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Diabetes affects millions of people and can impact many parts of the body, including the eyes. High blood sugar levels over time can damage the small blood vessels that supply the retina, the light-sensitive tissue at the back of the eye.Because diabetes-related eye problems can develop gradually and may not cause noticeable symptoms at first, regular eye care is an important part of managing your overall health.Understanding how diabetes can affect your eyesand knowing when to seek professional carecan help you take steps to protect your vision.How Does Diabetes Affect the Eyes?When blood sugar remains higher than normal over an extended period, it can damage blood vessels throughout the body. The tiny blood vessels in the retina can be particularly vulnerable.Damaged blood vessels may leak fluid or blood, swell, or become blocked. As these changes progress, they can interfere with the retina's ability to function properly and potentially affect your vision.Diabetes can contribute to several eye conditions, including diabetic retinopathy, diabetic macular edema, cataracts, and glaucoma.Diabetic RetinopathyDiabetic retinopathy is one of the most important eye complications associated with diabetes.In its early stages, diabetic retinopathy may not cause noticeable changes in vision. Over time, however, damaged retinal blood vessels can leak or cause other changes that affect eyesight.In more advanced cases, abnormal blood vessels can develop and potentially cause serious damage to the retina.Because diabetic retinopathy may progress without obvious symptoms, regular dilated eye examinations are especially important for people with diabetes.Diabetic Macular EdemaDiabetes can also cause fluid to build up in the macula, the central portion of the retina responsible for detailed vision.This condition is called diabetic macular edema (DME). Swelling in the macula can cause blurry or distorted central vision and may interfere with activities such as reading, driving, recognizing faces, or seeing fine details.Early detection and appropriate treatment can help reduce the risk of serious vision problems.Diabetes and CataractsA cataract occurs when the normally clear lens inside the eye becomes cloudy.People with diabetes may develop cataracts at a younger age or experience cataract progression more quickly than people without diabetes.Cataracts can cause symptoms such as: Cloudy or blurry vision Increased sensitivity to light Glare or halos around lights Difficulty seeing at night Faded or less vibrant colors Frequent changes in your glasses prescription If you experience these symptoms, an eye examination can help determine what may be causing your vision changes.Diabetes and GlaucomaDiabetes is also associated with an increased risk of glaucoma.Glaucoma is a group of eye diseases that can damage the optic nerve, which connects the eye to the brain. In many cases, glaucoma can develop gradually without noticeable symptoms.Regular eye examinations can help your eye care professional monitor your eye health and identify changes that may require further evaluation or treatment.Vision Changes You Shouldn't IgnoreIf you have diabetes, don't ignore changes in your vision.Contact an eye care professional if you experience: Blurry vision Dark spots or areas in your vision New or increasing floaters Flashes of light Distorted vision Difficulty seeing at night Loss of vision A sudden change in eyesight A sudden loss or significant change in vision should be treated as an urgent medical concern.Why Regular Eye Examinations Are So ImportantOne of the best ways to protect your vision when you have diabetes is to maintain regular eye examinations.A comprehensive eye examination allows an eye care professional to look for signs of diabetic eye disease that you may not be able to see or feel yourself.Depending on your individual situation, your eye care professional may recommend dilated eye examinations or additional testing to monitor the health of your retina and other structures within your eyes.Your recommended examination schedule can depend on the type of diabetes you have, how long you have had it, your blood sugar control, and other health factors.Manage Your Blood SugarKeeping your blood sugar within the range recommended by your healthcare provider is an important part of diabetes management and can also help protect your eyes.Follow your diabetes treatment plan and monitor your blood sugar as recommended. If you have questions about managing diabetes, talk with your physician or diabetes care team.Managing blood pressure and cholesterol may also be important for people with diabetes.Take Care of Your Overall HealthYour eye health is connected to your overall health.In addition to managing blood sugar, follow your healthcare provider's recommendations for blood pressure, cholesterol, nutrition, physical activity, and other aspects of diabetes care.Don't overlook regular medical and eye appointments simply because you feel well. Some diabetes-related complications can develop before you notice symptoms.Diabetes Doesn't Have to Mean Losing Your VisionHaving diabetes does not mean that you will automatically develop serious vision problems. However, diabetes does increase the risk of certain eye conditions, making prevention, monitoring, and early detection particularly important.Regular eye examinations, appropriate diabetes management, and paying attention to changes in your vision can all play an important role in protecting your eyesight.If you have diabetes and haven't had a recent comprehensive eye examination, consider scheduling one. Your eye care professional can evaluate your eye health, monitor for diabetes-related changes, and help you understand the best steps for protecting your vision.Darrell M. Sipe Opticians & Hearing Aids is committed to helping patients maintain healthy vision through professional eye care and comprehensive optical services.Your vision is an important part of your independence and quality of life. If you have diabetes, make caring for your eyes an important part of caring for your overall health.

