Under The Vines: Adult-Onset Blindness

Season 3 of one of my favorite Acorn TV shoes, Under The Vines, tackles the challenges of adult-onset blindness.  The blindness of the owner of the neighboring vineyard, Hilary (Catherine Wilkin), is worsening. What Hillary is experiencing isn’t just a great storyline in a TV drama; it’s more common than you think. 

One of the leading causes of blindness in U. S. adults is mismanaged diabetes.  Diabetes Retinopathy is a condition caused by diabetes, which disrupts the body’s ability to convert food into energy and can damage the eyes. 

Many people with diabetes don’t realize they have it until organ damage has occurred, so regular health and vision check-ups are essential. 

Hilary struggles to accept her condition and ask for help. She is stubborn, willful, and narrow-minded, much like many people struggling with worsening health conditions. She flatly refuses her rival, Miranda’s offers to take her to the doctor, clean her house, and help run her vineyards. Of course, Miranda has ulterior motives for helping Hilary, but that’s another story. 

If you’re concerned about your vision, follow the advice of healthcare collaborators on how often you should go for exams. Always contact an eye care provider when you have a change in vision or something wrong with your eyes. Wear your prescription glasses and contact lenses when necessary.
If you have diabetes, keep your blood sugar levels tightly managed, and manage your blood pressure if you have high blood pressure.

Cataracts are the leading cause of blindness worldwide. They cause the eye’s lens to harden and turn yellow. In the US, nearly 20.5 million people over 40 have cataracts.

The type of treatment available depends on your condition. Providers can treat some forms of blindness with medications or glasses but can’t treat others, such as those where your eyes are missing or completely damaged. In these cases, your provider may recommend visual rehabilitation. Vision rehabilitation aims to enhance visual functioning to meet your goals and improve your quality of life. 

Actors Rebecca Gibney and Charles Edwards star in Under The Vines as two city slickers who inherit a failing vineyard, Oakley Vineyards, in rural New Zealand. The only problems are that neither of them has ever done a hard day’s work—and they despise one another.

Under The Vines is a fun, easygoing watch. 

Can You Reserve Diabetic Retinopathy?

The average woman takes 17 minutes to apply eye shadow, eyeliner, and mascara and groom the eyebrows before going out for the night. If you spend that much time making your eyes look beautiful, why not spend a little extra finding out what’s happening inside them?
Make time for an annual eye exam. The macular edema and proliferative retinopathy treatments can prevent vision loss and even restore some of your lost vision.

Can You Reserve Diabetic Retinopathy?

You can’t reserve diabetic retinopathy. But we can reduce our risk of developing diabetic retinopathy or help stop it from worsening by keeping our blood sugar, blood pressure, and cholesterol levels under tighter management.

Divabetic Tip

Create your healthcare entourage of healthcare collaborators who address your needs. Trying to manage all the aspects of diabetes can be overwhelming. If you’re not tech-savvy, it can be downright frustrating. It’s okay to ask for help. Managing diabetes means managing the health of the whole body. This is why you’ll want a diabetes care team with specialists from different fields.

These can include:

