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糖尿病是生活中很常见的疾病，但也是一种有着多种并发症的疾病。然而糖尿病眼病就是其中一种比较严重的并发疾病。那么，大家知道糖尿病眼病的常见症状有哪些呢？下面给大家介绍一下常见的几种症状供大家参考。


\"专家向您解答糖尿病眼病的常见症状有哪些\"

 

　　1、糖尿病眼病患者并发的眼病则会有棉絮状白斑的显著症状，这个现象也叫软性渗出，主要是由于视网膜神经纤维层的局限性、缺血性坏死等情况逐渐被胶质组织所替换，从而出现的棉絮状白斑，主要呈现出灰白色或乳脂色状态。

 

　　2、糖尿病眼病患者还会出现视网膜动脉的病变，这个是晚期糖尿病眼病的明显症状，患者能够见动脉小分支呈白线状且白线很细、色淡的状态，经常被周围新生的血管所遮挡，这种末梢小动脉的改变，很有可能是糖尿病特异性的动脉改变，所以一定要及早就医。

 

　　3、糖尿病眼病患者的常见症状还有视网膜出血斑的现象，这种症状能够与视网膜血管瘤同时出现或前或后出现，大多发生在视网膜血管下，并且呈现出圆点状暗红斑，在糖尿病眼病严重时会有浅层条状或火焰状出血斑。

 

4、糖尿病眼病患者的常见症状还有硬性渗出斑，患者主要表现为边界清楚的白色、黄白色的斑点，大小类似于微血管瘤或小的点状出血，是水肿后神经组织分解出现的脂质堆积。

 

找良医网温馨提示：以上就是关于糖尿病眼病的常见症状有哪些的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！


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现在因为各种因素的影响，眼部疾病也非常常见。在糖尿病眼病早期症状中最常见的就是白内障，那么大家知道糖尿病眼病有哪些早期症状吗？下面我们一起了解一下吧。


\"专家向您解答糖尿病眼病有哪些早期症状\"

 

通常情况下糖尿病眼病患者的白内障能够分为真性糖尿病眼病症状和老年性糖尿病眼病症状两大类。这个疾病的主要表现症状为视力下降，视物不清，总是感觉眼前会有一层雾，揉眼后也不能够去除，患者总是感觉阳光、灯光十分刺眼。糖尿病眼病症状，患者会根据血糖浓度的急剧变化，能够造成暂时性屈光改变。如果患者血糖高的话，易出现近视；如果患者血糖低的话可表现为视物模糊、不能聚集或看不清小字等症状。患者只有控制好血糖，视力又能够逐渐更快地恢复。

 

1、 因为糖尿病患者体内含有大量的糖和盐，它们会紧随尿液排除，致使血液渗透压降低，还有房水的渗透压也会随着降低，导致晶状体膨胀、变厚变凸，屈光度增加，最终造成近视的出现。

 

2、糖尿病眼病患者在患病后会形成植物神经损害，因此会影响患者瞳孔的收缩功能，通常会出现瞳孔变小的现象。

 

3、糖尿病眼病患者在患病后，因为视神经损耗或眼底血管发生病变，还会导致视力下降的出现，这也是糖尿病眼病的早期症状之一。

 

4、 糖尿病眼病患者在发病以后，因为患者受到高血糖的影响，导致眼内的糖代谢收到了很大的障碍，因此导致白内障的出现。

 

找良医网温馨提示：以上就是关于糖尿病眼病有哪些早期症状的介绍，希望能对大家有所帮助，希望各位定期做身体检查，糖尿病眼病早期症状的预防是避免糖尿病眼病失明的最要环节，要想视力恢复，要做血糖的控制。如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！


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现在工作压力等因素的影响，得眼部疾病的患者越来越多。得了眼病的糖尿患者的眼睛是比较脆弱的，会受到血糖、血压等多方面因素的影响，除了这些外饮食也是非常关键的因素，那么，大家知道糖尿病眼病患者有哪些饮食禁忌吗？下面我们就一起了解一下。


\"专家告诉您糖尿病眼病患者有哪些饮食禁忌\"

 

1、不要吃辛辣的食物

糖尿病眼病患者不要吃辛辣、发散的食物，这些食物很容易导致出血，从而造成血管扩张。尤其是在出血的阶段更不要吃辣椒、葱、蒜等辛辣的食物，忌饮浓茶、咖啡，并且坚决不能喝酒。

 

2、碳水化合物不宜控制过严

糖尿病眼病患者原则上应根据自身的具体情况限制碳水化合物的摄入量，但是也不能太低。因为饮食中如果碳水化合物太少，非常不容易被患者耐受，同时，机体因缺少糖而利用脂肪代谢供给热能，这种情况更加容易出现酮症酸中毒。

 

3、脂肪要限制

糖尿病眼病患者的脂肪摄入量要注意，脂肪的摄入一定要根据患者自身的具体情况来决定。高脂肪饮食会妨碍糖的利用，其代谢本身会产生酮体，还容易引发和加重酸中毒。尤其是肥胖的患者，更应严格限制脂肪的摄入，每天不宜超过40克。如果比较消瘦的患者，可以适当的摄入。由于碳水化合物限量，热能来源不足，可相应提高脂肪摄入量。

 

