Diabetes and Eye Exams
WEIGHT LOSS PROGRAM
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Diabetes affects more that 2 million people in Texas and over 400,000 in Oklahoma, these numbers keep rising daily. Being told you have diabetes may be unsettling, but with the right help, it’s a very manageable illness. The physicians at Tapia Internal Medicine Clinic, PLLC can help you manage your diabetes.
Type 2 diabetes
Type 2 diabetes (sometimes called type 2 “diabetes mellitus”) is a disorder that disrupts the way your body uses sugar. All the cells in your body need sugar to work normally. Sugar gets into the cells with the help of a hormone called insulin. If there is not enough insulin, or if the body stops responding to insulin, sugar builds up in the blood. That’s what happens to people with diabetes.
There are 2 different types of diabetes. In type 1 diabetes, the problem is that the body makes little or no insulin. In type 2 diabetes, the problem is that:
- The body’s cells do not respond to insulin
- The body does not make enough insulin
- Or both
Diabetic Retinopathy
Diabetic retinopathy is an eye problem that can lead to vision loss and even blindness. It affects people with diabetes. It is most common in people who do not control their blood sugar well.
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We provide comprehensive obesity treatment across the continuum, offering medications and surgery in addition to a strong foundation of lifestyle medication.
-Medical Director
Treatments available at Tapia Clinic
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Achieve your weight loss goals!
We’re always accepting new patients ! We believe in providing the best possible core at all our
existing patients and welcome new patients to sample the servcie we have to offeer.
903-739-7920
Achieve your weight loss goals!
We’re always accepting new patients ! We believe in providing the best possible core at all our
existing patients and welcome new patients to sample the servcie we have to offeer.
Achieve your
weight loss goals!
Medication
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How Do
the Medications Work?
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Contrave®
is an extended-release medication that works in the hypothalamus, the brain’s central thermostat that controls appetite, temperature and how the body burns energy. It’s a combination of two existing drugs: The antidepressant Wellbutrin® and the addiction drug naltrexone
Phentermine
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Qsymia®
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Saxsenda®
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Wegovy®
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Xenical®
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Each of the above listed medications have side-effects, risks and benefits of use. The information provided here is intended to give you a very basic overview of the types of weight loss medications currently available. Please ask your bariatrician for additional information based on your medical history and current physical condition.
surgical treatment
Accredited by the American College of Surgeons
Springfield Clinic Surgery Center and Bariatric Department in Springfield is accredited by the American College of Surgeons in their accreditation and quality improvement program. The program helps promote uniform standards and continuous quality improvement while recognizing the excellent work being done by groups like ours. Bariatric surgery is safe and effective in an outpatient setting, Springfield Clinic’s Surgery Center is one of fewer than 20 across the nation accredited to perform bariatric surgery in a free-standing ambulatory surgery center. This all translates to shorter OR times, same-day discharge for patients and high-quality surgical outcomes. Learn more about this accreditation.
Surgical Treatments
Gastric bypass | Sleeve gastrectomy | Duodenal switch | SADI-S
Patient Resources
Tapia Clinic Bariatric Patient Resources
- Your Bari Book
- Taking Anti-obesity Medications
- New Patient Questionnaire (please download, print, complete and bring it with you to your first appointment)
Downloadable Patient Education
- Persuading Your Employer to Cover Obesity Treatment (Obesity Medicine Association)
- Conquering Emotional Eating (Obesity Action Coalition)
- Navigating Fast Food with Children (Obesity Action Coalition)
- Fashion at Every Size (Obesity Action Coalition)
Frequently Asked Questions
Type 2 diabetes usually cause no symptoms. When symptoms do occur, they include:
- Needing to urinate often
- Intense thirst
- Blurry vision
Even though type 2 diabetes might not make you feel sick, it can cause serious problems over time if it’s not treated such as:
- Heart attacks
- Strokes
- Kidney disease
- Vision problems (or even blindness)
- Pain or loss of feeling in the hands and feet
- The need to have fingers, toes or other body parts removed (amputated)
To find out if you have type 2 diabetes, your physician can do a blood test to measure the amount of sugar in your blood.
There are a few medicines that help control blood sugar. Some people need to take pills that help the body make more insulin or that helps the insulin do its job. Others need insulin shots.
Depending on what medicines you take, you might need to check your blood sugar regularly at home. But not everyone with type 2 diabetes needs to do this. Your doctor will tell you if you should be checking your blood sugar, and when and how to do this.
Medicines are not the only tool to manage diabetes. Being active, losing weight, eating right and not smoking can all help people with diabetes stay as healthy as possible.
Yes, it can. To reduce your chances of getting type 2 diabetes, the most important thing you can do is control your weight. If you already have the disorder, losing weight can improve your health and blood sugar control. Being active can also help prevent or control the disorder.
Most people with diabetic retinopathy have no symptoms until the disease is very advanced. By then, it’s usually too late to do anything about the vision loss. That’s why it is important to get screened for the condition early. That way doctors can take steps to protect your eyes before your vision is damaged.
Things to watch for:
- Blurry vision
- Dark or floating spots
- Trouble seeing things that are at the center of your focus when reading or driving
- Trouble telling colors apart
Yes, here at Tapia Internal Medicine Clinic, PLLC the physicians preform a diabetic eye exam. This includes the physician giving you eye drops to make your pupils open up. (The drops make it easier for the doctor to see the different parts of the inside of your eye.) After the drops have done their job, the doctor will take pictures of the eye with a special camera. If the pictures look normal then they will recheck the eyes in a year. If the pictures look abnormal, the patient is notified and a referral to an eye doctor will be created for further examination.
When mild, diabetic retinopathy is not always treated. But people with the condition do need to keep their blood sugar and blood pressure levels as close to normal as possible. This will help the condition from becoming worse.
Treatments for diabetic retinopathy can include:
- Photocoagulation- This is laser surgery to seal or destroy leaking or growing blood vessels in the retina.
- Vitrectomy- This is surgery to remove blood from the part of the eye called the “vitreous humor”. Doctors do this in surgery if the blood vessels in the retina leak into the vitreous humor.
- Medicines- Medicines that are injected into the vitreous humor are sometimes used along with photocoagulation or vitrectomy. Your eye doctor will let you know if this type of treatment will help you.
Yes. If you have diabetes, you can reduce your chances of getting diabetic retinopathy by keeping your blood sugar and blood pressure level as close to normal as possible. It might also be important to keep cholesterol levels in the “normal” range.
Yes. If you have diabetes, you can reduce your chances of getting diabetic retinopathy by keeping your blood sugar and blood pressure level as close to normal as possible. It might also be important to keep cholesterol levels in the “normal” range.