{"id":1354,"date":"2024-08-30T15:27:00","date_gmt":"2024-08-30T15:27:00","guid":{"rendered":"https:\/\/retina-eye.co.uk\/?p=1354"},"modified":"2026-10-22T15:37:00","modified_gmt":"2026-10-22T15:37:00","slug":"does-the-newer-diabetic-treatment-reduce-the-risk-of-diabetic-macula-oedema","status":"publish","type":"post","link":"https:\/\/www.retina-eye.co.uk\/zh\/post\/does-the-newer-diabetic-treatment-reduce-the-risk-of-diabetic-macula-oedema\/","title":{"rendered":"\u6ca1\u6709\u65b0\u7684\u7cd6\u5c3f\u75c5\u7684\u6cbb\u7597\u7684\u98ce\u9669\u964d\u4f4e\u7cd6\u5c3f\u75c5\u9ec4\u6591\u6c34\u80bf?"},"content":{"rendered":"<h2 id=\"viewer-wuwwa46\" class=\"wp-block-heading\">\u600e\u4e48\u7cd6\u5c3f\u75c5\u5f71\u54cd\u7684\u773c\u775b\uff1f<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-5l7gx49\">\u5168\u7403\u7cd6\u5c3f\u75c5\u7684\u60a3\u75c5\u7387\u662f9.3%\uff0c\u57282019(\u4f30\u8ba1463\u4ebf)\uff0c\u8fd9\u662f\u9884\u8ba1\u5c06\u4e0a\u5347\u523010.9\uff052045. \u7cd6\u5c3f\u75c5\u7684\u60a3\u75c5\u7387\u51fa\u73b0\u8f83\u9ad8\uff0c\u5728\u9ad8\u6536\u5165\u548c\u57ce\u5e02\u7684\u5408\u4f5c\u76f8\u6bd4\u4e8e\u519c\u6751\u548c\u4f4e\u6536\u5165\u56fd\u5bb6\u3002\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-0nknd52\"><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/what-is-diabetes\" target=\"_blank\" rel=\"noreferrer noopener\"><u>\u7cd6\u5c3f\u75c5<\/u><\/a> \u53ef\u80fd\u4f1a\u5f71\u54cd\u7684\u773c\u775b\u5728\u8bb8\u591a\u65b9\u9762\uff0c\u5305\u62ec\u767d\u5185\u969c\u3001\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u548c\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u9ec4\u6591\u6c34\u80bf. \u90a3\u4e48\u7a76\u7adf\u662f\u4ec0\u4e48 <a href=\"https:\/\/www.nei.nih.gov\/learn-about-eye-health\/eye-conditions-and-diseases\/diabetic-retinopathy\" target=\"_blank\" rel=\"noreferrer noopener\"><u>\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u53d8<\/u><\/a> \u548c\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u9ec4\u6591\u6c34\u80bf? \u89c6\u7f51\u819c\u672c\u8eab\u662f\u5149\u654f\u611f\u7684\u7ec6\u80de\u5c42\u843d\u5728\u540e\u9762\u7684\u773c\u775b\u3002\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-ohybc56\">This layer converts light into electrical signals which are then sent to the brain and turns them to the images we see.\u00a0 The retina is supported by a network of small blood vessels to supply it with its nutrition and remove waste materials. The high sugar levels in diabetes can damage these tiny blood vessels over a period of time.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-ta02659\">The phase of damage range from mild background retinopathy (small bleed in the eye and will not cause visual problems) to pre proliferative (more wide spread bleed in the eye, usually picked up during eye screening or examination and will not cause visual problems)\u00a0 and visual compromising proliferative retinopathy \u2013 where new vessels are noted and bleeding or possible retina detachment occurs which can impact on vision.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-1fjm762\">\u89c6\u7f51\u819c\u7684\u9700\u8981\u6e90\u6e90\u4e0d\u65ad\u7684\u8840\u6db2\uff0c\u5176\u5b83\u6536\u5230\u8fc7\u4e00\u4e2a\u7f51\u7edc\u7684\u5fae\u5c0f\u8840\u7ba1\u3002 <u><\/u><a href=\"https:\/\/www.macularsociety.org\/macular-disease\/macular-conditions\/diabetic-macular-oedema\/#:~:text=DMO%20is%20the%20most%20common,very%20similar%20to%20wet%20AMD%20.