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Diabetic Retinopathy and Sodium Intake

W. Rex Hawkins, MD
Arch Ophthalmol. 2010;128(8):1085-1085. doi:10.1001/archophthalmol.2010.163
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Roy and Janal1 are to be commended for documenting sodium intake as a risk factor for progression of diabetic retinopathy in a cohort of 762 African American individuals with type 1 diabetes mellitus. Their analysis establishes new ground in the understanding of diabetic retinopathy pathogenesis. Because the authors did not mention in their article a previous study in which diabetic retinopathy reversal was meticulously documented following adherence to a low-sodium diet, I feel inclined to do so. The study, performed 52 years ago by members of the Duke University Department of Medicine,2 also used fundus photography, but in an era long before the technique was routinely accepted as an essential documentation tool for ophthalmological research.

AUTHOR INFORMATION

Correspondence: Dr Hawkins, Retina-Vitreous Associates, 1200 Binz, Ste 400, Houston, TX 77004 (office@rvahouston.com).

Financial Disclosure: None reported.

REFERENCES

Roy  MS, Janal  MN. High caloric and sodium intakes as risk factors for progression of retinopathy in type 1 diabetes mellitus. Arch Ophthalmol 2010;128 (1) 33- 39
PubMed
Kempner  W, Peschel  RL, Schlayer  C. Effect of rice diet on diabetes mellitus associated with vascular disease. Postgrad Med 1958;24 (4) 359- 371
PubMed

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Roy  MS, Janal  MN. High caloric and sodium intakes as risk factors for progression of retinopathy in type 1 diabetes mellitus. Arch Ophthalmol 2010;128 (1) 33- 39
PubMed
Kempner  W, Peschel  RL, Schlayer  C. Effect of rice diet on diabetes mellitus associated with vascular disease. Postgrad Med 1958;24 (4) 359- 371
PubMed

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