4、胆固醇食品要限制

糖尿病眼病患者对胆固醇食物也要有限制，因为胆固醇高的食品对糖尿病肥胖者危害非常大，所以一定要减少含胆固醇高的食品的摄入。

 

5、饮食中钠盐不宜过多

糖尿病眼病患者在饮食中钠盐不能摄入太多，因为高钠易引发高血压和动脉硬化。锌的供给不足能够使胰岛素分泌减少。在平时的饮食中锌最好的来源是肉类、海产品和家禽。

 

找良医网温馨提示：以上就是关于糖尿病眼病患者有哪些饮食禁忌的介绍，希望能对大家有所帮助，希望各位定期做身体检查，养成良好的饮食习惯，形成健康的作息规律，千万不可忽视生活中的小细节。最后，祝愿大家身体健康！


","barId":"1767","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1541,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1521193431693,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1521193431693,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12474","isDel":0,"createAt":1518251732078,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家告诉您糖尿病对眼睛有哪些损害","content":"

糖尿病是一个慢性的终身性疾病，会引发很多并发疾病，主要是对眼睛的影响，下面就跟大家介绍一下糖尿病对眼睛有哪些损害？大家在平时一定要多了解相关知识，对自身预防也会有帮助。


\"专家告诉您糖尿病对眼睛有哪些损害\"

 

糖尿病性视网膜病变是糖尿病眼病的一种，它会造成眼睛失明。糖尿病患者失明的几率是正常人的25倍，所以，为了减少此类伤害，一定要多了解预防措施。尤其是糖尿病性视网膜病变的发展是很难发现的，当患者察觉视力明显下降时，通常病情已经到了晚期。

 

在糖尿病性视网膜病变发展的过程中，初期患者没有任何明显的症状，等到发现的时候已经进展到很严重的阶段，这时大多数患者已经失去了最佳的治疗时期。当糖尿病眼病发展到一定阶段时，眼部的病变就没有办法挽回了。很多研究数据表明，只有做好预防性治疗，才能有效防止糖尿病造成失明。为了得到及时治疗，最好的办法就是糖尿患者定期检查眼底，可以使患者及早发现病情，配合医生进行相关治疗，在此前还要及时的做好预防性治疗。

 

找良医网温馨提示：以上就是关于糖尿病对眼睛有哪些损害的介绍，希望能对您有所帮助。如果糖尿病患者对血糖、血压和血脂都控制不好，并且在生活中也不注意的话，大部分患者5年以后就会出现眼底病变；如果血糖、血压等指标控制的不好，那么10～15年眼底就会出现病变情况。相反，如果血糖、血压、血脂都控制的很好，病程超过20年，眼底的情况会保持得很好。

 

找良医网建议您：如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！


","barId":"1767","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":740,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1518251732080,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1518251732080,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12471","isDel":0,"createAt":1518250215173,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家告诉您糖尿病眼睛模糊吃什么","content":"

糖尿病可以引发很多眼部疾病，例如大多数糖尿病人都会出现眼睛模糊的症状，出现这个现象不用着急，首先可以从饮食着手，做好预防保健工作，下面就跟大家介绍一下糖尿病眼睛模糊吃什么？希望能对大家有所帮助。


\"专家告诉您糖尿病眼睛模糊吃什么\"

 

1、枸杞菊花粥

 

需要材质： 枸杞子15克，白菊花4克，糯米150克。

 

制作流程： 将枸杞子、白菊花切碎，与糯米一同加水放置30分钟后，再用文火煮制成粥。

 

作用： 养阴清热，补肝明目。

 

2、黑豆核桃冲牛奶

 

需要材质：黑豆粉1匙，核桃仁泥1匙，牛奶1包，蜂蜜1匙。

 

制作流程：将黑豆500克，炒熟后待冷，磨成粉。核桃仁500克，炒微焦去衣，待冷后捣如泥。取以上两种食品各1匙，冲入煮沸过的牛奶1杯后加入蜂蜜1匙，每天早晨或晚餐后食用，根据个人喜好而定。

 

作用：黑豆含有丰富的蛋白质与维生素B1等，营养价值相当的高，并且由于黑色食物入肾，再配合上核桃仁，还能增加补肾力量，如果再加上牛奶和蜂蜜这些含有较多的维生素B1、钙、磷的食物，更能增强眼内肌力，还能加强调节功能，还可有效改善眼疲劳。

 

3、锅烧解毒豆腐块

 

需要材质：豆腐1500克左右，扁豆300克~500克，姜丝、葱花、精盐、味精、淀粉、食用油等适量。

 

制作流程：将扁豆去掉老筋、洗净、切片后，先用沸水焯一下，然后在冷水里冷却后沥干；豆腐切成小块即可。锅内放入食用油烧热，下豆腐块煎至两面呈金黄色时起锅。锅内留少许底油，放姜丝煸香，然后将豆腐块、扁豆片入锅，再加适量配料、精盐、一起烧至进味，加入味精，用淀粉勾芡，撒上葱花淋入热油即成。

 

作用：豆腐味甘，性凉，入脾胃经，具有益气和中、生津解毒的作用，可用于治疗红眼、消渴等症状。相关专家认为，扁豆中含有多种维生素，尤其是其中的维生素A能有效促进视网膜内视紫质的合成或再生，保持正常视力。

 

4、醒脑明目饮

 

需要材质：天麻3钱，川芎1钱，枸杞3钱。

 