\" target=\"_blank\" rel=\"noreferrer noopener\"><u>\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u9ec4\u6591\u6c34\u80bf\uff08DMO\uff09<\/u><\/a> itself is accumulation of fluid in the macular, which is the centre of the eye where the highest concentration of nerve cells sits. This fluid may compromise vision if it affects the fovea or may cause distortion.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"viewer-qjs4v64\" class=\"wp-block-heading\">\u5f71\u54cd\u7684\u5408\u5e76\u75c7\u63a7\u5236\u7cd6\u5c3f\u75c5\u7684\u773c\u75c5<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-cply267\">\u5f53\u4f60\u7684\u533b\u751f\u4f7f\u7528\u7684\u672f\u8bed\u662f\u6709\u75c5\uff0c\u4ed6\u4eec\u901a\u5e38\u53c2\u7167\u5176\u4ed6\u533b\u7597\u6761\u4ef6\u4e0b\u5171\u5b58\u4e0e\u7cd6\u5c3f\u75c5\u3002 \u4f8b\u5b50\u662f\u9ad8\u8840\u538b\u3001\u9ad8\u8840\u538b\u548c <a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/23921-hypercholesterolaemia\" target=\"_blank\" rel=\"noreferrer noopener\"><u>hypercholesterolaemia<\/u><\/a>. \u8fd8\u6709\u98ce\u9669\u56e0\u7d20\uff0c\u8fd9\u4f7f\u75c5\u4eba\u66f4\u5bb9\u6613\u53d7\u5230\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u53d8\u548c\u8fd9\u4e9b\u5305\u62ec\uff1a<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\">\r\n<li>\u60a3\u8005\u7684I\u7c7b\u6216II\u578b\u7cd6\u5c3f\u75c5\u00a0\u00a0<\/li>\r\n\r\n\r\n\r\n<li>\u98ce\u9669\u589e\u52a0\uff0c\u5982\u679c\u6709\u4eba\u6709\u7cd6\u5c3f\u75c5\u5f88\u957f\u4e00\u6bb5\u65f6\u95f4<\/li>\r\n\r\n\r\n\r\n<li>\u96be\u4ee5\u63a7\u5236\u8840\u7cd6\u6c34\u5e73<\/li>\r\n\r\n\r\n\r\n<li>\u6709\u9ad8\u8840\u538b\u75c5\u6216\u9ad8\u8840\u538b<\/li>\r\n\r\n\r\n\r\n<li>\u6709\u9ad8\u80c6\u56fa\u9187<\/li>\r\n\r\n\r\n\r\n<li>\u6000\u5b55\u7684<\/li>\r\n\r\n\r\n\r\n<li>\u662f\u4e9a\u6d32\u6216\u975e\u6d32-\u52a0\u52d2\u6bd4\u80cc\u666f<\/li>\r\n\r\n\r\n\r\n<li>\u6709\u7cd6\u5c3f\u75c5\u5f88\u957f\u4e00\u6bb5\u65f6\u95f4<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-v9hmn97\">Systemic control of diabetes, hypertension, and hypercholesterolaemia in earlier studies in 1980s-1990s have been shown to have positive effects on reduction of progression of diabetic retinopathy and vision loss. It is key to optimise the control of your <a href=\"https:\/\/medlineplus.gov\/bloodglucose.html\" target=\"_blank\" rel=\"noreferrer noopener\"><u>\u8840\u7cd6<\/u><\/a>\u8840\u538b\u548c\u80c6\u56fa\u9187\u6c34\u5e73\u3002<\/p>\r\n\r\n\r\n\r\n<h2 id=\"viewer-o0qt199\" class=\"wp-block-heading\">\u6700\u65b0\u7684\u7814\u7a76\u7ed3\u679c\u4ece\u65b0\u7684\u7cd6\u5c3f\u75c5\u7684\u6cbb\u7597\u53ca\u5176\u5f71\u54cd\u7684\u773c\u775b<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-risc0102\">There has been several advancement in the treatment of diabetes (not within the scope of this article) including new treatment\u00a0 such as <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK576405\/\" target=\"_blank\" rel=\"noreferrer