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The Question
08/07/09 09:35 PM

"I have been seeing a black spot on right eye for 3 days and the eye doctor says my eye is bleeding and needs laser surgery that I can't afford."
Asked By: lisa81  
Category: Insurance and Financial Issues

Background Info Hide
I have been type 2 since i was 10 years old i am now 28 , i take lantus 65 morning and 150 night,humlinu-500 r 35 each meal. plus mg actos day .i it cost aabout 8,000 for 4 times i have no job or insurance i have no ideal how i am going pay for it but if i don't i can lose eye sight maybe next month doc said so right now they set me up for payment arrangements but that ain't going leave me much to live on have any ideals or can u please help . i called public aide but if u ain't disabiiled or have kids they don't wanna help u , i was also told talk to lions club but not sure if they can help . i am very conscerned and don't know what to do been looking for job but don't know right now if get job if can do it any ideals

Expert Answers (1)

08/14/09 04:10 PM

Hello Lisa81; Dealing with the diagnosis of diabetes for 18 years and you have recently developed complications in your eyes. I do hope you have support resource people to help.

Yes, I have some resources to suggest that maybe of help, (no guarantees but sources to pursue).

First priority, get back to the basics :

  • Treatment always involves meal planning and physical activity (referred to as lifestyle therapies) and may include oral medications and/or insulin. Type 2 diabetes is a chronic disorder characterized by a triad of metabolic abnormalities causing the blood glucose to rise, resulting in damage to the blood vessels and nerves, as evidenced by the eye involvement. To prevent any additional problems, get back to the basics:
  • Eat a wide variety of foods. Special diet foods are not necessary; however, some reduced calorie items can be useful.
  • Eat on a regular basis (every 4-5 hours).
  • Eat consistent amounts of carbohydrates (from fruit, milk, bread/starch, and sweets) at meals. Goal range 44-60 gm. carb per meal snacks between meals approx 15-20gms. Include proteins with main meals to approx 5-7 oz. per day, added fat in moderations.

    Goal ranges for blood glucose: before meals 90-130, and post meals, try NOT to exceed 140-170mg/dl or per your personal care physicians goal ranges. A small frequent meal approach might help.

  • Eat more high fiber foods (dried beans, fruits, vegetables and whole grains).
  • Use less added fat, salt and sugar.
  • Decrease portion sizes, if weight is a concern.

    ABCs of Diabetes: A1C<7%, BP<130/80,HDL>50, LDL<100, Tgs<150,

  • if you smoke-please stop
  • activity to approx.>150 min/per wk per tolerance.

    Resources: PhRMA, (202)835-3400 or www.helpingpatients.org, NCMHHD(301)402-1366 orwww.ncmhd.nih.gov, or www.cdc.gov/omh or (404)498-2320, or www.afb.org or (202)454-6400, www.nfb.com,(410)659-9314, or www.ncpad.org , (800)-900-8086 or www.lighthouse.org (800) 829-0500. Thanks for calling on dLife, hope this helps. Regards Sue

    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

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