When Healthcare Costs Rise, Dont Put Your Health on HoldBy Jamie Ulmer, President & CEO, Healthcare NetworkWhen the cost of everyday life goes up, most of us look for places to cut back. We may eat out less often, postpone a purchase or reconsider a trip.Healthcare shouldnt be one of those things.Yet rising insurance costs, deductibles, prescription expenses and other household costs can make even routine healthcare feel difficult to afford. For older adults living on a fixed income, an unexpected medical expense can be particularly concerning.It can be tempting to put off an appointment when youre feeling relatively well. Maybe that lingering cough can wait. Perhaps the pain in your knee isnt quite bad enough to call the doctor. Or that annual checkup can be pushed back a few months.The problem is that delaying care can allow a manageable health concern to become a more serious one. Establishing a relationship with a primary care provider and receiving regular preventive care can help identify health concerns earlier and provide ongoing support for conditions that require monitoring.Community Health Centers Are an Option for Seniors, TooOne healthcare resource older adults may overlook is their local community health center.There is a common misconception that community health centers are free clinics or that they serve only people without insurance. In fact, community health centers provide care to people with a variety of insurance coverage. Healthcare Network accepts Medicare, Medicaid, commercial insurance and Affordable Care Act Marketplace plans. For those who qualify, care is also available on a sliding fee discount scale based on household income.For older adults, having access to primary care is particularly important. Regular visits give you and your provider an opportunity to monitor changes in your health, discuss medications, keep up with preventive care and address concerns before they become more serious.Community health centers can also make it easier to address multiple healthcare needs within one organization. At Healthcare Network, patients have access to primary care, dental care, behavioral health and other services.Getting to Care MattersCost isnt the only reason people delay healthcare. Sometimes the challenge is simply getting there.Transportation, distance and convenience can all become barriers, particularly for older adults who no longer drive, have mobility challenges or depend on family members or caregivers for transportation.Thats why access isnt only about having healthcare services available. Its also about making those services easier to use.Healthcare Network offers telehealth appointments for certain services, giving patients the option to connect with a provider from home when appropriate. For older adults, telehealth can help reduce some of the transportation and scheduling challenges that might otherwise lead them to postpone care.Access to medications is another important part of staying healthy. Healthcare Networks pharmacies offer prescription mail delivery, allowing patients to have eligible medications sent directly to their homes. This can be especially helpful for older adults managing ongoing prescriptions or those who find frequent trips to the pharmacy difficult.Of course, there are times when an in-person visit is necessary. Having healthcare closer to home can make those appointments easier, too.Here in Collier County, Healthcare Network recently opened the Van Domelen Community Health Center in Orangetree. The center brings primary care, dental care, behavioral health, pharmacy services and more to an area where rapid population growth had previously left many residents traveling significant distances for basic healthcare.Options such as care closer to home, telehealth and prescription mail delivery can remove some of the everyday obstacles that make it harder to stay on top of your health.Think of Primary Care as an Investment in IndependenceFor many of us, one of the greatest priorities as we get older is maintaining our independence.Healthcare plays an important role in that.Routine care isnt only about treating an illness after it occurs. Its an opportunity to monitor your health over time, manage ongoing health conditions, keep up with recommended preventive care and talk with your provider about changes you may be experiencing.Having a healthcare provider you know and trust can become especially valuable as you age.If cost, transportation or uncertainty about where to go has caused you to postpone care, ask what resources are available in your community. Having Medicare or Medicaid doesnt prevent you from receiving care at a community health center, and depending on your circumstances, other assistance may be available as well.Last year, Healthcare Network cared for more than 55,000 patients, including nearly half of Collier Countys children, and provided more than $19 million in uncompensated care. Behind those numbers are people at every stage of life who needed a place to turn for healthcare.Growing older brings plenty of changes. Accessing healthcare shouldnt have to become one more challenge.Taking care of your health today can help protect something that becomes increasingly valuable with every passing year: your ability to continue living life on your own terms.About the AuthorJamie Ulmer is President and CEO of Healthcare Network, a nonprofit healthcare organization that has served Collier County for nearly 50 years. He is passionate about improving access to care and strengthening community health so all residents have the opportunity to live healthy, productive lives.  

