5 reasons why all doctors should use AOA’s diabetes guideline

December 23, 2019
Millions of people worldwide have diabetes and the number is growing.
Measuring blood glucose

David Masihdas, O.D., co-chair of the AOA's Evidence-Based Optometry (EBO) Committee Diabetes Guideline Development Group, along with EBO Committee Chair Diane Adamczyk, O.D., helped develop the AOA's Evidence-Based Clinical Practice Guideline: Eye Care of the Patient with Diabetes Mellitus, Second Edition.

Here are Dr. Masihdas' ­five takeaways for doctors of optometry from the updated clinical practice guideline.

  1. The urgency around the guideline is that millions of people worldwide have diabetes and the number is growing. The guideline provides recommendations on evidenced-based care provided by doctors of optometry that relies on timely diagnosis, intensive diabetes treatment and consistent, long-term follow-up evaluations for persons with diabetes. These steps are essential to effectively preserving vision and substantially slowing the risk of vision loss. The travesty is if we don't use it.

  2. The guideline informs the reader about the different classi­fications of diabetes, from type 1 to type 2 to gestational diabetes to diabetes due to monogenetic defects to prediabetes.

  3. It outlines the prevalence and risk factors for diabetes for each classi­fication. A family history, obesity, age, hypertension and ethnic background are just some of the key risk factors for diabetes.

  4. The guideline provides a quick reference of the ETDRS (Early Treatment Diabetic Retinopathy Study), the DCCT (Diabetes Control and Complications Trial) and other signi­ficant research. If you want to know what those studies are, you go to the guideline and you'll ­find them. Every doctor of optometry should have this guideline in their practice.

  5. It reviews several treatment options, including methods to control glucose, lower lipids, reduce cardiovascular risk, plus diet modi­fication and weight management. Medications are discussed. The challenge with discussing medications is that they change almost every day. But the guideline gives you a basis of what's out there, what the implications are, what the dosage is and how it affects diabetes.
Related News

AOA series addresses concerns about myopia management

With the prevalence of myopia on the rise worldwide, an AOA webinar attempts to erase concern over barriers to providing myopia management. The webinar kicked off a three-event series focused on raising awareness of myopia management as a standard of care especially for children. Next is “Meet the Myopia Experts” on Saturday, June 24, at Optometry’s Meeting® 2023 in Washington, D.C.

AOA serving patients through research in optometry

For the fifth consecutive year, the AOA is sponsoring the Investigator Initiated Research Award. Investigators are invited to electronically submit proposals by July 1 for projects designed to increase knowledge through basic clinical and/or translational science relative to the continuum of eye and vision care. The AOA provides a maximum of $50,000 in direct costs for research conduct. Eric Ritchey, O.D., Ph.D., talks about his current research on low-level light therapy for patients with meibomian gland dysfunction, which can lead to dry eye disease.

Marijuana sensibilities changing fast: Are you ready for patients’ questions?

Public support for marijuana legalization has never been higher in the U.S., but evidence of its clinical utility in glaucoma care remains clouded at best.

;