intensive blood sugar control arm of the study had a higher risk of severe low blood sugar and death. The National Eye Institute says doctors need to consider these risks when discussing a treatment plan with their patients.

soundoff (107 Responses)
  1. Gala12

    Newly diagnosed diabetics type 2 could perfectly well control their blood sugar level through counting amount of carbs in their diet( less than 50 grams a day) and lifestyle changes without danger of too low blood sugar. If even probability of a blindness can't discourage them from eating bread (even healthy kind) , potatoes and deserts than they deserve to have their complication. Good for pharmaceutical companies.

    July 23, 2010 at 21:03 | Report abuse | Reply
    • Rita

      Gala12 – You must not have diabetes or you would know that not all new type 2's can control their blood sugars with diet and exercise. Some people need to start on insulin right away to get blood sugars down to a normal level. Also, by the time many type 2's are diagnosed with diabetes, the damage to their body (eyes, kidneys, nerves, ect.) is advanced. Diabetics (type 1 and 2) can also eat bread, potatoes and deserts. No kind of carb is forbidden, it is the portion size that needs to be watched, Also, diabetes is an expensive disease. Many people can't afford the testing supplies and medications needed to control blood sugars. Last of all, the comment that people deserve their complications is horrible. You must not know any one with a chronic condition but if you do, I feel sorry for them. You come across as a mean person who doesn't know the meaning of sympathy!

      July 23, 2010 at 21:31 | Report abuse |
    • CPortScally

      I am a type 1 and eye and feet exams are part of the regimen of test that I have. For you to say this about diabetics you my friend are a sad and troubled human being. Not like I chose to wake up one morning and havve this terrible infliction!!!

      July 23, 2010 at 21:51 | Report abuse |
    • evoc

      Wow, harsh! Many people with diabetes are stick thin, and eat a proper diet, with exercise. It is like saying a smoker who develops lung cancer deserved it. Maybe you are having a bad day.

      July 23, 2010 at 22:05 | Report abuse |
    • Wayne53

      You obviously have a high opinion about your opinions. I'm a type 2 who struggles to control my bs. In addition to the med, I engage in strenuous exercise everyday, have always eaten what is popularly known as the Mediterranean diet – primarily fresh vegetables and some meat, usually fish or chicken, Even with that I struggle to keep my weight down, my cholesterol is always borderline, and my bs tends to run high. I've also been told that I'm headed for eyesight problems in the next few years. Perhaps you should walk the talk before pontificating. Oh, and by the way, my insurance premiums are sky high.

      July 23, 2010 at 22:45 | Report abuse |
    • John N

      You ought to be ashamed of yourself saying that people deserve the compications of diabetes. Very few words can be used to discribe you, but evil, and pathetic come to mind. I bet you say the same things about people with cancer, MS, or any of the many other deadly dieseses. You must enjoy being an idiot !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

      July 23, 2010 at 23:53 | Report abuse |
    • Rhonda

      I will only use one word on such a pathetic jerk ~ KARMA

      July 24, 2010 at 00:21 | Report abuse |
    • Type1Diabetic30yrs

      Gala12-Every commnet on this story is a reply to your gross inhumanity. You owe everyone an apology.

      July 24, 2010 at 01:08 | Report abuse |
    • Carline

      Dang Gala. I feel sorry for your family. I'll bet you cut them with little jabs to watch them heal slow, huh? Do you kick puppies and kitties for fun or something, I mean seriously! People deserve this disease? Step up and collect your Insensitive Dumbassness Award. You truly deserve it.

      July 24, 2010 at 06:02 | Report abuse |
    • sandy

      There are many diabetics,myself included, who have a family history of Type II diabetes. We do not eat potatoes, bread, watch our carbs and still have tremendous spikes in blood sugar readings.

      Illness, surgery, stress, all play an integral part in blood sugar issues.

      I guess it is easier to affix blame on those who are ill than to think "There but for the grace of God go I"

      Your bitterness and insensitivity are apparent.

      July 24, 2010 at 07:52 | Report abuse |
    • Kathy

      What a jerk!!!!!!!!

      July 24, 2010 at 08:45 | Report abuse |
    • LJ

      I agree – diabetes can be and is controlled by a proper diet – eating nothing but vegetables, beans, fruit, seeds and nuts. Sadly, most people think dairy products are good for them, as well as meat and whole grain bread. If they would just eliminate those foods, as well as all processed foods from their diet, they would become healthy in a matter of weeks. Sure, there are "skinny" diabetics- but they still aren't eating the right things or they would not have this problem. It's the simple truth that the majority of the medical community doesn't want you to know – they want you to rely on their drugs. Read "Eat to Live" by Dr. Joel Fuhrman. It will save your life – it saved mine.

      July 24, 2010 at 10:38 | Report abuse |
    • carmen maley

      How little compassion and knowledge you show, poor person. Remember karma and beware of your judgementalism.

      July 24, 2010 at 19:53 | Report abuse |
    • meghan

      karma12: one day, it will be your turn to die. you can be sure of that. it will happen and it will probably hurt-ALOT! hopefully, with your attitude, you will have nobody staning by your side, making the transition from life to death a gentle one.

      July 25, 2010 at 07:49 | Report abuse |
    • MRC

      What a jerk. You haven't a clue what a diabetics life is like.