  • Primary Care Provider (PCP): This doctor (MD or DO), nurse practitioner (NP) or physician assistant (PA) gives you routine medical care, including physical exams, lab tests and prescriptions for medication.
  • Endocrinologist: This doctor (MD or DO) specializes in diabetes and other diseases of the endocrine system (the system that produces hormones such as insulin).
  • Ophthalmologist or Optometrist: This doctor (MD/DO or OD), also known as an eye doctor, diagnoses and treats eye diseases and disorders.
  • Podiatrist (DPM): This doctor, also known as a foot doctor, is trained to treat feet and lower leg problems.
  • Pharmacist (PharmD): This professional knows about medicines, what’s in them, and how they interact with each other.
  • Dentist (DMD or DDS): This doctor knows about oral care and is trained to care for your teeth and gums.
  • Registered Nurse/Nurse Navigator (RN): A nurse in your doctor’s office who helps coordinate your health care needs.
  • Registered Dietitian Nutritionist (RD/RDN): A dietitian is a nutrition expert (what food your particular body needs to stay healthy). Talking to a registered dietitian nutritionist, not your yoga instructor, will help you use what you eat and drink as tools for managing your blood glucose.
  • Certified Diabetes Care and Education Specialist (CDCES): Previously known as Certified Diabetes Educators (CDEs), these are health care providers with extensive training and experience working with people with diabetes who have passed a credentialed board exam. They can help you figure out how to manage what you need to do to manage your diabetes in a way that fits with your daily life, routines, environment, and family dynamics.
  • Mental Health Professional: This person may be a psychiatrist (MD or DO), psychologist (PhD) or clinical social worker (LCSW or LISW). These professionals can help you deal with the day-to-day challenges of living with diabetes and more serious emotional issues. Be sure to work with a mental health professional who understands diabetes and the medicine and insulin you take that may affect your blood glucose.
  • Fitness Professional: A physical activity specialist may be an exercise physiologist, personal trainer, or physical therapist. These professionals can help you find safe exercises and ensure you get the most out of your exercise program. Be sure to work with a fitness professional who understands diabetes and the medicine and insulin you are taking that may affect your blood glucose.

Choose diabetes care team members who can provide the level of support you want and help when needed. The more information you can give when you get help, the easier it is for someone to assist you.

On this episode of Divabetic’s podcast, we’re discussing diabetic retinopathy. Diabetic retinopathy is caused by damage to the blood vessels in the tissue at the back of the eye (retina). Poorly controlled blood sugar is a risk factor. Early symptoms include floaters, blurriness, dark areas of vision, and difficulty perceiving colors. Blindness can occur.

Podcast guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, Poet Lorraine Brooks, and Mama Rose Marie. Throughout the podcast, we will feature selected songs from several of Maxwell’s albums courtesy of SONY Music.

Join Us For Divabetic’s Baking Party with Stacey Harris aka “The Diabetic Pastry Chef”

90+ People have already registered, how about you? Join us for Divabetic’s largest diabetes outreach of 2021.

Register now for our free, fun Virtual Baking Party with special guest, Stacey Harris aka “The Diabetic Pastry Chef” on Thursday, September 23, 7 – 8 PM, EST on Zoom.

Stacey plans to demonstrate one of her favorite sugar-free recipes, answers your questions, and provide tips for baking with popular sugar substitutes, and other sugar alternatives including Splenda.

After being diagnosed with type 2 diabetes, Stacey Harris (The Diabetic Pastry Chef) taught herself how to make pound cake, pecan rolls, pies, muffins, cupcakes, and other baked goods with about half the carbs you’d get from a traditional bakery item.

“I started experimenting by using almond milk or whole milk mixed with water to cut down on carbs, then tried different flours, incorporating white whole wheat flour, soy flour, oat flour, black bean flour, and other alternatives into my brownies, cakes, and cookies,” she said in a How 2 Type 2 article.

She adds, ”To cut back on sugar, I started using all-natural substitutes, like agave nectar, and trying erythritol. I also bake with a store-bought blend of sugars that tastes delicious.”

REGISTER NOW – FREE REGISTRATION

 

Don’t Wait For An Occassion To Get An Eye Exam

It’s important for anyone with diabetes to rise to the occasion, not delay and get an annual eye exam from an ophthalmologist so that diabetic retinopathy can be detected early.

In its early stages of diabetic retinopathy (DR), you may not notice any symptoms or changes to your eyesight that this condition is damaging your eyes. If it is not detected and treated in a timely manner, your vision can be damaged permanently.

A basic eye exam cannot detect all aspects of diabetic retinopathy so you will require special exams. To get a better look at the inside of the eye, your doctor might use eye drops to dilate the pupils and may then view the retina with lenses and a special light called a slit lamp.

What Causes Diabetic Retinopathy? 

Over time, high blood sugar damages the walls of the small blood vessels in the eye, altering their structure and function. These blood vessels may thicken, leak, develop clots, close off, or grow balloon-like defects called microaneurysms. Often, fluid builds up in the part of the retina used in tasks such as reading. This condition is called macular edema.

