We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Can Ophthalmologists Achieve Better Blood Glucose Control in Their Diabetic Patients?

Robert N. Frank, MD1
[+] Author Affiliations
1Kresge Eye Institute, Wayne State University School of Medicine, Detroit, Michigan
JAMA Ophthalmol. 2015;133(8):897-898. doi:10.1001/jamaophthalmol.2015.2258.
Text Size: A A A
Published online


Ophthalmology is generally considered to be limited to disorders of the eye and its adnexa. Diabetes mellitus, however, is a systemic disease that we encounter frequently in our ophthalmic practices because of its ocular complications, especially diabetic retinopathy. When, after years of controversy, 2 seminal randomized clinical trials, the Diabetes Control and Complications Trial (DCCT)1 and the UK Prospective Diabetes Study (UKPDS),2 clearly found that near-normal blood glucose control significantly slows the development and progression of diabetic retinopathy in patients with type 1 and type 2 diabetes, with a marked effect on the protection of vision, ophthalmologists were offered an important opportunity to advise our diabetic patients on the management of their systemic disease. Consequently, the Diabetic Retinopathy Clinical Research Network (DRCR.net), a large group of collaborating centers funded by the National Eye Institute, conducted a randomized clinical trial to investigate whether measuring hemoglobin A1c (HbA1c) in the ophthalmology clinic, counseling patients on the relevance of good blood glucose control to prevent retinopathy, and providing personalized risk assessments to each patient could significantly improve glucose control in patients during a 1-year period. The negative results of this project are presented in this issue of JAMA Ophthalmology.3

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetes, Foot Ulcer

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetic Peripheral Neuropathy