      July 25, 2010 at 09:52 | Report abuse |
    • DMDoc

      GALA12 unfortunately diet control is not nearly as effective as you make it out to be. And to say that anyone with diabetes deserves to go blind is just ludicrous. Get your head out of the sand and into the real world! Evidently you have plenty of time to waste, don't waste others time with your truly meaningless comments!

      July 26, 2010 at 05:02 | Report abuse |
    • Gary

      Obviously you believe in what you are saying. Unforunately you are misinformed. My wife has diabetes II, yes her Blood sugar is under control when she watches what she eats and TAKES THE MEDICINE THE DOCTOR PERSCRIBED. For some people, you can control Diabetes II with a diet others cannot. Remember it is in the genes not only diet.

      July 26, 2010 at 07:06 | Report abuse |
    • John

      First of all not ALL type 2 diabetics can control their diabetes with diet and exercise alone. Second, we are allowed to eat bread but should stick to whole grain, rye or pumpernickel. Carbs should only be consumed when blood sugar levels are under 120. Also I don't know where you got the number of 50 grams per day but most type 2 diabetics can have up to 45 grams of carbs per meal and 15 grams of carbs per snack twice a day as long as blood sugar is under 120 when consumed.

      July 26, 2010 at 08:49 | Report abuse |
    • Jessica

      Im going to step up and (somewhat) defend what Gala12 was saying. I know a few diabetics – many of them say that its genetic, yet, they are also obese. Simply because obese people in your family have had diabetes, doesnt make it a genetic issue – but rather, obvious...if you eat a lot of foods with sugars, guess what...diabetes is in your future. The thing is, if everyone who got diabetes was REQUIRED to eat right and exercise to lower their weight to a healthy level...then we'd truly know the difference between those who "have done everything and it still didnt work" versus those who pretend to have tried hard, but just cant give up their favorite foods.

      I actually have a friend who was just admitted to the ER a week ago because of her blood sugars. Of course, i've been around her often enough to know she simply doesnt take care of her body like she should...she drinks alcohol (a lot) she eats poorly (a lot) and she also thinks she has diabetes because of genetics.

      Sorry, but more are like her than are not...because she sounds just like most of you do. If you arent eating the fresh foods ONLY – then you are not doing EVERYTHING to help yourself.

      July 26, 2010 at 10:59 | Report abuse |
    • Two Faced Hermaphrodite Befriender

      Gala – I'll just attribute your excessive lack of empathy to your claim of impending Menopause, not some mental disease. People do not "deserve" complications. As you get older, your vulnerabilities to all kinds of ailments will increase. Just wait until you actually take some of these pharmaceutical drugs. Too much sugar, especially fructose over a long time is the major cause of diabetes 2. Fructose is absolutely everywhere in processed food and avoid sweets like the plague. Little known is that excessive protein and fats worsen the situation. At this point, a strict vegetarian diet with little starch or carbohydrate is probably in order. And yes, drinking excessive alcohol doesn't help the problem.

      July 26, 2010 at 16:06 | Report abuse |
  2. Rita

    For accurate information and a good understanding of diabetes, please check out the American Diabetes Association (ADA) web site at http://www.diabetes.org

    July 23, 2010 at 21:33 | Report abuse | Reply
  3. Dan

    "deserve to have their complication" – are you serious??

    July 23, 2010 at 21:35 | Report abuse | Reply
    • Gala12

      Probably I shouldn't say that people deserved something bed that h append to them.

      May be I said it in a rash, but i am watching my aunt and her parents. Parents have amputated toes and aunt just started to developed Diabetes 2.They didn't and don't do much about it. It angers me to see people in denial or waiting for a pill. If Mediterranean diet doesn't work try South Beach or even Atkins. Yes, people could be diagnosed too late, and I said nothing about diabetes 1 .I have been counting my carbs for last 3 years in order to have good blood test and started to do it after my fasting glucose level reached 99.

      July 23, 2010 at 23:16 | Report abuse |
    • LJ

      south beach doesn't work, nor atkins – those are dangerous and reckless diets. You will kill your kidneys along with your eyes. Why would you ever think that type of diet would be good for you? Common sense here people, common sense. MEAT and DAIRY are NOT good for us!

      July 24, 2010 at 11:02 | Report abuse |
  4. Lisa

    Totally agree with Rita. I am diabetic and do keep my sugars under control,but it is extremely hard to do.My whole family has suffered with this dreadful disease . And I would not wish it on even my worst enemies.

    July 23, 2010 at 21:39 | Report abuse | Reply
    • LJ

      Read "Eat to Live" by Dr. Joel Fuhrman – it will save your life. You can control your diabetes by the way you eat.

      July 24, 2010 at 10:42 | Report abuse |
  5. Jane Fossett

    I am 63 years old, and have had type 1 diabetes for 41 years. Despite being brighter than the average goat, with the tenacity of a pit bull, and complete compliance for most of that time, I still have runaway blood sugars, retinopathy, kidney disease, neuropathy, and a bad attitude towards anyone who thinks I have complications because I haven't taken care of myself (this include some doctors and diabetic educators I've known). The medical research community seems interested only in making money with expensive medical "devices". We desperately need a CURE.