What is Macular Edema?

Like I mentioned above, macular edema is the build-up of fluid in the center of the retina. The retina is the light-sensitive tissue at the back of the eye and the macula is the part of the retina responsible for sharp, straight-ahead vision. Fluid buildup distorts vision

In advanced cases, the retina loses its blood supply and grows new, but defective, vessels. These fragile vessels can bleed and cause more problems, including glaucoma.

I had my pupils dilated at my recent eye exam. It’s not painful, and the peace of mind alone is worth protecting my sight was worth any discomfort with light sensitivity.

Still, hesitating to go to the eye doctor? Let the R & B group, Deele‘s biggest hits, “Two Occasions”(you’ve got two eyes, right?)  inspire you to schedule a regular eye exam to maintain healthy vision.

There is a big difference between comprehensive eye exams and routine eye exams. Routine eye exams are the appointments that you make when you need to get a new prescription for your glasses.

A comprehensive eye exam is typically an annual appointment where your eye doctor checks both your vision and overall eye health. This is important because the eye is a small, complex, and essential part of the body. Not only do our eyes help us to see, but they can also show signs of other eye and health conditions.

We’re talking about Eye Challenges related to Diabetes with musical inspiration from TLC on August’s Diabetes Late Nite Podcast on Tuesday, August 10, 2021, 6 PM, EST 

Guests include two leading doctors, Optometrist Sherrol Reynolds M.D. (Associate Professor and Chief of Advanced Ophthalmic Care at the Nova Southeastern University College of Optometry, President of the National Optometric Association (NOA)), Retina Specialist and Surgeon Rishi Singh, M.D. (Retina Specialist and Staff Surgeon at the Cole Eye Institute, Cleveland Clinic), two Diabetes Eye Health Advocates Andrea Sledge and Natalie Karabel, and Patricia Addie-Gentle RN, CDCES. Hosted by Max ‘Mr. Divabetic’ Szadek.

Throughout our podcast, we are featuring music from TLC’s CrazySexyCool album courtesy of SONY Music.

Looking for a fun way to socialize without putting your diabetes wellness at risk? Do you need a little help staying on track with your diabetes self-care?

Join the happy healthcare host, Mr. Divabetic for this free, fun Virtual Salad Making Party with special guest, Jill Weisenberger MS, RDN, CDCES, CHWWC, FAND on Wednesday, August 18, 2021, 7 – 8 PM, EST on Zoom.

FREE REGISTRATION – REGISTER NOW 

 

Eye Health, Vision Loss, Diabetes, and Tiaras!

We’re thrilled to announce that the reigning Ms. Texas Plus U.S United, Andrea Sledge, has chosen Divabetic as her platform for this year’s pageant.  

Andrea told us, “I was diagnosed with type 2 diabetes in 2011. My diagnosis was a complete surprise. I had attended a health fair at work, and they took my blood sugar, and the nurse immediately asked me to sit, asked me if I felt ok and then told me my blood sugar was 325.” She continues, “I had been seeing a doctor for regular physicals, but he never said a word to me even though I have a family history of diabetes. My maternal grandmother and both of my paternal grandparents suffered from diabetes.”

“Once I heard the words ‘you are diabetic,’ I was in denial! I went into a deep depression., I immediately thought of myself as less than. So I searched for an outlet that would help me get back to ME. I started competing in pageants and using diabetes and diabetes awareness as my platform. It made me so much stronger because then I took control of how it made me feel and the stigma surrounding diabetes. I wanted people to understand that being diabetic does not look nor define you as a person. You just have to do some things differently, but you can still be social. I did pretty well for several years until 2019 when I was diagnosed with diabetic retinopathy.”

Diabetic retinopathy is when high blood sugar levels cause damage to blood vessels in the retina. These blood vessels can swell and leak. Or they can close, stopping blood from passing through. Sometimes abnormal new blood vessels grow on the retina. All of these changes can steal your vision.

Diabetic retinopathy is best diagnosed with a comprehensive dilated eye exam. For this exam, drops placed in your eyes widen (dilate) your pupils to allow your doctor a better view inside your eyes. The drops can cause your close vision to blur until they wear off, several hours later.