制作流程：利用热水一沖，用焖烧杯或保温杯焖个10～20分钟即可。

 

作用：醒脑明目饮这个食疗方法里用天麻，具有强化记忆、提升脑部循环的作用。川芎，具有推动血液循环的作用。枸杞，则具有养血明目的作用。

 

5、枸杞炒猪肝

 

需要材质：枸杞子15克，猪肝200克。

 

制作流程：将猪肝切成薄片，用料酒、葱、姜汁和盐腌渍10分钟，加入枸杞子、酱油、味精、生粉和油，拌匀，放于盘内，在微波炉内高功率转4分钟，中途翻拌两次。

 

作用： 补益肝肾，养血明目。

 

6、明目银耳

 

需要材质：银耳(干)25克，鹌鹑蛋200克，

 

制作流程：用温水泡银耳，胀发后洗净泥沙，加开水使其发大，用小刀削去黑膜。银耳入开水中焯一下，放入清水中。将鹌鹑蛋逐个打入抹了猪油的小碗内，上笼蒸约5分钟取出。鹌鹑蛋放凉水中泡上待用。鸡汤1500毫升烧开，放精盐、味精调好味，捞出银耳。鹌鹑蛋从凉水中捞出，用滚沸的汤烫熟，放入大碗中，再盛上鸡汤银耳即可。

 

作用：滋润明目。

 

找良医网温馨提示：以上就是关于糖尿病眼睛模糊吃什么的介绍，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！

 

","barId":"1767","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1092,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1518250215175,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1518250215175,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12468","isDel":0,"createAt":1518249245659,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"糖尿病人吃什么对眼睛好 听听专家的建议","content":"

大家都知道糖尿病是一种慢性病，会给患者的身心带来很大的痛苦，特别是糖尿病的并发症，其中糖尿病对眼睛的的并发症很严重，我们可以吃什么来缓解呢？下面就带大家一起了解下糖尿病人吃什么对眼睛好的相关介绍。


\"糖尿病人吃什么对眼睛好

 

紫薯

紫薯纤维素含量高，这类物质可增加粪便体积，促进肠胃蠕动，清理肠腔内滞留的粘液、积气和腐败物，排出粪便中的有毒物质和致癌物质，保持大便畅通，改善消化道环境。紫薯中锌、铁、铜、锰、钙、硒均为天然，并且铁、钙含量特高。就是它们都含有一种叫做“花青素”的物质。花青素具有极强的抗氧化作用，能有效阻击“自由基”。在自由基对组织器官的伤害中，最容易被伤害的首先是眼球，而紫色食品的抗自由基效力，当属最佳的天然“护目食品”。因此，可以经常吃一些紫色的食物，能够有效地维护眼睛健康，还可以预防各种眼部疾病的发生。

 

　　黄玉米

黄玉米含有丰富的叶黄素和玉米黄素，都具有很强的抗氧化性，对保护眼睛有很大的帮助。眼睛老化会导致老年黄斑性病变的发生，严重时会造成视力缺损，还可能会失明。叶黄素和玉米黄素可以有效降低紫外线对眼睛的伤害，推迟眼睛的老化，对预防老年黄斑性病变、白内障等眼部疾病有很大的帮助。患有糖尿病的人应少吃甜玉米和糯玉米。

 

胡萝卜

小朋友都知道胡萝卜含有丰富的维生素A，它是保持眼睛健康不可或缺的微量元素。维生素A包含有维持眼睛健康的最重要的物质--抗氧化剂β-胡萝卜素。胡萝卜是摄入维生素A最好的选择。除了胡萝卜之外，还有卷心菜、生菜也是维生素A含量很高的食物。如果身体缺少了维生素A，有些人就会出现夜盲症。

 

　　西兰花

　　西兰花不仅能够提高视力，还能有效预防白内障的形成。因为西兰花中含有黄体素和玉米黄质(类胡萝卜素属中的一种植物营养素抗氧化剂)两种物质，这两种物质对晶状体有非常好的保护作用。这些类胡萝卜素能够使眼细胞免受自由基对其造成的压力。

 

　　菠菜

　　相关调查显示，吃大量菠菜，有可能会减低老年失明。这主要是因为胡萝卜素--绿色多叶蔬菜和黄色蔬菜中的色素。相关调查显示，每天多吃这些蔬菜的人，患上视网膜黄斑变性的机会可减少百份之四十三。视网膜黄斑点退化是老年人经常出现的眼病，患者视网膜中心退化，中心的视力渐渐失去。专家建议吃菠菜时可以多为凉拌，每周吃2～3次。

 

　　海带

　　海带除了含碘外还含有1/3的甘露醇，平时可以看到晒干的海带表面有一层厚厚的“白霜”，这个就是海带中的甘露醇。甘露醇有利尿的作用，可帮助降低眼压，对治疗急性青光眼有很大的帮助。还有其他海藻类如裙带菜也含有甘露醇，也可用来作为治疗急性青光眼的辅助食物。

 

　　枸杞

　　枸杞有清肝明目的作用，对眼睛很有帮助。因为枸杞子含有丰富的胡萝卜素、维生素A、B1、B2、C，钙、铁等，简直是眼睛的营养品。

 