    July 23, 2010 at 22:47 | Report abuse | Reply
    • Todd W

      Amen Jane. Bad enough for us to be type 1 for so long ( 20 years here on a pump the last 6 !) but watching some promotional info recently on the web from JDRF about all these poor little kids getting type 1 is really very sad to watch! Enough is enough already. Time for a cure for sure !

      July 23, 2010 at 22:52 | Report abuse |
    • Type1Diabetic30yrs

      I'm with you. I'm sick of people opining about diseases they don't have. I've had diabetes since I was 14 years old and weighed all of 70 pounds, and no amount of discipline will change the fact that diabetes has side effects, and they are HORRIBLE. Sleepless nights because of nerve pain, blurred vision from bleeding in the eyes, kidney problems, and exhaustion from never getting a day off from it. Walk in my shoes for 30 years and then you can tell me how easy it is.

      July 24, 2010 at 01:02 | Report abuse |
  6. Janis

    It's good to learn that continuing research may find ways to slow and eventually eliminate this complication. I've lived with type 1 for the past 55 years and have continually made a tremendous effort to take care of myself. Thirty years ago, as I was completing my MFA graduate studies, I began to experience vision problems. The diagnosis of diabetic retinopathy came two years later. Both the disease and the laser treatment that I received left me legally blind in one eye with slight damage to the other. As a visual artist this complication had and has a tremendous impact on my life. I wouldn't wish this on anyone.

    July 23, 2010 at 22:47 | Report abuse | Reply
  7. Todd W

    Gala you are completely discusting human being ! I'm not gonna try and be polite here. You are flat out evil! I have said many times in life that a hypoglycemic event or even profound insulin shock is not something that I'd wish on my worst enemy but I'd make an exception in your case. Why don't you use this Friday night and go out and get yourself sum.....Oh wait I guess Friday night fun is out because you are sitting here commenting on something you know nothing about and wishing bad things on people with a chronic illnesss! You are pathetic and gutless you loser!

    July 23, 2010 at 22:49 | Report abuse | Reply
  8. Joel L

    Screw-You Gala12

    July 23, 2010 at 23:22 | Report abuse | Reply
  9. John N

    Gala12 is one sick person. To wish this on anyone is sick. Anyone who suffers with this diesese knows of what I speak. To say that anyone deserves the complications because "they eat to much bread, potatoes, and eat to many deserts" doesn't have a clue as to what they are speaking about. Maybe Gala12 ought to tyry it sometime. I bet he/she would change their mind in an instant. You are one sick person who defintly needs help!

    July 23, 2010 at 23:29 | Report abuse | Reply
  10. bensgirl

    To say that someone "deserves to have complications" is heartless. My mother has Type 2, and struggles with health issues. Does she "deserve to have complications" No, she does not. She is living with this disease like so many others and tries to do the best she can to manage it. My son was dx at the age of 3 1/2 with Type 1. He is now 7 years old, and has to deal with so much in his young life, and until there is a cure, we will continue to do the very best that we can for his health. I realize that there are many people in the world that through the ignorance of not knowing or understanding Diabetes, jump to all kinds of conclusions about it. But let me just say that before you think you have all the answers, walk a while in the shoes of the families that live with this disease everyday.

    July 24, 2010 at 00:08 | Report abuse | Reply
    • al

      Being type 1 or type 2 sucks, please someone help us.

      July 25, 2010 at 16:16 | Report abuse |
  11. Snoflinga

    I am appalled – but not surprised – to see diabetics once again blamed for their complications and told that we deserve it. (reference the comment above.) I have heard this many times over the years, een from physicians. When I bring carefully noted food and exercise logs in, I have been told, "well you must be lying, you're still fat. You're going to die a horrible painful slow death because you're in denial and a liar."Ummmm ok! How do we change this misperception? DIabetics are some of the most stubborn self advocates and healthiest lifestyle leaders I know, yet we are so often blamed for our disease or left without help in treating our disease other than instructions to 'eat better' or 'exercise more.' Ya think??? It is frustrating and disheartening.
    I have been diagnosed for 12 years. (my mother has lived with it for 56 years.) I eat low carb, high protein, no sugar, lots of fruit and veg, raw and whole foods. I average 1200 calories/day and always under 1500. I drink my water. No soda pop, no fast food. I walk, swim, ski, do yoga, golf, play tennis, AND work as a nurse who is on her feet all day. I check my bg 3x/day. But people look at me and think I deserve to be blind, find it painful to walk or stand, and have kidney disease? Awesome.

    July 24, 2010 at 00:28 | Report abuse | Reply
  12. Spike

    The rapies....what does the LA Lakers have to do with this?!!

    July 24, 2010 at 01:11 | Report abuse | Reply
    • Spike

      Oh...THERAPIES...one word. OOops!

      July 24, 2010 at 01:12 | Report abuse |
    • Vodats

      -There is no such thing as detoxing dear, any cdotor will tell you that. That was a phrase invented by supplement makers and people trying to sell you something. Everything around us is natural, because everything comes from earth. Scientifically, we are Omnivores, and are made to eat many things, and yes, meat played a very important part in our growth, most importantly due to it's fat content. In Nature, animals eat other animals all the time, so why is it wrong if humans do it?

      April 9, 2012 at 16:20 | Report abuse |
  13. Wayne53

    Sometimes it just feels good to pound a self-righteous dumb-ass in the ground.

