In one of the few studies to provide information on eye screening of children, African-American children with the greatest risk for disease of the retina as a complication of Type 1 diabetes are the least likely to have received an eye exam, reports a team of researchers including senior author Terri H. Lipman of the University of Pennsylvania School of Nursing.
"Only 64% of eligible children were screen for retinopathy [inflammation of the retina that can lead to blindness] in the 24 months studied despite recommendations for yearly exams to all families," the authors write in the current edition of Diabetes Research and Clinical Practice. "Children who were not screened were significantly more likely to be black or have poorer diabetes control."
While 66 percent of white children were screened, only 54 percent of black children received appropriate screenings. The researchers found that the screenings—or lack of them—were not related to whether the children had private or public health insurance.
"This study shows that our children who are at highest risk are not receiving the help they need," said Dr. Lipman, CRNP, FAAN, the Miriam Stirl Endowed Term Professor of Nutrition and Professor of Nursing of Children. "We need to ensure that all children have access to adequate healthcare."
Children are also showing signs of eye disease from Type 2 diabetes.