Diabetic medicine : a journal of the British Diabetic Association
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Diabetic ketoacidosis (DKA) can result in neuropathic abnormalities of the somatic and the autonomous nervous systems. We report the case of a 50-year-old man with Type 1 diabetes of 20-year duration who after severe DKA lost vision in his right eye and only retain partial vision in his left. This case demonstrates that optic neural tissue is vulnerable to haemodynamic and metabolic complications of DKA.
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To review the evidence for the importance of glycaemic index of dietary carbohydrate in disease prevention and control. ⋯ Consideration of glycaemic indices in making dietary recommendations may be expected to produce additional health benefit.