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Unfortunately, while waiting for patients to come to. terms with their diabetes, their aldose reductase and PKC-beta pathways are firing up.

Frustration may mount as patients are informed that their eyes are free of disease yet they are unable to see clearly. Expensive glasses or contacts are prescribed, which will offer only temporary visual improvement as their A1C levels are lowered. TABLE 11-22 Recommended Eye Examination Schedule for Patients with Diabetes.

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