noopener\"><u>\u94a0\u534f\u540c\u8f6c\u8fd0\u86cb\u767d\u7cd62(\u7c7b-2)\u7684\u6291\u5236\u5242<\/u><\/a> \u548c\u80f0\u6837\u80bd1(GLP-1)\u53d7\u4f53\u6fc0\u52a8\u5242II\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u4e2d\uff0c\u80f0\u5c9b\u7d20\u6cf5\u3001\u7cd6\u5c3f\u75c5\u5bb6\u7684\u76d1\u89c6\u5668\u7b49\u3002\u00a0\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-ushv4106\">Newer treatment such as SGLT2 inhibitors have been approved to be used for type 2 diabetic patients who require further optimisation of their glucose levels despite <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18777488\/\" target=\"_blank\" rel=\"noreferrer noopener\"><u>\u7532\u6cbb\u7597<\/u><\/a>. \u8fd9\u4e9b\u6cbb\u7597\u65b9\u6cd5\u4e5f\u663e\u793a\u51fa\u5177\u6709\u6b63\u9762\u5f71\u54cd\u7684\u52a8\u8109\u7ca5\u6837\u786c\u5316\u5fc3\u8840\u7ba1\u75be\u75c5\u548c\u6162\u6027\u80be\u75c5\u3002\u00a0<\/p>\r\n\r\n\r\n\r\n<h2 id=\"viewer-8djnb108\" class=\"wp-block-heading\">\u90a3\u4e48\u4ec0\u4e48\u662f\u5f71\u54cd\u7c7b-2\u7684\u6291\u5236\u5242\u7684\u773c\u775b\u5417\uff1f<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-d03nl111\">\u4e34\u5e8a\u7814\u7a76\u4e5f\u663e\u793a\u4e86\u65e9\u671f\u7684\u8bc1\u636e\u7684\u4fdd\u62a4\u4f5c\u7528\u7684SGLT2\u6291\u5236\u5242\uff0c\u5982\u5feb\u4e3a\u7cd6\u5c3f\u75c5(\u80be\u810f\u75be\u75c5)\u548c\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u53d8\u3002 SGLT2\u6291\u5236\u5242\u53ef\u4ee5\u964d\u4f4e\u8840\u7cd6\u6c34\u5e73\uff0c\u51cf\u5c11\u4e86\u8eab\u4f53\u7684\u91cd\u91cf\u548c\u964d\u4f4e\u8840\u538b\u6291\u5236\u7cd6\u5438\u6536\u8fd1\u7aef\u66f2\u5c0f\u7ba1\u7684\u4e00\u90e8\u5206\u5728\u80be\u810f\u548c\u4fc3\u8fdb\u7cd6\u5c3f\u6392\u6cc4\u6216\u53bb\u9664\u3002\u00a0\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-6i9h5114\">\u6700\u8fd1\uff0c\u771f\u5b9e\u7684\u4e16\u754c\u5206\u6790\u7684\u75c5\u4eba\u5728\u4e9a\u6d32(\u53f0\u6e7e)\u548c\u7f8e\u56fd\u5df2\u7ecf\u663e\u793a\uff0cSGLT2is\u4e00\u76f4\u4e0b\u964d\u7684\u98ce\u9669\u666f\u8c61\u5a01\u80c1\u7684\u89c6\u7f51\u819c\u75c5\u548c\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u9ec4\u6591\u6c34\u80bf\u60a3\u8005II\u578b\u7cd6\u5c3f\u75c5\u3002 \u5f71\u54cd\u662f\u6307\u51fa\u5728\u4e0d\u540c\u4e9a\u7fa4\u7684\u60a3\u8005\uff0c\u5305\u62ec\u5e74\u9f84\u548c\u6027\u522b\u3002\u00a0\u00a0\u00a0<\/p>\r\n\r\n\r\n\r\n<h2 id=\"viewer-sv1vc117\" class=\"wp-block-heading\">\u5982\u679c\u6211\u5df2\u7ecf\u6709\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u548c\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u9ec4\u6591\u6c34\u80bf?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-xf9nw120\">\u5982\u679c\u4e00\u4e2a\u5df2\u7ecf\u5177\u6709\u7684\u66f4\u9ad8\u7ea7\u9636\u6bb5\u7684\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u53d8\uff0c\u4f8b\u5982\u6b96\u6027\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u53d8\u6216\u5f71\u54cd\u9ec4\u6591\u6c34\u80bf\uff0c\u8bf7\u770b\u770b\u4f60\u7684\u773c\u79d1\u533b\u751f\u4e3a\u8be6\u7ec6\u7684\u534f\u5546\u548c\u53ef\u80fd\u7684\u6cbb\u7597\u3002<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-72yu5123\">\u6709\u6cbb\u7597\u65b9\u6cd5\u63d0\u4f9b\u8bf8\u5982\u5168\u89c6\u7f51\u819c\u5149\u51dd\u56fa\u548c\u73bb\u7483\u4f53\u5185 <a href=\"https:\/\/www.aao.org\/eye-health\/drugs\/anti-vegf-treatments\" target=\"_blank\" rel=\"noreferrer