　　蛋黄

　　蛋黄中的叶黄素和玉米黄素是眼睛很好的营养素，吃后能让眼睛更明亮。叶黄素和玉米黄素这两种营养物质可以减少紫外线对眼睛的伤害，延缓眼睛的老化，可以有效预防视网膜黄斑变性和白内障等眼部疾病。如果有高胆固醇、高血脂、高血压的患者应该尽量少吃蛋黄，一天吃半个蛋黄或一个蛋黄就可以了。

 

　　猪肝

　　猪肝中维生素A的含量非常高，要比奶、蛋、肉、鱼等食物高出很多，对维持正常生长和生殖机能有很大的帮助；可以很好的保护眼睛，维持正常视力，有效预防眼睛干涩、疲劳等症状。

 

　　找良医网温馨提示：以上就是关于糖尿病人吃什么对眼睛好的介绍，糖尿病的并发症主要是眼睛方面，大家在饮食上一定要合理，也可以根据个人的喜好选择食用以上哪种食物。最后，祝愿大家身体健康！


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糖尿病患者应该做好预防措施，才能有效预防糖尿病眼的发病几率。在饮食上也应该非常注意，下面就跟大家介绍一下糖尿病眼不能吃什么？


\"专家告诉您糖尿病眼不能吃什么\"

 

辣椒：尽量少要吃，因为它所含的辣椒素可促进胰岛素的分泌，但辣椒性热、味辛，多食助热生火，糖尿病患者。

 

甘薯：尽量少要吃，因为它的含糖量在20%以上，食用后血糖会明显升高。

 

甜菜：尽量不要吃，因为它含糖量高，糖尿病患者食用后血糖会明显升高。

 

大葱：尽量少要吃，因为葱吃得多了易使人视线不清，对眼睛有一定的不良影响，糖尿病合并眼病者不宜多吃。

 

荸荠：尽量不要吃，因为它含大量淀粉，淀粉在体内会转化为葡萄糖。

 

杏：性温热，多食易上火。糖尿病患者多属阴虚内热之体，且免疫力差，应尽量不吃。

 

葡萄：尽量不要吃，因为它含大量葡萄糖、果糖及少量蔗糖、木糖，糖尿病患者慎食。

 

柿子：尽量不要吃，因为它除水分外，所含大部分为糖（包括蔗糖、葡萄糖、果糖等），糖尿病患者应尽量不吃。

 

桃：尽量不要吃，因为它性热，含糖量高，属阴虚火旺之体的糖尿病患者应尽量不吃。

 

芦柑：尽量不要吃，因为它除水分外，所含大部分为糖类物质，包括葡萄糖、果糖、木糖，多食易导致血糖升高，糖尿病患者应尽量不吃。

 

甜杏仁：尽量少要吃，因为它的糖含量较高，多食不利于血糖的控制。且其性温，多食易诱发腹泻、疖肿等症。

 

栗子：尽量不要吃，因为它性温热，且含糖量高，食用后易上火，且会导致血糖升高，糖尿病患者应尽量不吃。

 

核桃：尽量不要吃，因为它性温热，属阴虚内热之体的糖尿病患者不宜经常食用。

 

找良医网温馨提示：以上就是关于糖尿病眼不能吃什么的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！


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糖尿病很常见，而且还会并发很多的眼部疾病。大家应该知道糖尿病是一个终身性的疾病，但是做好预防措施还是可以有效控制的。下面就跟大家介绍一下糖尿病眼病的预防方法有哪些？希望能对大家有所帮助。


\"专家告诉您糖尿病眼病的预防方法有哪些\"

 

控制血糖

预防糖尿病眼病的根本措施就是严格控制血糖。有相关数据观察显示，有80%以上血糖控制不好的糖尿病患者，在20年后都会出现视网膜病变，反而控制良好的患者出现视网膜病变的几率只有10%左右。所以，做好预防措施还是很有效的。

 

良好的生活习惯和规律

糖尿患者要形成良好的生活习惯和规律，并且一定要戒烟；在饮食上要保持清淡，少吃辛辣、刺激和高脂肪的食物；根据自身情况适当做些锻炼，但是不可以剧烈运动；从事脑力劳动的人要注意用眼卫生，避免长时间阅读、使用电脑等不良习惯造成视疲劳，从而慢慢导致糖尿病视网膜病变的发生。所以，糖尿患者以及家属对糖尿病和它会引起的各种并发症都要十分重视。

 

控制血压

预防糖尿病眼病，一定要严格控制血压、血脂、血糖。有相关人事曾研究过两组糖尿患者，一组是高血压，一组是正常血压，主要是观察血压对眼底病变的影响，观察结果发现：高血压组发生糖尿病视网膜病变的几率高达34%。并且每位患者的视力主要是靠黄斑区的光反射，黄斑区出现水肿即影响视力，有专家认为糖尿病的黄斑区水肿是最影响视力的。有些患者目前的血压不高，暂时不会出现任何反应，但是长时间的话，10年后就可能会出现糖尿病视网膜病变的发生，且几率很大。

 

定期检查

糖尿病视网膜病变是是很难恢复的，所以尽量及早发现及早治疗，因此糖尿患者一定要定期做眼部检查。1型糖尿患者必须在患病5年后每年检查一次；2型糖尿患者应该从发现糖尿病开始，每年都进行一次检查。如有眼部异常感觉，则应缩短眼科随诊时间及早确认治疗方案。

 