    July 24, 2010 at 01:24 | Report abuse | Reply
    • craig

      I exercise regularly, eat healthily, and have type 2. I am not overweight. There is evidence that pesticides and food additives disrupt hormonal function. I am on two different meds. There is a very good chance Gala12 will develop insulin resistance and not having the total willpower to eat only green veggies and low fat animal protein, will become type 2. Gala will then realize that there is no single method of control of blood sugar. Meds tend to make one feel crappy as well. Conflicting advice is always wonderful when the prospect of losing a toe or two looms in the mind.

      Good luck Gala12!

      July 25, 2010 at 05:43 | Report abuse |
    • Maria

      Craig, an excellent point. There are actually multiple kinds of "Type 2" diabetes, some of which respond better to low-carb diets than others. Insufficient insulin production may respond well to low-carb diet, but insulin resistance might not, and pity the folks who have both insufficiency and resistance. AND we often forget that carbs are absolutely NOT the only source of increased blood glucose. For example, the hormone cortisol increases blood glucose, and cortisol levels frequently rise in the early morning hours as part of a normal circadian rhythm (leading to the infamous "dawn phenomenon") and also rise in response to stress. I can't tell you how many times my husband (a Type I diabetic for 42 years) has gone to bed with a terrific bg reading but awakened with a 250+ bg. Not like he was eating in his sleep! Thank goodness for the pump that has allowed him to set a higher basal rate for those early morning hours.

      The article also mentions a key point that is often overlooked - the group maintaining very low glucose levels had noticeable reduced microvascular problems .... but more people DIED. That's the trouble ... tight control in the 90 – 110 range leaves you very little margin for error on the low side, and while hyperglycemia will kill you in the long run, HYPOglycemia will kill you right the heck now. I would rather my husband wake up with a 200 in the morning because of the dawn phenomenon increase than have a hypoglycemic seizure at 1:00 a.m. because he didn't have enough blood glucose to handle his midnight "dip" and dropped to a 25.

      July 26, 2010 at 11:06 | Report abuse |
  14. patty

    Well great. Another drug based therapy. And who funds the research for all this? The drug companies. The very same companies who will benefit from people taking their medications.

    Diabetes is a terrible disease no one deserves. If you are a type 2 who still produces enough insulin, you can get rid of it. For good.

    My H did it. He went to Dr. Aniceto Baltasar in Alcoy Spain and had the duodenal switch. The diabetes was gone immediately postop and he has never had another dose of diabetic medication. This was back in 2003. His vision went back to 20/20 without glasses within 2 weeks and today, his opthalmologist can't see any retinal damage from diabetes. H also had neuropathy in his feet and some of that damage was permanent and will never go away.

    Today H is quite healthy, normal weight, and can eat as he pleases, including too much sugar. He has to take a couple handfuls of vitamins every day and have bloodwork done once a year. He has to eat a high protein diet as well. And he has the cholesterol of a 10yo. No more diabetic hyperlipidemia either.

    Do the research and learn about metabolic surgery. It works. Hundreds, if not thousands, of people in the US have had this surgery and left type 2 diabetes behind them.

    July 24, 2010 at 02:18 | Report abuse | Reply
    • Isaac Humphrey

      Oh my, duodenal switch is a very outmoded type of gastric bypass which can have very severe metabolic complications. This procedure is not and has not been done in the US for many years. Roux en y gastric bypass (what everyone knows as gastric bypass) and gastric banding are different and in general safer surgeries which can be effective for the right person. Although, they can also have severe complications from time to time of course.

      July 24, 2010 at 03:18 | Report abuse |
    • william

      If the ADA was on the ball (when it blindly endorses a Product like kidney-attacking Splenda, one concludes it is not-) it would have already submitted SPECIAL DARK COCOA (Hershy is one major brand); repeat, Special DARK Cocoa (NOT milk chocolate) to extensive lab tests whose outcome would be this: The ingredient "flavanoid" present in wholesale quanity in DARK cocoa has a MARKED EFFECT on ALL the body's blood vessels, ranging in size from the aorta down to mega-millions of capillaries and that "marked effect" is this: It RELAXES the wall of the vessel allowing significantly-increased volumetric blood flow and do I have to tell you, "Blood is life"?

      Two years ago I had intractabe hyptension but after 90-odd days of dark cocoa therapy (one-half teaspoon every morning dissolved in a WARM -- not hot -- cup of milk (high temps destroy flavanoids and cold milk won't disolve cocoa) but today my BP is normal, Normal, NORMAL, N-O-R-M-A-L sans any pharmaceutical and while I am Type 2, blood circulation in the extremities is of zero concern to me (doctors have repeatedly remarked on how strong my pulse at my feet–)!

      So, if one-half teaspoon is good, one TABLESPOON will be great, right?

      Answer: Only if you are looking to gain 20 pounds inside of two months!


      PS: The vessel relation effect also prevents strokes--

      July 24, 2010 at 06:03 | Report abuse |
  15. muffdive

    Don't pay attention to any kitty comments by less then helpful individuals who do not know what they are saying or doing!!! They would be better off as a diabetic instead of not having a full deck to play with!!! Use your docs as your guide and the lord as your life!!!!

    July 24, 2010 at 04:59 | Report abuse | Reply
  16. Anne S.