noopener\"><u>\u6297\u8840\u7597\u6cd5<\/u><\/a> \u6216\u8005\u6ce8\u5c04\u7c7b\u56fa\u9187\u7684\u690d\u5165\u7269\uff0c\u5b83\u5df2\u7ecf\u663e\u793a\u51fa\u5177\u6709\u975e\u5e38\u826f\u597d\u7684\u7ed3\u679c\u7a33\u5b9a\u6216\u6539\u5584\u89c6\u529b\u6839\u636e\u9636\u6bb5\u6216\u8005\u9884\u6d4b\u8fd9\u4e00\u75be\u75c5\u3002<\/p>\r\n\r\n\r\n\r\n<h2 id=\"viewer-s09br125\" class=\"wp-block-heading\">\u5728\u6458\u8981<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-rzt14128\">Prevention is always better than cure where possible. It is advisable to optimise the control of glucose, hypertension, and hypercholesterolaemia to prevent diabetic retinopathy and other retina vascular diseases.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-bka2f131\">\u65b0\u7684\u6cbb\u7597\u7cd6\u5c3f\u75c5\uff0c\u5982SGLT2\u6291\u5236\u5242\u8fd8\u663e\u793a\u79ef\u6781\u7684\u5f71\u54cd\u964d\u4f4e\u98ce\u9669\u7684\u5404\u79cd\u7cd6\u5c3f\u75c5\u5e76\u53d1\u75c7\u5305\u62ec\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u548c\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u9ec4\u6591\u6c34\u80bf.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-sgu2s134\">Ms Heng has keen interest in personalised therapy that individualises a patient&#8217;s treatment in accordance to their other health needs, work needs, and personal needs.\u00a0 Keep yourself updated with the latest developments in eye care \u2013 continue to follow our blog and speak to us today!<\/p>\r\n\r\n\r\n\r\n<h4 id=\"viewer-j4qlg136\" class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e<\/h4>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-k0utk139\">\u94a0\u534f\u540c\u8f6c\u8fd0\u86cb\u767d\u7cd62\u6291\u5236\u5242\u548c\u98ce\u9669\u7684\u89c6\u7f51\u819c\u75c5\u60a3\u8005\u4e2d\u67092\u578b\u7cd6\u5c3f\u75c5\u3002 \u65e5\u5143et al<strong>\u00a0<\/strong><em>\u8d3e\u9a6c\u7f51\u7edc\u5f00\u653e\u3002 <\/em>2023;6(12):e2348431. doi:10.1001\/jamanetworkopen<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\" id=\"viewer-x3zxx145\">\u98ce\u9669\u7684\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u75c5\u548c\u7cd6\u5c3f\u75c5\u89c6\u7f51\u819c\u9ec4\u6591\u6c34\u80bf\u4e0e\u94a0\u534f\u540c\u8f6c\u8fd0\u86cb\u767d\u7cd62\u6291\u5236\u5242\uff0c\u80f0\u6837\u80bd1\u53d7\u4f53\u6fc0\u52a8\u52422\u578b\u7cd6\u5c3f\u75c5\uff1a\u4e00\u4e2a\u771f\u6b63\u7684\u4e16\u754c\u6570\u636e\u7814\u7a76\uff0c\u4ece\u5168\u7403\u7684\u8054\u5408\u6570\u636e\u5e93\u3002 Eleftheriadou et al <em>\u7cd6\u5c3f\u75c5<\/em>\u00a0<strong>67<\/strong>,1271-1282(2024).\u00a0<\/p>","protected":false},"excerpt":{"rendered":"<p>How Does Diabetes Affect the Eye? The global prevalence of diabetes is 9.3% in 2019 (estimated 463 million) and this is expected to rise to 10.9% by 2045. The prevalence of diabetes is found to be higher in high income and urban nations as compared to rural and lower income countries.\u00a0 Diabetes can affect the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1355,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[],"class_list":["post-1354","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Does newer diabetic treatment reduce the risk of diabetic macula oedema? 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