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Cited by 299

The DOI matches its Crossref record; 73 of the 73 references it cites were found in a registry or an index.

Worsening of diabetic retinopathy with rapid improvement in systemic glucose control: A review

Open access
Bain, Stephen C., Klufas, Michael A., Ho, Allen, Matthews, David R.·2019·Diabetes, Obesity and Metabolism

Abstract

Worsening of diabetic retinopathy (DR) is associated with the initiation of effective treatment of glycaemia in some patients with diabetes. It has been associated with risk factors such as poor blood‐glucose control and hypertension, and it manifests prior to the long‐term benefits of optimizing glycaemic control. The majority of evidence supports an association of large and rapid reductions in blood‐glucose levels with early worsening of DR. Despite a general awareness of early worsening within the diabetes community, mechanisms to explain the phenomenon remain speculative. We provide an overview of early worsening of DR and its pathophysiology based on current data. We describe the phenomenon in various settings, including in patients receiving insulin‐ or non‐insulin‐based treatments, in those undergoing bariatric surgery, and in pregnant women. We discuss various mechanisms and theories that have been suggested to explain this paradoxical phenomenon, and we summarize the implications of these in clinical practice.

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Crossref · 10.1111/dom.13538

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Metadata

Authors
Bain, S. C., Klufas, M. A., Ho, A., & Matthews, D. R.
Venue
Diabetes, Obesity and Metabolism
Publisher
Wiley
Published
2018-10-15
Volume
21
Issue
3
Pages
454-466
ISSN
  • 1462-8902 (ISSN-L)
  • 1463-1326
OpenAlex
W2891332575
Cited by
299
References
73
FWCI
13.35
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Worsening of diabetic retinopathy with rapid improvement in systemic glucose control: A review. https://app.cochat.ai/papers/10.1111/dom.13538
The paper
Bain, S. C., Klufas, M. A., Ho, A., & Matthews, D. R. (2019). Worsening of diabetic retinopathy with rapid improvement in systemic glucose control: A review. Diabetes, Obesity and Metabolism. https://doi.org/10.1111/dom.13538

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.