“Metformin, unless contraindicated, is an effective treatment strategy because it has better effectiveness, is associated with fewer adverse effects, and is cheaper than most other oral medications,” said Nitin S. Damle, MD, MS, MACP, president. no dataACP. “The escalating rates of obesity in the U.S. are increasing the incidence and prevalence of diabetes substantially. Metformin has the added benefit of being associated with weight loss.” ACP updated its 2012 guideline on the comparative effectiveness and safety of oral medications for the treatment of type 2 diabetes because of several new studies evaluating medications for type 2 diabetes as well as recent FDA approvals of several new medications. “Adding a second medication to metformin may provide additional benefits,” Dr. Damle said. http://dclakers.com/advisingeyesurgeon/2016/12/05/a-closer-look-at-strategies-of-cataracts/“However, the increased cost may not always support the added benefit, particularly for the more expensive, newer medications.
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Almost everyone with type 1 diabetes will eventually have non proliferative retinopathy. Symptoms can include: Sudden loss of vision in one or both eyes Retinopathy of prematurity — An ophthalmologist examines the inside of the eye for abnormalities. It is important to have your eyes tested when diabetes is first diagnosed. When Should I Call the Doctor About My Vision? The new vessels are also often accompanied by scar tissue that may cause the retina to wrinkle or detach. This procedure involves removing a part of the vitreous humour along with the scar tissue. A very large haemorrhage might block out all vision, allowing you to perceive only light and dark. In an attempt to supply blood to the area where the original vessels closed, the retina responds by growing new blood vessels.