    I am a diabetic now for 32 yrs. I have been diagnosed as having both kinds of diabetes. I do count carbs, which is 60 carbs at each meal and spaced 4 hrs. apart. I weigh 125 lbs. and watch my diet very carefully. Fruits and vegetables, and only allowed 5 oz.of protein all day long. Being a brittle diabetic is no easy picnic. I have had 14 laser treatments on my eyes, but not all treatments were caused from my diabetes. I take 2 shots of one kind of insulin, 3 shots of another kind of insulin daily. Pick my fingers 3 times daily. Believe me it is no picnic. I'm very lucky at this point to have 20/30 vision, and most of the time don't wear glasses, but do need reading glasses to read the fine print. For someone to say that a person deserves to have diabetes iis absurb. Some of us inherit this from other members of the family, so it is not all brought on by carelessness. To me trying to treat my diabetes is like a balancing act. I once heard a doctor from the Joslin Clinic say even though you take care of your diabetes and do everything right-diabetes will get you in the end.

    July 24, 2010 at 05:25 | Report abuse | Reply
  17. Dawn (Wife of Type 1)


    July 24, 2010 at 07:30 | Report abuse | Reply
  18. expect more

    I have had diabetes for almost 41 years. When I was diagnosed, and for about 11 years thereafter, there was no such thing as a blood glucose monitor. The lab would take blood from my arm, and call me a week later with the results, which did me absolute no good at that point. I was shooting (no pun intended) at a moving target, and I didn't know where the starting point was. I'm surprised I didn't die from hypoglycemia or ketoacidosis. Look those words up in your medical dictionary, Gala 12! You are the most self-righteous individual on the planet. I am normally not a hateful person, but I hope the stress of being alone and unloved causes you to die prematurely.

    July 24, 2010 at 07:37 | Report abuse | Reply
  19. LJ

    Type II diabetes can be controlled by diet. It's as simple as leaving out the things your doctor recommends, like DAIRY, MEAT and all processed foods. Eat only whole vegetables, beans, fruit, seeds and nuts (eat 1 pound of raw greens a day and 1 pound of cooked greens a day) and you will be off your meds in no time. The docs and pharm companies do have you wrapped around their fingers...sadly many docs don't know any better! And I am not saying any of you deserve to have diabetes – that is a harsh thing to say. For a reference read Dr. Fuhrman's "Eat to Live" to learn more truth about diet. Your doc won't believe the results. It's not a crazy wacko diet – it's a lifestyle change that has saved the lives of many, including myself. The best thing about it is that it is based on sound science and references hundreds of scientific studies.

    July 24, 2010 at 10:56 | Report abuse | Reply
    • Rita

      LJ – Are you trying to get advertising for a book? Your posts sure sound like it!

      July 25, 2010 at 16:29 | Report abuse |
    • SR

      LJ you are a true idiot if you are suggesting that a type II diabetic eat fruit! HA! Open mouth and insert foot please. Beyond all the stupidity from LJ and the heartlessness from Gala12 (probably a 12 year old child) type II is not something you can every truly tame. It's not as simple as sticking your finger, seeing the number and taking insulin or eating something. Sometimes that doesn't work- sometimes the human body simply can't recover. My husband is a type II diabetic and while we try very (very=expensive btw) hard to manage his sugar it is not only physically exhausting but emotionally. While our marriage is strong, there are times when the disease does come between us. Multiple arguments about his disease management practices, my own selfish wants and needs (chocolate, ice cream, maybe a drink every now and then) and then just the issue of sugar lows and highs in daily life. Anyone who thinks this is a a + b = c disease should live in a household with a chronic diabetic for a month- better yet they should be the primary care taker. I don't recommend Gala12 though- she would probably let them fall into a diabetic coma for her lack of compassion.

      July 27, 2010 at 12:06 | Report abuse |
  20. John

    Gala12, 2 words adequately describe the kind of person you are. The first starts with an A, the second with an H. I'll bet you can figure out the rest of the letters!

    July 24, 2010 at 11:00 | Report abuse | Reply
  21. Dale

    A question begs to be asked. How long has it been since there has been a cure for a lethal world disease.
    The answer is POLIO not smallpox. Think about George Washington, how he solved the smallpox’s problem.
    The reason why, Polio was cured because it was killing too many people, including the rich people even a U.S. president had polio, so they had to come up with a cure.

    A nether question begs to be asked. Why hasn’t there been any cure for big-time world lethal diseases lately?
    The answer is, if the world come up with cures, you kill the goose that lays the golden money eggs.

    People that are sick and dying will pay any thing to get better, people that can afford treatment and insurance, keep the cash $$$ flowing to these corrupt, greedy, medical organizations, they do not care about people’s pain and misery’s. They only care about how much money they can make off of sick people.

    For example diabetes, millions of people have diabetes all over the world.

    There are blood glucose meters and test strips, insulin manufacturers, Avandia and other Medicines, doctors specialists in diabetes.
    If a cure were to happen, think about it. Too much money BILLIONS of $$$ involved. No diabetes cure .

    And it is the same way with cancer if you cure it no Billions of $$$ coming in.

    There will always be sick people; Sick people and their miseries, are moneymakers’ BILLIONS OF $$$ for the medical industry.

    Think about this, when somebody in Washington, DC or somebody with a lot of power and money multimillionaires get sick, do you hear of them dying.