During the exam, your eye doctor will look for abnormalities in the inside and outside parts of your eyes.

There are two main stages of diabetic eye disease.

NPDR (non-proliferative diabetic retinopathy)

This is the early stage of diabetic eye disease. Many people with diabetes have it.

With NPDR, tiny blood vessels leak, making the retina swell. When the macula swells, it is called macular edema. This is the most common reason why people with diabetes lose their vision.

Also with NPDR, blood vessels in the retina can close off. This is called macular ischemia. When that happens, blood cannot reach the macula. In addition, sometimes tiny particles called exudates can form in the retina. These can affect your vision too.

If you have NPDR, your vision will be blurry.

PDR (proliferative diabetic retinopathy)

PDR is the more advanced stage of diabetic eye disease. It happens when the retina starts growing new blood vessels. This is called neovascularization. You might see a few dark floaters. If they bleed a lot, it might block all vision.

These new blood vessels can form scar tissue. Scar tissue can cause problems with the macula or lead to a detached retina. 

PDR is very serious and can steal both your central and peripheral (side) vision.

If you have proliferative diabetic retinopathy or macular edema, you’ll need prompt treatment. Depending on the specific problems with your retina, options might include: injecting medications into your eyes, photocoagulation, panretinal photocoagulation, and vitrectomy.

While treatment can slow or stop the progression of diabetic retinopathy, it’s not a cure. Future retinal damage and vision loss are still possible.

Even after treatment for diabetic retinopathy, you’ll need regular eye exams. At some point, you might need additional treatment.

“I was totally blind for about a year after my surgery. I have now lost my vision in my left eye, but I am still pressing on,” says Andrea. But, she adds, “I chose not to quit the pageant because I can inspire others to push past the curve balls life throws at us.”

The mission of the U.S. United Pageant is to promote health, fitness, and inner beauty among women and children of all ethnic groups while producing positive role models for the community; to develop women that will promote self-confidence, self-worth, moral, academic, and social support for our youth; and to publicly recognize women who have obtained personal, professional and community achievements.

“Following your organization, Divabetic, over the years has really helped me in so many ways,” says Andrea. “One thing I do that makes me feel better when I am feeling down is put on makeup!! I also practice meditation to keep myself centered. In addition, I believe mediation aids me in achieving better health. It helps me manage my blood pressure and stress which is no good for anyone, but surely not a diabetic.”

Regular eye care can have a life-changing impact on preserving your vision. Eye diseases are common and can go unnoticed for a long time and/or have no symptoms at first. A comprehensive dilated eye exam by an optometrist or ophthalmologist is necessary to find eye diseases in the early stages when treatment to prevent vision loss is most effective.

This August, we’re focusing on eye health, and vision loss related to diabetes with two leading doctors(an Optometrist and a Retina Specialist, and Surgeon)and two diabetes advocates, and musical inspiration from TLC.

Did you know August is Vision & Learning Month?

The goal of this national observance is to help increase awareness among parents and educators on the prevalence of undiagnosed or misdiagnosed vision problems.

Diabetes is the leading cause of new cases of blindness in adults. This is a growing problem as the number of people living with diabetes increases, so does the number of people with impaired vision. Diabetes can cause a disease of the eye called diabetic retinopathy (DR). In its early stages, you may not notice any symptoms or changes to your eyesight, and you cannot tell that this condition is damaging your eyes. If it is not detected and treated in a timely manner, your vision can be damaged permanently.

Among adults aged 45 and over with diagnosed diabetes, 9.2% had vision loss due to cataracts, 4.1% had vision loss due to diabetic retinopathy, 2.2% had vision loss due to macular degeneration, and 2.1% had vision loss due to glaucoma.

Guests include Sherrol Reynolds M.D. (Associate Professor and Chief of Advanced Ophthalmic Care at the Nova Southeastern University College of Optometry, President of the National Optometric Association (NOA)), Rishi Singh, M.D. (Retina Specialist and Staff Surgeon at the Cole Eye Institute, Cleveland Clinic), Andrea SledgeNatalie Karabel, Patricia Addie-Gentle RN, CDCES. Hosted by Max ‘Mr. Divabetic’ Szadek.

