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The number of people with diabetes is increasing in the country. Estimates of how many Americans suffer from diabetic retinopathy remain more than a decade old.

To learn whether the condition is on the rise, or whether screening and treatment are keeping it under control, Dr. Zhang and his colleagues analyzed National Health and Nutrition Examination Survey (NHANES) data . Out of 1,006 older adults with diabetes who had undergone diagnostic eye imaging, 29% had diabetic retinopathy and 4% had vision-threatening cases. The rates were about 40% percent and 250% higher, respectively, than estimates dating back to an earlier NHANES study from 1988 to 1994. “But we don’t know if the increase is due to an actual rise in prevalence or if it is due to using a more precise method of assessing damage to eyes in the most recent study,” noted Dr. Zhang, pointing out that the new study included two digital images of each eye compared to the previous study’s single image of one eye.

The researchers also found that men had a significantly higher risk of developing diabetic retinopathy compared to women. Other risk factors included a longer duration with diabetes, use of insulin, high systolic blood pressure (the first number in a blood pressure reading), and high levels of hemoglobin A1c caused by uncontrolled glucose. Mexican Americans and non-Hispanic blacks also had significantly higher rates of the condition compared to non-Hispanic whites, the researchers reported online in the Journal of the American Medical Association.

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