找良医网温馨提示：以上就是关于糖尿病眼病的预防方法有哪些的介绍，希望大家定期做眼部检查，如有眼部异常感觉请及时到医院就诊，早日查清病况及早治疗，一定要听从医生的建议。最后，祝愿大家身体健康！


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糖尿病在我们身边很常见，它会引发很多眼部疾病，大家有了解引起这些疾病的原因吗，那么又如何预防糖尿病眼病呢？下面我们就一起来了解一下，希望大家能做好预防。


\"专家告诉您如何预防糖尿病眼病\"

 

1、预防是关键

防止糖尿病眼病的发生，预防才是关键。因为初期的糖尿病视网膜病变没有明显的症状或疼痛，在疾病发展前期视力也没有明显的变化。因此，如果得了糖尿病首先要从全面的眼部检查，一定要检查视力（近距离、远距离）、瞳孔对光反射、扩瞳后查眼底、眼压测定、眼底照相等项目，必要时还可以做眼底荧光血管造影。糖尿病患者至少每年检查一次眼底，如果其他状况可以早发现早治疗。

 

2、控制血糖正常

要想有效的控制糖尿病，要保持空腹和餐后的血糖都接近正常，让糖化血红蛋白控制在7%以下，才能有效预防糖尿病视网膜病的发生。患者对血糖控制的好坏，直接关系到视网膜病变的轻重。

 

3、帮助患者做好心理疏导

由于糖尿病属于终身性疾病，如果再并发出现眼部疾病，患者就会出现焦虑、恐惧心理，对病情的恢复很不利于。所以要针对病人存在的心理问题，帮助患者做好心理疏导。

 

4、提倡健康的生活方式

糖尿病患者要养成健康的生活方式，要让患者知道吸烟会导致血管痉挛，从而引发血液循环不良；饮酒会导致血管扩张，更易引发眼底出血，用力大便更会加重出血。一定要告诉患者要戒烟、戒酒，多吃新鲜的瓜果蔬菜，保持大便通畅，预防便秘。平时要注意眼部保健及眼部清洁，可对眼睛进行按摩保健。有糖尿病视网膜病变的患者，尤其是还有眼底出血的患者，一定要禁止过劳、长时间看电视、看书，更不能做剧烈运动及潜水等活动。

 

找良医网温馨提示：以上就是关于如何预防糖尿病眼病的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！


","barId":"1767","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":713,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1518243290678,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1518243290678,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12452","isDel":0,"createAt":1518236971624,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家向您解答糖尿病眼睛会带来哪些危害","content":"

大家都知道糖尿病会对身体影响很大，现在我们周围生活中这个疾病的患者也很多，可能对于它的病因都有所了解，知道糖尿病对眼睛眼也会有很大伤害吗？下面跟大家介绍的就是糖尿病眼睛会带来哪些危害，希望大家能认真了解。


\"专家向您解答糖尿病眼睛会带来哪些危害\"

 

引发的危害一：糖尿病性白内障

糖尿病性白内障的主要症状是视力下降，视物不清，总感觉眼前有一层雾，揉眼后也不能消除，碰到阳光、灯光时非常刺眼。糖尿病患者比普通人发生白内障的几率要大很多，并且发病期早，病情进展还快。糖尿病性白内障的治疗还是以手术为主，但是很容易发生眼底出血、术后感染或者愈合不顺利等并发症。所以，相关专家提示在手术前严格控制好血糖及血压。

 

引发的危害二：糖尿病性视网膜病变

糖尿病视网膜病变初期比较好治疗，但是如果出现视力下降极快的情况，视网膜病变就很难好转，甚至比预想的更糟糕，所以一定要注意预防这个最重要的环节，及早发现及早治疗。患者每年至少要接受一次眼底检查，一定要严格控制好血糖和血压，这两点对预防糖尿病视网膜病变起着非常重要的作用。因为血糖升高，就会造成患者眼底血管进一步损伤，并且高血压还会增加眼底出血的可能性。所以，预防措施是很重要的，好的预防会减少很多疾病的发生。

 

引发的危害三：变性性疾病

变性性疾病有很多种，原发性视网膜色素变性，先天性视网膜劈裂，视网膜脉络膜萎缩，色素性视网膜萎缩。这些变性性疾病都会导致糖尿病眼病的发生。

 

引发的危害四：近视

近视就是指没有近视的人发生近视或已近视的人眼睛度数不断变化。糖尿病还会引发近视的形成，所以大家在更换眼镜的同时，也注意一下是不是有糖尿病的可能。

 

引发的危害五：眼睑下垂

糖尿病可能会突然出现一侧眼睑下垂（上眼皮下垂，睁不开眼）的现象，老年患者发病比较急，多为一侧发病，并出现面部疼痛，同时眼球运动受限，出现视物成双影。如果出现这些症状，一定要及时去医院就医。

 

引发的危害六：麻痹性斜视

麻痹性斜视通常都是突然性疾病，主要会出现看东西成双影，眼球运动受限等状况。从外观上看，眼球向外或向内偏斜。病人会感到头晕、走路不稳，严重者恶心、呕吐，。如果出现这些症状，一定要及时去医院就医。

 

找良医网温馨提示：以上就是关于糖尿病眼睛会带来哪些危害的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！