Throughout our podcast, we are featuring music from TLC’s CrazySexyCool album courtesy of SONY Music.

 

August’s Diabetes Late Nite Podcast features Music from TLC’s CrazySexyCool

This August, we’re talking with two leading doctors(an Optometrist and a Retina Specialist, and Surgeon)and two diabetes advocates about eye health, and vision loss related to diabetes with musical inspiration from TLC

Let this be a friendly reminder to get your eyes checked. Why? A routine, comprehensive eye exam can detect vision problems, eye disease, and general health problems before you are aware a problem exists.

Did you know that August is Vision & Learning Month? The goal of this national observance is to help increase awareness among parents and educators on the prevalence of undiagnosed or misdiagnosed vision problems.

Diabetes is the leading cause of new cases of blindness in adults. This is a growing problem as the number of people living with diabetes increases, so does the number of people with impaired vision. Diabetes can cause a disease of the eye called diabetic retinopathy (DR). In its early stages, you may not notice any symptoms or changes to your eyesight, and you cannot tell that this condition is damaging your eyes. If it is not detected and treated in a timely manner, your vision can be damaged permanently.

Diabetes can lead to swelling in the macula, which is called diabetic macular edema. Over time, this disease can destroy the sharp vision in this part of the eye, leading to partial vision loss or blindness. Macular edema usually develops in people who already have other signs of diabetic retinopathy.

Fortunately, diabetic retinopathy and macular edema can be treated and even prevented if caught early (which is why getting an annual dilated eye exam is so important for people who have diabetes).

Another eye problem that’s more common in people who have diabetes is dry eye. According to the National Eye Institute, dry eye is a condition in which the eye does not produce tears properly. It can also involve tears not having the right consistency or evaporating too quickly. Tears are necessary to help maintain moisture on the surface of the eye and for clear vision. In many cases the surface of the eye becomes inflamed; if not treated, pain, ulcers, scars, and possibly loss of some vision can occur. One study showed that people who have diabetes have a 50% chance of getting dry eye.

Among adults aged 45 and over with diagnosed diabetes, 9.2% had vision loss due to cataracts, 4.1% had vision loss due to diabetic retinopathy, 2.2% had vision loss due to macular degeneration, and 2.1% had vision loss due to glaucoma.

Guests include Sherrol Reynolds M.D. (Associate Professor and Chief of Advanced Ophthalmic Care at the Nova Southeastern University College of Optometry, President of the National Optometric Association (NOA)), Rishi Singh, M.D. (Retina Specialist and Staff Surgeon at the Cole Eye Institute, Cleveland Clinic), Andrea Sledge, Natalie Karabel, Patricia Addie-Gentle RN, CDCES. Hosted by Max ‘Mr. Divabetic’ Szadek.

Divabetic’s Diabetes Late Nite podcasts mix great music with diabetes information, health tips, real-life testimonials, and common sense advice to help you live well with diabetes

Throughout our podcast, we are featuring music from TLC’s CrazySexyCool album courtesy of SONY Music. CrazySexyCool has been certified 12-times platinum by the Recording Industry Association of America (RIAA), making TLC the first girl group in history to be awarded Diamond status. CrazySexyCool has since sold over 14 million copies worldwide, becoming the best-selling album by an American girl group.

In addition to its commercial success, the project was also critically acclaimed and earned six Grammy nominations. The group would take home hardware for Best R&B Album and Best R&B Performance by a Duo or Group with Vocals (“Creep). The trio also broke ground by winning four MTV Video Music Awards in 1995 including Video of the Year. This made TLC the first African-American act to ever receive the honor.

A number of R&B groups would follow in the footsteps of TLC and leave their mark on the music world. But, none have yet to duplicate the magic captured by T-Boz, Chili, and Left Eye.

Released on November 15, 1994, CrazySexyCool served as a rallying cry for young women across the globe embracing their liberal nature, while analyzing various matters of the heart.