Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/129160
Title: A Case of Accelerated Development of Proliferative Diabetic Retinopathy in a Woman with Type 2 Diabetes Mellitus after Pregnancy
Authors: Yam, J.P.Y.
Thai, A.C. 
Chua, S. 
Chee, C.
Arulkumaran, S. 
Keywords: Normalisation of blood glucose levels
Ophthalmic examination
Poor diabetic control
Severe diabetic retinopathy
Issue Date: Mar-1998
Citation: Yam, J.P.Y.,Thai, A.C.,Chua, S.,Chee, C.,Arulkumaran, S. (1998-03). A Case of Accelerated Development of Proliferative Diabetic Retinopathy in a Woman with Type 2 Diabetes Mellitus after Pregnancy. Annals of the Academy of Medicine Singapore 27 (2) : 265-268. ScholarBank@NUS Repository.
Abstract: Whilst it is recognised that diabetic retinopathy is a consequence of prolonged elevation of blood glucose levels, recent studies suggest rapid normalisation of blood sugar as a causal factor in accelerating its development. In this case report, a non-insulin dependent diabetic with poor blood glucose control but no retinopathy in early pregnancy had normalisation of glucose control by the third trimester. However, glucose control deteriorated rapidly postnatally, and she had a sudden blurring of vision three months after delivery of her baby, at which time severe proliferative diabetic retinopathy was diagnosed. The reason for the unusually rapid development of proliferative retinopathy was uncertain, but appeared to have a temporal association with the deterioration of her glycaemic control postnatal after a period of strict diabetes control in the perinatal period.
Source Title: Annals of the Academy of Medicine Singapore
URI: http://scholarbank.nus.edu.sg/handle/10635/129160
ISSN: 03044602
Appears in Collections:Staff Publications

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