","barId":"1767","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":659,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1518236971626,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1518236971626,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12451","isDel":0,"createAt":1518234337242,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家向您解答糖尿病眼睛的发病原因","content":"

糖尿病是很常见的疾病，但是糖尿病还会引发不同类型的眼部疾病，各位糖尿病患者有了解吗？下面就跟大家一起了解一下糖尿病眼病的发病原因。


\"专家向您解答糖尿病眼睛的发病原因\"

 

糖尿病眼睛模糊的形成原因主要是糖代谢紊乱，然后损害了视网膜微血管系统，最后造成视网膜一系列病理改变。由于视网膜毛细血管的主要病理改变有血管舒缩调节功能失常，血管周细胞凋亡和血管基底膜增厚现象，导致出现糖尿病眼睛模糊的症状。另外，引发糖尿病眼病的主要原因还有红细胞及血小板聚集性增高、血液黏度增高、血浆纤维蛋白原水平升高等因素，从而加重视网膜组织的缺氧，最终导致糖尿病眼病的出现。

 

糖尿病是一个很麻烦的疾病，它还会生出很多如糖尿病性视网膜病变、糖尿病性白内障、糖尿病性青光眼等并发疾病，这些疾病主要都是眼部的疾病。而在这些并发症出现前，还会出现类似糖尿病眼睛模糊的症状。因为糖尿病致使血糖升高，从而引起眼睛模糊，并且还会影响到眼前后节、眼外肌、视神经等多种眼部结构。糖尿病眼睛模糊还会造成眼底血管瘤、眼底出血、泪囊炎、青光眼、白内障、玻璃体浑浊、视神经萎缩、黄斑变性、视网膜脱落等疾病的出现。

 

找良医网温馨提示：以上就是关于糖尿病眼病的发病原因的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！


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糖尿病在生活中是很常见的疾病，如果不能及时治疗会导致糖尿病眼部疾病的发生，所以大家一定要引起重视。下面跟大家介绍一下糖尿病眼病有哪些症状，希望能对大家有所帮助。


\"专家向您解答糖尿病眼病有哪些症状\"

 

现在生活水平的提高，致使糖尿病眼病患者也逐渐增多，糖尿病眼病患者眼底会出现微血管瘤，患病初期微血管瘤是比较少的，由于病情不断的发展，微血管瘤会逐渐增多，还会出现小片状出血的现象。微血管渗漏会导致附近视网膜水肿，通过眼底荧光血管造影，会发现这种改变比在检眼镜下更加明显。如果有黄斑区出现水肿的患者，这类病患的视力会急剧下降。

 

糖尿病眼病患者出现水肿症状后，还会出现硬性渗出，除了会出现硬性渗出外，眼底还会出现棉絮样软性惨出，这种现象就说明眼内组织出现缺血、缺氧，并且视力也会进一步的下降。因此，一定要及早治疗，以免其他新症状的出现。

 

因为糖尿病眼病患者缺血、缺氧，从而导致眼底新生血管的形成。由于新生血管只有一层细胞，所以很容易破裂，并造成视网膜出血或镸体积血。一旦出血吸收不良，就会引发机化条索。然后机化条索再牵引视网膜，就会造成视网膜脱离，因此糖尿病患者就很容易出现完全丧失视力的情况。

 

找良医网温馨提示：以上就是关于糖尿病眼病有哪些症状的介绍，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！


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想必大家在日常生活中对糖尿病也有一些了解，这个疾病还会引发糖尿病视网膜病变，严重者会导致眼睛直接失明。所以大家一定要重视遇到的疾病，早发现早治疗。下面就跟大家介绍一下糖尿病眼睛的形成原因。


\"专家向您解答糖尿病眼睛的形成原因\"

 

什么是糖尿病视网膜病变呢？今天就跟大家说一说，它是一种主要的致盲疾病，如果糖尿病患者在早期及时发现并且及时获得治疗的话，大多数人都可以摆脱失明的危险。否则糖尿病患者得眼病的机会是很大的，如眼底血管瘤、眼底出血、泪囊炎、青光眼、白内障、玻璃体浑浊、视神经萎缩、黄斑变性、视网膜脱落等眼病，也可能所有的眼病都会得。糖尿病患者得这些眼病的几率要高于没有糖尿病的患者。

 

　　糖尿病眼病是一种最为常见的慢性并发症，它会逐渐导致患者视力减退，逐渐再导致失明。现在引起双目失明最主要的原因就是糖尿病眼病，并且糖尿病眼病患者的失明几率是正常人的25倍，所以糖尿病患者一定要重视起来。糖尿病能引起的眼部疾病非常之多，如眼底病变、白内障、角膜溃疡、青光眼、玻璃体出血等等，但是其中对视力影响最大还是糖尿病视网膜病变和白内障两种，所以，得了这两种疾病，一定要及早治疗，以免造成更严重的后果。

 

糖尿病是一种内分沁代谢病，以高血糖为主的症状，现在人们的生活水平、饮食各方面都有所提升，糖尿病的患病率也在不断上升。糖尿病可能会影响全身各器官，但对眼睛的影响最为重大，可能会引起白内障、视网膜病变、青光眼、暂时性屈光不正、眼外肌麻痹等很多眼部疾病，其中最常见的是视网膜病变，也是糖尿病眼病形成的主要原因。

 

找良医网温馨提示：以上就是关于糖尿病眼睛的形成原因的介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，最后，祝愿大家身体健康！


