RNIB Scotland: It is more important than ever that people with diabetes attend their regular eye-examinations

As the covid crisis eases, the national sight loss charity RNIB Scotland is emphasising it is more important than ever that people with diabetes attend their regular eye-examinations now that these have resumed.

During Diabetes Week this week [June 13-19th], the charity is pointing out that diabetic retinopathy, a complication of the condition, is a leading cause of sight loss among working-age Scots.

Director James Adams said: “Diabetic retinopathy, a complication of diabetes, can affect the small blood vessels at the back of the eye and is a major cause of sight loss among working-age adults. But damage to vision can be arrested if detected early enough.

“While it’s possible that diabetes won’t cause any changes to your vision, the most effective thing you can do to prevent sight loss is to go to your retinal screening appointments and eye examinations, where safety measures are in place.”

Each year, 5,500 patients with diabetes in Scotland need to undergo further imaging or see an NHS eye specialist for the first time due to worsening in their retinopathy.

Angela Clelland, 47, from Inverness received a diagnosis of diabetic retinopathy during lockdown.

“Getting diagnosed was very, very scary,” Angela said, “because I was isolated in the pandemic. If you are on your own, it affects everything from simple things like making a cup of tea, having the confidence to go out, or not being able to check your diabetes because you can’t read the monitor.

“You need to take your eye health seriously. You need to make sure that you are going for your eye health checks. Even with the slightest change, go to your optician. As things were delayed due to COVID, I would urge anybody who is maybe late or due an appointment to go and make one, because the effect on your life if you don’t go and something happens is devastating.”

There are 3.5 million people in the UK who have been diagnosed diabetes, and an estimated 500,000 people living with undiagnosed diabetes. Within 20 years of diagnosis, nearly all people with type 1 diabetes and almost two-thirds of people with type 2 diabetes will have developed some form of diabetic retinopathy. People with diabetes are also at increased risk of glaucoma and cataracts.

People from a South Asian or African-Caribbean background are two to four times more likely to get type 2 diabetes. They tend to develop it at a younger age which means they live with the condition for longer.

The risk of complications increases with the length of time people have the condition. It is not known why this is the case, but it is likely to be a mixture of genetics, lifestyle, and environmental factors.

* If you’re worried about your vision, contact RNIB’s Sight Loss Advice Service on 0303 123 9999 or visit www.rnib.org.uk/eyehealth

For more information on the NHS Scotland eye-screening service, visit:

https://www.nhsinform.scot/illnesses-and-conditions/diabetes/diabetic-retinopathy.

New research finds a direct two-way link between the impacts of loneliness and greater mental health distress

  • Research also finds that young people, disabled people and the LGBTQ community at higher risk of chronic loneliness
  • Ministers across a range of Government departments to launch a renewed effort to tackle loneliness as part of national recovery from the COVID-19 pandemic

New research published today by the Government has identified direct links between chronic loneliness and mental health distress.

The findings, which coincide with the start of Loneliness Awareness Week, analysed mental health wellbeing and the impacts of loneliness over a sustained period, with results showing that chronic loneliness played a significant role in the onset and continuation of mental health distress.

The analysis also shows that mental health distress can play a significant role in the onset and continuation of chronic loneliness. Chronic loneliness is defined as people reporting they ‘often’ or ‘always’ feel lonely.

It suggests that targeted early intervention may play a more significant role in combating the effects of loneliness on mental health in the short term.

The Minister for Civil Society and Youth will now bring together ministers from a range of government departments to drive forward a renewed effort to tackle loneliness. The group will develop a delivery plan which will draw on this new evidence and set out new government action on loneliness early next year.

It will build on the 2018 Tackling Loneliness Strategy and the Government’s work to tackle loneliness during the pandemic through its £750 million charity funding package.

Minister for Civil Society and Youth Nigel Huddleston said: “Loneliness can affect all of us and the research published today highlights that young and disabled people, alongside those with long-term health conditions, are disproportionately affected by loneliness.

“As we start Loneliness Awareness Week I encourage everyone to reach out to someone they think may be feeling alone or isolated.

“The Government prioritised tackling loneliness through the pandemic and we will now redouble our efforts to protect those most at risk.”

Since the strategy for tackling loneliness was launched in 2018, the Government has continued to play a world-leading role, including appointing the first ever Minister for Loneliness.

It has joined forces with a range of charitable partners to invest over £50 million pounds to help tackle the issue, with funding helping thousands of people to connect through the things that matter to them.

The independent research from the National Centre for Social Research was compiled from data encompassing over 35,000 people aged 16 and over from 2013/14 to 2019/20. As part of the study, researchers looked at what types of people were vulnerable to loneliness, whether risk factors for loneliness had changed, the relationship between mental wellbeing and loneliness, and what factors alleviated loneliness in the short term.

The new findings show that, in addition to the link between loneliness and mental health distress, specific groups of people are more vulnerable to the effects of loneliness:

  • Young people between 16-34 were found to be particularly at risk, with research showing they were at five times greater risk of chronic loneliness than those aged 65 or older. Drivers of loneliness in young people were identified as negative social experiences, such as bullying from peers and siblings and arguments with parents.
  • People with a disability or long standing health condition were 2.9 times more likely to experience chronic loneliness, and were less likely to move out of loneliness than those without a disability.
  • Those in the LGBTQ community were also disproportionately affected, with people who identified as gay or lesbian 1.4 times more likely to be lonely, and people who identified as bisexual 2.5 times more likely to be lonely.
  • Those in the lowest income quintile were 50 per cent more likely to experience chronic loneliness when compared with the wealthiest quintile.

Minister for Mental Health Gillian Keegan said: “Loneliness is a growing issue – and this research emphasises the continued need to ensure those feeling lonely can access the resources they need.

“We’re accelerating the rollout of mental health support teams in schools and expanding community services for adults and young people to make sure everyone can access support, as well as providing helpful advice and resources on the Every Mind Matters website.

“We’ve also recently opened a call for evidence to gather views from the public to inform a new 10-year mental health plan which will focus on ensuring the nation is in positive mental wellbeing.”

Dr Sokratis Dinos, Director of Health at the National Centre for Social Research (NatCen), said: This research highlights the significant relationship between loneliness and mental health. People experiencing chronic loneliness were shown in our study to be nearly four times more likely than people without chronic loneliness to be in mental distress.

“Poor mental health can lead to difficulties connecting with others, social withdrawal and loneliness, while loneliness can equally contribute to poor mental health.

“Our research highlights the benefit of targeted support for people at different life stages, and community based activities for people with shared interests to improve outcomes.”

During the pandemic, the Government made tackling loneliness a priority by allocating loneliness as a specific target category in the Government’s £750 million charity funding package.

The Government continues to encourage people to ‘lift someone out of loneliness’ as part of the Better Health: Every Mind Matters campaign, emphasising the benefits of social connection this Loneliness Awareness Week.

The research findings can be found here and here.