    They are insiders; they get the very best treatment.

    There is superior medical treatments and cures available for these people.

    Washington, D.C, why was health care reform so hard $$$.

    July 24, 2010 at 13:58 | Report abuse | Reply
    • Maria

      Actually, we cured neither polio nor smallpox. Anyone who actually catches one of those diseases will still get very sick, and perhaps die. If diabetes were a simple and stable virus like smallpox, we would already have a vaccine for it and kids would get it alongside their vaccines for rubella, measles, mumps, chickenpox, pertussis, etc.

      A better answer to your question is that we have already solved the EASY diseases. The ones left are HARD, with no straightforward cure or prevention. So let's all say "thank you" to the National Institutes of Health and other research centers that are hard at work on the science that will allow future treatments, cures, and even vaccines for diabetes, HIV, and other challenging diseases.

      July 26, 2010 at 11:15 | Report abuse |
  22. DC

    Wow...another study of the obvious.

    July 24, 2010 at 14:53 | Report abuse | Reply
    • Jennylyn

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      April 8, 2012 at 05:39 | Report abuse |
  23. warnockdavid

    If our government worked for us, instead of the drug companies, there might be some cures for these horrible diseases. If any cures were found the drug companies would hide them rather than lose billions. Entrusting them with the research and expecting results is pathetic. My life. my money and my hope for a future depend on those who will lose most if I became healthy.

    Wonderful world.

    July 24, 2010 at 18:33 | Report abuse | Reply
  24. gala12

    Sorry to make everybody so upset.Yes, I sounded too harsh , and I didn't say anything about diabetics 1.Their pancreatic gland is being attracted like mine thyroid gland by immune system. But look at majoryity of those with diabetes 2 ! When doctors in the article found that no treatment to decrease sugar level could be too aggressive even though it could cause complications, website for American Diabetics Association advice people people not too deprive themselves too much. Do you see the difference?Doctors are more concerned than diabetics. And why you are so sure that proteins and fats are worse than carbs? Check, PLEASE, pbs "Second Opinion" about prediabetes. In the episode patient tells the story about her getting out of her condition with the South Beach Diet. Get well by yourself and read more about different approaches

    July 24, 2010 at 19:19 | Report abuse | Reply
    • Ana

      Gala12, you are clearly insane.

      July 25, 2010 at 14:24 | Report abuse |
  25. Wayne53

    I did Atkins and lost a ton of weight and reduced my bg. Of course, it damn near destroyed my kidneys and left me prone to other infections.

    July 24, 2010 at 19:44 | Report abuse | Reply
    • gala12

      I know a lot of people who did Atkins , lost weight , didn't destroy anything and kept weight off. My physician asked me recently about how I didn't regain weight loss of 25 lb after 3 years.When I said to him about my low carb eating he was not surprised and said that there are a lot of his patients improved their weight and cholesterol level in the same way.There are many chaises in proteins and fats.South Beach diet recommends mostly fish and lean chicken.Author of that diet is a famous cardiologist himself. Inuit people eat only proteins. There are a lot of children with epilepsy in many hospitals of America are treated successfully with ketojenic diet .I am sorry about your health issues. May be it was a preexisting condition.

      July 24, 2010 at 20:51 | Report abuse |
  26. Jean V

    I agree that what we REALLY need is a cure. Stem-cell research shows great promise for type I diabetics. Let's all pull together and not blame the victims. In the meantime, I will continue to do my best at self-care. I just ordered my step-counter (pedometer). I also joined a gym this year and started to make a lot of improvements to my diet. I'm lucky that my diabetes responds well to dietary changes and increased exercise. Not everyone is so lucky.

    July 24, 2010 at 22:13 | Report abuse | Reply
  27. Beth

    Gala12 is obviously not as educated on diabetes as he/she should be. I see diabetic retinopathy in my practice every single day. There are some patients who have been diagnosed who do absolutely nothing to take care of themselves. There are also other patients who adhere to a strict diet, and lead a healthy lifestyle. I have had patients that have lost 150+lbs since their diagnosis, and have successfully avoided diabetic complications. Others, unfortunately, do everything right and still show signs of retinopathy. Diabetes (type 2) has two main factors: genetics and environment. They play different percentages in different individuals. Some people can eat whatever they want and have virtually no complications, while others can not.

    Gala12–If your aunt and other family members are suffering from diabetic complications, maybe that says more about you and your family than about everyone else.

    July 25, 2010 at 11:14 | Report abuse | Reply
    • Jessica

      "There are also other patients who adhere to a strict diet, and lead a healthy lifestyle." – this is what they tell you, but you have absolutely NO WAY of knowing how accurate that really is, unless you are locking them in a lab for 6 months and feeding them that strict diet and watching them exercise every day to no avail. I watched 3 coworkers go through gastric bypass surgery – after all 3 gloated about how the doctors "required them" to "try every possible way to lose weight"...and they all tried nothing, but all of them swore up and down to their doctors about how hard they tried...and "nothing worked". Im sorry, but humans tend to not be honest when it comes to their failings – and I struggled to believe that obese adults (and now kids) who become inflicted with diabetes are PREDOMINATELY afflicted through no fault of their own...and subsequently have very little ability to alter, change or affect it.

