Concerned about mild or moderate non -proliferative retinopathy

Good afternoon, a concern has emerged and unfortunately I am a person who gives things a lot and I hope you can help me.I am a diabetic with 37 years and with diabetes since the age of 8 and this month they made the annual control retinography and have seen small red spots.I achieved the report and the ophthalmologist has determined mild or moderate non -proliferative diabetic retinopathy for temporary hemorrhage injury to papilla or macula, it does not make it clear.In 6 months I must go to the ophthalmologist for reviews every six months but my questions are: Does it now imply that once the retinopathy is established, it is a mild or moderate proliferative being can be fixed or can it only imply avoiding its progress? Does diabeticsType I then with so many years of evolution in the end we end with safe blindness?
My vision does not find her affected, I still see perfectly well.My glyded hemoglobins are always 6.3 or 6.7 although the last one was 7.2 (due to constant colds and aintibiotrapia) but by a glyded hemoglobin somewhat altered once I do not believe that it has produced so much but the years of evolution of evolutionMy diabetes.My concern is whether to make an extreme diabetes control at the end I will end up obvious with blindness.
Thank you very much for your advice and attention, the truth is that this has been very worried because I am still very young and the appearance of this complication gives me a lot of panic.I hope you can answer me.

The important thing is to detect it in time and monitor it.Now there are very good treatments that prevent progress and slow it.Let's see if you can answer @"ophthalmologo"

@"DM79", you will not lose vision.If you do not trust the diagnosis they have given you go to another doctor.Let's see if someone can help you.Be calm that panic is not good for anyone.

DM79: Presenting a mild/moderate non -proliferative retinopathy with a 29 -year -old diabetes, is nothing extraordinary.Of course, 7.2 hemoglobin is not responsible, but the years of evolution
If, as you say, your hemoglobins have always been around 6.5%, you have to think that the picture is unimportant.But I think, as I have already expressed on other occasions in this same forum, which is a diagnosis pending confirmation by angiography.Background photography is how to contemplate an iceberg from a ship.Obviously, we know that there is a hidden ice mass, that we do not see, but that we know that it exists.It is evident that in the depths of the retina, there are a number of alterations whose consequence is hemorrhages.That is why it is necessary to study the problem thoroughly.
Questions if the injuries are reversible: they are not.The maximum that can be done is get them not to progress and affect the macula.For that, the best procedure is laser photocoagulation.When?From my point of view, and without any urgency, as soon as possible.It would not make much sense to detect a tumor in a lung, microscopic, and wait for it to grow to treat it.It is much simpler, control a small problem, than a big one
Blindness in a diabetic is perfectly avoidable, but of course, that is not achieved by minimizing the problem.My recommendation is that you consult an ophthalmologist specializing in medical retina, and that the problem will be taken.If someone is not dedicated to treating diabetic retinopathies, it does not make much sense to control a disease that is not going to treat.
In summary: nothing to worry about, but we must grant problems the importance they deserve in response to their potential gravity.I recommend that you keep keeping hemoglobins at bay, you will have much less problems than if you do not

Good morning, I have been with diabetes 29 years and about 4 years or more with this diagnosis (mild non -proliferative retinography) they always do the same tests (background of eye, ocular tension, photos when I go endocrine).And they tell me that it remains the same as glycemia.Sometimes I think they should get more exhaustive control.In November I have review of the year.Let's see...

In the report he puts revision by ophthalmologist in 6 months.I suppose that within four I will request from my primary care doctor that derives me to ophthalmology to review me within six months of now.

Hello @"dm79" I am in the same situation as you, I am diabetic since the agePerfectly normal after so many years of evolution of the disease.They told me this year and a half ago and sent me review a year, I made it and told me that everything remained the same.As you have told you, you will not be blind if you continue with good diabetes control.
All the best.

Link

ophthalmologo said:
.My recommendation is that you consult an ophthalmologist specializing in medical retina, and that the problem will be taken.If someone is not dedicated to treating diabetic retinopathies, it does not make much sense to control a disease that is not going to treat.

How and where is an ophthalmologist specialist in retinas?

In all hospitals of a certain level, there are ophthalmologists especially dedicated to medical retina