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糖尿病视网膜病变（DR）是糖尿病最常见的微血管并发症之一，患了糖尿病，是否发生糖尿病视网膜病变取决于：患病时间的长短，血糖、血压、血脂的控制情况和个体的差异性。另外，1型糖尿病发生糖尿病视网膜病变早且严重，2型糖尿病发生视网膜病变要晚一些。糖尿病眼部并发症反复发作的睑缘炎、麦粒肿、结膜小血管破裂引起结膜下出血、虹膜睫状体炎、继发性青光眼、眼外肌麻痹、复视、视神经炎、眼底出血等。接下来找良医网就为您介绍几种常见的糖尿病眼病并发症：

\"几种常见的糖尿病眼病并发症\"


糖尿病的可怕就在其有多种严重的并发症，其中糖尿病眼病是比较严重的一种糖尿病并发症，很多糖尿病患者不注意眼睛的保护，导致糖尿病眼病的发生，直至有失明的危险。

 

三种严重的糖尿病眼病并发症

据专家介绍，糖尿病眼病是糖尿病一种并发症，并且眼病又分很多种，如糖尿病视网膜病变、白内障、屈光状态的变化、虹膜睫状体炎、虹膜红变和新生血管性青光眼等。其中，视网膜病变是糖尿病最常见的并发症之一，也是糖尿病患者最常见的致盲原因。

 

1、糖尿病性视网膜病变

糖尿病性视网膜病变是糖尿病人最严重的眼部并发症，它是由于糖代谢紊乱，毛细血管的改变，以及血流瘀滞，引起视网膜循环障碍，视网膜缺血缺氧而发生的，其导致失明和视力减退的机会比非糖尿病人高25倍。有人统计，患糖尿病10年，血糖控制不良者有50%以上可出现视网膜病变。糖尿病性视网膜病变早期多无症状，随着病变进展，可出现视力下降，视物模糊，晚期可并发视网膜脱离及失明。

 

2、糖尿病性白内障

糖尿病性白内障也是糖尿病人常见的并发症，它是由于糖代谢紊乱，血糖增高，导致眼内晶状体混浊而致。研究发现，血糖增高使晶状体内的葡萄糖含量增加，葡萄糖被转化为山梨醇，山梨醇在晶体内堆积，使渗透压增加晶体吸收水分，形成纤维肿胀和变性，最后导致晶状体混浊。这种病理改变早期是可逆的，如果血糖得到严格控制，可抑制晶状体混浊的发展或使其消失如血糖控制不好，可使晶状体混浊增加，导致视力下降甚至失明。

 

3、暂时性屈光不正

暂时性屈光不正是糖尿病人的又一并发症。它是由于血糖增高，影响眼内晶状体和玻璃体内的渗透压，使晶状体肿胀而致屈光不正，视物不清。当血糖得到控制，屈光不正可以缓解，视力得到恢复。短期内屈光度迅速变化，是糖尿病引起晶状体屈光度改变的特征。


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\"什么是糖尿病视网膜病变\"

糖尿病性视网膜病变是糖尿病最重要的眼部并发症为致盲的原因之一适宜的代谢控制和光凝治疗可以延迟或防治糖尿病视网膜病变引起的失明糖尿病和其并发症糖尿病肾病糖尿病足以及其他视网膜病。

 

　　糖尿病患者中约半数患视网膜病变其发病与糖尿病病程长短和控制效果有关发病机理为在糖尿病的病程中除碳水化合物新陈代谢不正常外还有一些未明确的因素可引起视网膜循环障碍包括毛细血管基膜增厚壁细胞消失管壁的纤溶蛋白功能下降血浆蛋白改变继发的血粘稠度过高红细胞粘性异常和血流淤滞等。

 

　　糖尿病可引起两种类型视网膜病变——增殖性和非增殖性视网膜病变 糖尿病性视网膜病变是主要致盲眼病之一无论是否使用胰岛素治疗 都可发生糖尿病性视网膜病变 。糖尿病损害视网膜主要是由于血糖增高小血管管壁增厚渗透性增 大使小血管更易变形和渗漏糖尿病视网膜病变的严重性和视力下降的 程度与血糖水平控制情况以及患糖尿病时间的长短有关患病时间长短尤 为重要一般患糖尿病至少年后才出现糖尿病性视网膜病变。

 

　　在非增殖性(单纯型)视网膜病变视网膜小毛细血管发生破裂和渗漏 在每一膨大的毛细血管破裂之处形成一有血蛋白沉淀的小囊医生根 据眼底检查可发现这些改变荧光素血管造影(一种诊断方法医生于患者 静脉注射染料待染料随血流到达视网膜时进行眼底照相)有助于确定病变 的程度早期非增殖性视网膜病变可不引起视力下降但视网膜小片出血 可引起局部视野缺失如果出血累及黄斑部视力将明显下降。

 

　　在增殖性视网膜病变视网膜损害刺激新生血管生长新生血管生长 对视网膜有害无益其可引起纤维增生有时还可导致视网膜脱离新生 血管也可长入玻璃体或引起玻璃体出血与非增殖性视网膜病变相比增 殖性视网膜病变对视力的危害性更大其可导致严重视力下降甚至完全失 明。

 