      July 26, 2010 at 11:14 | Report abuse |
  28. gala12

    I want to apologize to anyone who was unjustly hurt by my comments. My aunt is not related to me by blood, but I love her very much. It saddens me too much that watching her parents suffer all sort of diabetics complications didn't make her aware enough not to follow their steps . She is just 2 years older than me (52) but develop diabetes 2 because she didn't care much.I just want people to wake up and see the magnitude of the danger.

    July 25, 2010 at 13:17 | Report abuse | Reply
    • Rita

      gala12 – people don't develop type 2 diabetes "because they just don't care". Type 2 can happen for a variety of reasons. Yes it is true that being overweight can cause insulin resistance which can lead to diabetes BUT that is not the only reason. You can not make blanket statements about diabetes because it is not a one size fits all disease!

      July 25, 2010 at 14:45 | Report abuse |
    • Jessica

      "Yes it is true that being overweight can cause insulin resistance which can lead to diabetes BUT that is not the only reason" – this is what drives me nuts. of course its not the ONLY reason...Gala12 never said it was. but you know what, it's a pretty big (pun intended) reason lately...and to pretend like its not, is just ignorant and really does more damage. I also recently read that during a heat wave in russia – hundreds of adults died by drowning. you could assume that they did so because they couldnt swim, it turns out they were drunk on vodka (not making this up). So if say 10 out 200 people died during that heat wave, and alcohol played no role – people like you would be saying "they didnt drown because they were drunk, not everyone drowns that way"...sure, but most did. you can deny reality for so long.

      July 26, 2010 at 11:10 | Report abuse |
    • John N

      I hope you don't think your apology lets you off the hook just because you received allot of negative responses due to your initial letter. You should of engauged your brain before your mouth, but that's assuming you have a brain to begin with. You have hurt allot of people and no amount of apologies will erase what you have done. Do you say the same things about people who smoke and develope lung cancer, or heart problems, or people who drink and then deveople liver problems? Try thinking before you act, and try having a little compasion for people. You might just feel better about yourself. Maybe!!

      July 26, 2010 at 11:37 | Report abuse |
  29. Tahmina Sultan

    Although the researchers have found two new treatments that could slow the progression of vision loss in high-risk adults with type 2 diabetes, by the intensive blood sugar control and the combination therapy decreased the progression of vision loss by one-third, patients in the intensive blood sugar control are in a higher risk of severe low blood sugar and related side effects. Patient education plays a major role in this respect.

    July 25, 2010 at 15:23 | Report abuse | Reply
  30. Pumpkin Headed Bob

    My wife's late father lost his vision from about two years before his death.

    July 25, 2010 at 17:30 | Report abuse | Reply
  31. sonomaeye

    Go back and look at the title of the article–"New Therapies Slow Vision Loss in Diabetics". It is totally misleading. There is no new therapy discussed in THIS article, merely a rehash that intensive control of blood sugar is a good thing, as is BP control.
    Then everybody goes and gets in a fight about diets and stuff, not noticing that CNN put some misleading bait out there.

    July 25, 2010 at 21:08 | Report abuse | Reply
  32. Kathryn

    My father has diabetes and this report seems to be good news. He also wears conatcts http://www.acuvueoasys.us but that only temporarily treats astigmatism unlike this therapy which seems to signifcantly reduce vision loss in the type of diabetes he suffers from. Hope it becomes available 9safely of course!) soon.

    July 25, 2010 at 23:12 | Report abuse | Reply
  33. STORMY


    July 26, 2010 at 05:08 | Report abuse | Reply
    • Gala12

      I may be stricken by diabetes 1 because it is an immune decease. But not by diabetes 2. It doesn't strike. It develops slowly because a person who prone to it(like me) is careless and let it happened. Almost like drinking. I didn't happened to me because I completely changed my way of eating. I am not a doctor and apologetic to anyone who is an exception from that scenario. It is not a majority. Majority of diabetics 2 ignored for many years all symptoms and became pre-diabetics first. Then they develop reversible diabetes2 that doesn't require insulin . Insulin dependency is the next step.Doesn't look a strike from nowhere. I just want people to be as aggressive with their approach to lifestyle as doctors are aggressive with sugar lowering medicine.YOU ARE THE ONE WHO IS RESPONSIBLE FOR YOUR HEALTH. If you start to notice that you are hungry all the time, energy is out of whack -than your sugar levels during the day are getting into dangerous territory. When I started notice such symptoms my fasting blood sugar was 99 and cholesterol still at healthy range because I exercise a lot . But I gained 25 lb for previous year. South Beach diet helped me. Later I started to count carbs and it cured my pre-menopausal symptoms. I am not bragging. Just telling my story.

      July 26, 2010 at 11:06 | Report abuse |
  34. Rita

    Gala 12 and Jessica,

    It sounds like both of you are very frustrated because a few people that you know aren't managing their diabetes and / or weight the way you think they should. First of all – don't be the food police. You may not like what they do but it is their choice. More importantly – you have no right to make blanket statements such as "all type 2 diabetics don't manage their diets and deserve to get complications". You DO NOT have the right to make such statements based on your limited experiences.