Discover how FYZICAL Therapy & Balance Centers can help Minnesota seniors improve balance, mobility and confidence with six Twin Cities locations.For many Minnesota seniors, independence is measured in everyday moments: walking confidently to the mailbox, shopping for groceries, getting together with friends, climbing the stairs, gardening, or simply moving around the house without worrying about falling.When balance begins to change, those ordinary activities can suddenly feel more difficult. A person may start reaching for furniture when walking across a room, avoiding stairs, turning down activities, or feeling nervous when navigating snow and ice.But balance problems should not automatically be accepted as a normal part of getting older. In many cases, physical therapy and specialized balance training can help older adults improve strength, stability, mobility and confidence.FYZICAL Therapy & Balance Centers focuses on physical therapy as well as balance, gait, fall-prevention and vestibular rehabilitation. FYZICAL's balance programs evaluate factors that can contribute to instability and develop individualized treatment plans designed to help people move more safely and confidently. FyzicalFor Twin Cities-area families, FYZICAL has convenient locations in White Bear Lake, Edina, Woodbury, Inver Grove Heights, Apple Valley and Lakeville.Why Does Balance Sometimes Change With Age?Good balance is more complicated than simply having strong legs.The body relies on information from several systems working together, including vision, the inner ear, muscles, joints, nerves and the brain. FYZICAL explains that gait and balance are closely connected and that problems involving strength, posture, reflexes or sensory systems can affect the way someone walks and feels while moving. FyzicalThat's one reason balance problems can look different from person to person.One person may experience dizziness when standing up or turning quickly. Another may notice that walking on uneven ground has become difficult. Someone else may feel fine inside the house but become uncomfortable walking through a parking lot or across Minnesota's snowy or icy sidewalks.These changes deserve attentionespecially when they begin interfering with normal activities.Watch for the Early Signs of Balance ProblemsA fall isn't necessarily the first indication that something has changed.Earlier warning signs can include feeling unsteady when walking, frequently grabbing walls or furniture for support, difficulty getting up from a chair, trouble navigating stairs, dizziness or vertigo, taking shorter or slower steps, or becoming increasingly afraid of falling.Sometimes the biggest change is behavioral.A person who once enjoyed shopping, attending church, visiting friends or going for walks may gradually stop participating because they don't feel confident on their feet.That loss of confidence can affect much more than mobility. It can begin to affect independence and quality of life.How Balance Therapy Can HelpBalance therapy begins by determining why someone is having difficulty.A physical therapist may evaluate walking patterns, strength, posture, flexibility, coordination and balance. When dizziness or vertigo is involved, the vestibular system may also need to be evaluated.FYZICAL's balance and gait programs can include assessment and evaluation, gait training, balance retraining, fall-prevention strategies, functional training and vestibular rehabilitation. Treatment depends on the individual's condition and goals, and services can vary by location. FyzicalThe goal isn't simply to perform exercises in a clinic.The larger goal is helping people function better in everyday life.That might mean being able to walk across the yard, get out of a chair more easily, navigate a busy store, attend a grandchild's event, travel, or simply feel more secure moving around the house.Strength and Balance Work TogetherMuscle strength plays an important role in stability.Weakness in the legs, hips and core can make recovering from a stumble more difficult. Physical therapy can incorporate exercises designed to improve strength, flexibility, posture and coordination while also addressing walking patterns.Balance exercises may progress as a person's abilities improve.For someone who has become fearful of falling, being able to practice in a supervised environment can also help rebuild confidence.The FYZICAL locations in White Bear Lake, Edina and Woodbury, for example, emphasize balance and vestibular-focused physical therapy in addition to orthopedic rehabilitation. The Inver Grove Heights and Apple Valley locations similarly offer balance, gait and fall-risk services. Dizziness and Vertigo Can Affect Balance TooNot every balance problem originates with muscle weakness.The vestibular system, located in the inner ear, helps the brain understand where the head and body are positioned in space. When that system isn't functioning properly, a person may experience dizziness, vertigo, motion sensitivity or unsteadiness.Vestibular rehabilitation is a specialized form of therapy intended to address these types of problems. Depending on the underlying condition, therapy may include balance retraining and exercises that help improve coordination between vision, movement and the vestibular system. FyzicalFor an older adult who has been limiting activities because of dizziness or fear of falling, identifying the source of the problem can be an important first step.Staying Independent Means Staying EngagedOne of the most important benefits of better mobility isn't measured in repetitions or test scores.It's measured in life.It's having the confidence to meet a friend for lunch.It's walking into a grandchild's school concert.It's continuing to live in the home you love.It's feeling comfortable going to the grocery store or taking the dog for a walk.And in Minnesota, it can mean feeling better prepared for the additional challenges that winter weather brings.Maintaining independence isn't about doing everything exactly as you did decades ago. It's about preserving the ability and confidence to continue doing the things that matter to you.Don't Wait for a Fall to Address Your BalanceSomeone doesn't have to experience a serious fall before talking with a healthcare professional about balance.If you or a family member has noticed increasing unsteadiness, dizziness, changes in walking, difficulty with stairs, or fear of falling, consider discussing those changes with a physician or physical therapist.Early attention may help identify areas that can be strengthened or improved.FYZICAL's approach emphasizes assessment and individualized treatment rather than assuming every balance problem has the same cause. FyzicalFind a FYZICAL Location Near YouMinnesota seniors and their families can connect with FYZICAL Therapy & Balance Centers in:White Bear Lake 2680 County Rd E East - (651) 504-2212Edina 5227 W 73rd Street -  952-207-2997Woodbury 670 Commerce Drive #130 -  (651) 501-2010Inver Grove Heights 7751 Amana Trail #300 -  651-842-8100Apple Valley 15083 Flagstaff Avenue #A - 612-246-6900   Lakeville 17761 Kenwood Trail - 952-236-0415Contact the location most convenient for you to learn about available physical therapy, balance, gait, vestibular and fall-prevention services. Because FYZICAL locations are independently operated, specific services may vary by clinic. FyzicalBetter balance can mean more than steadier steps. It can mean greater confidence, greater freedom and more opportunities to remain active and independent.