　　糖尿病视网膜病变的预防和治疗：预防糖尿病性视网膜病变最有效的方法是控制糖尿病维持血糖在正 常水平患者在诊断糖尿病后的年内每年应常规进行眼科检查这样可 早期发现视网膜病变并早期给予治疗使视力得以保存。

 

　　治疗方法之一是激光视网膜光凝术将激光束对准新生血管光凝以 破坏新生血管和封闭渗漏的血管因为视网膜不含感觉疼痛的神经激。

 


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手术后眼睛看不见，目前血糖通过注射胰岛素控制，并定期到医院血透

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糖尿病引起的视网膜病变，糖尿病历史已经有十几年了，各类病发症厉害，器官已受损。目前眼底出血，视力下降，基本上看不清楚东西

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左眼几乎看不到东西 右眼视力0.005 能挽救双眼视力吗 激光或者手术治疗

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左眼糖尿病视网膜脱落，结晶，右眼眼底出血

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外伤之后感到眼睛不适，检查后发现视网膜脱落病变，且有结晶

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外伤之后感到眼睛不适，检查后发现糖尿病引起的视网膜病变，且有结晶

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现在我妈妈玻璃体积血，当地医生说只能最手术治疗，想问一下现在还可以用中药活血化瘀吗

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手术前打针那个注药术给糖尿病患者打0.05ml是不是太少了

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糖尿病视网膜病变，黄斑水肿，做过一次激光光凝

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1、有些患者检查出糖尿病视网膜病变，但每年体检血糖都正常,否认有糖尿病，这是为什么？

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答:在门诊碰到过好几个这样的病人，眼底检查可以看到糖尿病视网膜病变（糖网病）的表现，但患者却拒绝承认有糖尿病。因为单位年年组织体检，年年血糖正常。其实普通体检并不能完全排除糖尿病，因为体检测定的都是空腹血糖。有些糖尿病患者空腹血糖正常，只是餐后血糖高。况且体检大多1年才做一次，这一次血糖正常不能说明太大的问题。为了明确自己有无糖尿病，可以考虑查随机血糖，可疑的患者或者有家族史的患者还需要继续做糖耐量试验。

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2、有的患者发现有糖尿病仅几个月，来眼科检查眼底即发现有糖尿病视网膜病变。是否能判断出该患者其实病程已经很长？糖尿病的病程是危险因素之一吗？

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答：一般来说，刚得糖尿病是不会有糖尿病视网膜病变的。但随发病时间延长，一般7-8年以后，就慢慢开始出现糖尿病视网膜病变了，随着病程延长，病变会越来越重。病程大于10年的患者中超过70%会出现不同程度的糖网，病程大于20年的患者中这一比例将超过90%。此外，1型糖尿病发生糖尿病视网膜病变早且严重,2型糖尿病发生视网膜病变相对要晚一些。

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3、有患者说近期血糖控制挺好，都在6-7mmol/L左右，可检查眼底糖尿病视网膜病变却很重。这种情况是否说明短期的血糖控制良好没有实际意义？

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答：糖尿病视网膜病变的发生是长期慢性的过程，需要长期的血糖控制才能显示出效果。有数据表明糖化血红蛋白HbA1C每降低1%，糖网发生的风险将降低21%，进展的风险将降低43%。糖尿病视网膜病变的发生是不可逆的过程，已经发生了糖网病，短期的血糖控制再好也无法让病变好转，只能通过相应的治疗来稳定或提高。即便如此，良好的血糖控制也可以避免病变过快的加重。另外血糖波动也是糖尿病视网膜病变加重的一个因素，不能因为强调血糖控制而导致血糖波动太大，甚至出现低血糖的情况。

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4、糖尿病合并高血压、高血脂、妊娠等，是否是引发糖尿病视网膜病变的危险因素？

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答：有一些危险因素会增加糖网发生的几率或者病变的严重程度，比如高血压、高血脂、贫血、肾功能不全、妊娠、不良的生活习惯等等。这些危险因素往往会影响血管，导致血管硬化、毛细血管渗漏增加等。如果血糖、血压、血脂控制得很好，生活方式很健康，心态也很好，糖尿病视网膜病变可能发生的就会晚，病变可能会较轻。妊娠时人的代谢旺盛、各种生长因子分泌增加，可能会导致糖尿病视网膜病变急剧发展，甚至很快发展到需要手术的地步。另外个体差异也是一个很重要的因素，有的患者尽管血糖控制得不错，但发生糖尿病视网膜病变却很严重。有的血糖控制不太好，但一直没有糖尿病视网膜病变。当然这样的患者只是极少数，不能成为不好好控制血糖的理由。

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5、糖尿病患者在日常生活中要遵循哪些原则来预防糖尿病视网膜病变？

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答：首先要以预防为主，预防糖网的发生远比出现糖网后进再行治疗要重要得多。其次要调整心态。糖尿病是慢性病、终身病，必须面对现实，学会与糖尿病共存。第三要坚定信心。正确及时的干预可以使得90%以上的糖尿病患者避免失明，而且新的治疗方法也层出不穷，只要积极配合治疗，就完全可以保护好自己的视力。第四要坚持不懈。糖尿病的治疗是一个长期的过程，不能指望看几次病就能看好。要将糖尿病及其他相关因素的控制当成生活一部分，且行且珍惜，才能取得良好的效果，保护自己的视力。

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