    July 26, 2010 at 23:14 | Report abuse | Reply
    • Gala12

      Yes, Rita, I am frustrated , thank you for understanding. Probably you see a lot of diabetics who you do not know personally.May be it is more easy to respect other people lifestyle choices when you are not related to you. Of course, I don't tell everyone who is around me what to eat. It is a social taboo. Respect is a different matter. It is inside. Tell me, please, the difference between selfdestructiveness of a young person involved in drags and alcohol and behavior of middle aged person who choose desserts over an eyesight . The articular ticked me of because of the tone. Doctors see an elevated sugar level as an ultimate emergency. No treatment is too aggressive for them.But they didn't even mentioned a recommendation to their patients to be equally aggressive in treating blood sugar through their life stile choices. Is it out of respect or doctors know too well their patients and their zero ability to exercise any will power?

      July 27, 2010 at 13:34 | Report abuse |
    • Rita

      Gala12 – Diabetes is a chronic illness. It is a life long struggle to control, even if it is only with diet and exercise. When I was diagnosed with type 2 I was told that having a chronic illness is similiar to dealing with death, divorce or other life changing events. There are five stages of grief and it people who get a diabetes diagnosis often go thru the five stages. Sometimes it is very difficult to get thru one or two of the stages. The thought of balancing food, medication, exercise, the cost of dealing with a chronic disease and the future can be overwhelming. There are weeks at a time that I follow a low carb diet, exercise and check my blood sugars multiple times a day. It seems like at those times I should have great blood sugars but that is not the case. It is at those times that I can get discouraged and think "what is the use, no matter what I do, it doesn't make a difference". It is a very easy mind set to fall into and very hard to get out of. I am very lucky, I have a great support system of a wonderful husband and great kids. My husband is always encouraging when I get down and goes out of his way to show his support. This includes giving me shots, giving up junk food so the temptation is not there. Most of all he will frequently ask what do I need him to do and then he does it. Perhaps if you could talk to your family members and let them know you love them and ask what you could do to help them, you might be able to help them move onto another stage of diabetes management. Some ideas of ways you could help is to bring healthy foods to family get togethers. There are many good dessert recipes that are heart and diabetes friendly. I can tell you from experience if you act judgemental or are critical of your relatives, you will get no where. The most frustrating thing for me is to have someone tell me I can't or shouldn't do something. My response (which I think is typical) is to think "oh yes I can".

      July 27, 2010 at 14:11 | Report abuse |
  35. Bob From Dubuque

    Lifestyle is not the only reason for Type II. Agent Orange is a VA accepted cause of Type II. If you spent anytime in Vietnam during the periods of spraying you are very suseptable to Type II Diabetes. I know I have it with none of the normal markers. Agent Orange and diabetes are large contributors to my two heart attacks and three strokes. Along the 30 years of stress caused by PTSD. So the blame game is stupid. You just live with it the best you can and try to help those around you that are also suffering

    July 27, 2010 at 07:05 | Report abuse | Reply
  36. Rita


    Thank You for your service to our country.


    July 27, 2010 at 09:57 | Report abuse | Reply
  37. Gala12

    Rita, I am really sorry about your situation
    We just don't talk with my relatives about their illness. They are not in the mood to do anything. It is like – the more you think about bad things, the more upset your may get. I can't get around it and don't try hard. My aunt is not in a really bad situation yet. Her parent are her parents. I am not very close to them . The chat room – the only place for my to say something. Probably in a future I will be able to follow your advice and find a way to help my aunt more because she will need it. Hold on and good luck.

    July 27, 2010 at 14:35 | Report abuse | Reply
    • Wendy

      -I understand the raw diet works for some, but don't sniult me by saying I don't know my own body just because it didn't work for me. You must listen to your body, and mine felt horrible eating raw, and I was eating raw for more than just a few weeks. Once I added animal protein back, I felt good strong again. Everyone is different, there is NO one size fits all in diet, doctors will tell you that. Raw foodists need to stop sniulting us meat eaters with their superiority complex.

      April 9, 2012 at 05:22 | Report abuse |
    • Bar

      Hi,You might want to read this book, it has a few pages to explain it, and then rofefs great diet tips as well.Dr. Barnard's Program for Reversing Diabetes.What is your level now? Usually there is no real reason to test the A1c more than every 3-4 months, so don't expect your doctor to order a repeat test before at least 3 months. If your A1c was over 10, and you are now on medication, and you had no clue that you where diabetic before, then expect that your A1c has dropped, as you are now controlling your blood sugar levels.A1c is more an indicator that your health is bad or good, kinda like looking out the back window of a bus, and knowing that you are still on a highway. It will let you know if you are off the highway, but not really tell you much more than that.As long as your blood sugars stay close to 100, then your A1c test will drop to the normal range that is below 8.0 when you take the next test. But if you frequently don't take the medication as required, then the blood sugars can reach 200 or more, leading to a high A1c test the next time around.By reading Dr. Barnard's book, and follow it's diet recommendations, then you can quickly stabilize the blood sugars.Once the blood sugars are more stable, then perhaps the insulin being made by the body will be adequate, or at least you can use a little less medication?By the way, the insulin will change the dangerous high levels of blood sugars into body fat. So it is better to eat smaller meals, than it is to eat a larger meal, then using insulin to change the spike in sugars into body fats.Good Luck!

      April 14, 2012 at 12:41 | Report abuse |
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    Visit http://atkinsrecipes.info too!

    August 5, 2010 at 03:33 | Report abuse | Reply
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