14 0 TO 4 POiNTS Most likely not a victim of bullying. Your kid is probably not being bullied. But since the dynamic between adolescents changes so frequently, it's important to keep an open dialogue by talking to him about how to recognize signs of abuse. 5 TO 10 POiNTS May be the victim of bullying. While it's possible your kid may be dealing with other problems at school—a particularly difficult class or typical arguments among friends—she could be the target of bullying. Ask specific questions about her school day and other activities, and monitor her demeanor and actions closely. 11 OR MORE POiNTS Probably being bullied. Time to take action. There is a good chance your child is being bullied. Talk to her about your concerns and let her know that it's okay to feel scared or embarrassed. Start recording the bullying incidents and find an adult—a teacher, counselor, or coach—for your kid to check in with on a regular basis when you're not around. Keep the lines of communication open between your child and the school by alerting the principal if the behavior escalates. If your child seems at risk of physical harm, go to the police. http://www.familycircle.com/teen/bullying/is-your-kid-being-bullied/ Question 1 a = 2 b = 1 c = 0 Question 2 a = 2 b = 1 c = 0 Question 3 a = 1 b = 2 c = 0 Question 4 a = 0 b = 1 c = 2 Question 5 a = 2 b = 1 c = 0 Question 6 a = 1 b = 0 c = 2 FAM HEALTH Diabetic Retinopathy continued from page 9 Give yourself the following points for each response and then see your results. their diabetes diagnosis. Who is at Risk? All people with diabetes, including those with Type I (juvenile onset) and Type II (adult onset), are at risk of developing diabetic retinopathy. The longer you have diabetes, the more likely you are to develop it. There is a genetic component to this disease, as well. If your grandmother had diabetic retinopathy, for example, your risk is higher. Ethnicity is also a significant risk factor. Al Ruíz learned that Mexican Americans and non-Hispanic African Americans are almost twice as likely to develop diabetic retinopathy as non- Hispanic Caucasians. Diabetic retinopathy can begin without any warning symptoms, which makes a yearly comprehensive eye exam even more critical for diabetics. Pregnant women with Type I diabetes should have a comprehensive eye exam during their first trimester and follow the advice of their eye care profes- sional regarding follow-up visits throughout pregnancy Vision-Saving Treatments In order to prevent vision loss, early diagnosis and aggressive treatment of diabetic retinopathy are essential. The risk of blindness can be reduced by 90% with timely treatment and follow- up care. Vision that has already been lost, however, cannot be restored. During the early stages of the disease, no treatment is needed. As the disease advances, the following treatment options are available: Laser surgery. Laser surgery has been successful in sealing blood vessels to stop them from leaking, and in shrinking abnormal vessels. Gener- ally, laser surgery is used to stabilize vision, not necessarily to improve it. Al received treatment early enough that only minimal vision loss had occurred. Intraocular injection. This new treatment helps reduce the amount of fluid leaking into the retina, which improves vision. It may need to be repeated or combined with laser therapy to achieve a lasting effect. Protect Yourself Prevention is the key to saving sight that might be lost due to late diagnosis. Protect yourself against Type II diabetes by maintaining a healthy weight, exercising regularly and eating a low-fat diet. It is also important to have your blood glucose level tested regularly to determine if you are one of the 54 million people between the ages of 40 and 74 who have pre-diabetes, which would put you at risk for devel- oping Type II diabetes. If you have diabetes, you can avoid eye problems by controlling your blood sugar and blood pressure levels and by obtaining regular comprehensive eye exams. No one likes to consider the possibil- ity of developing diabetes or becom- ing blind from eye disease. When you are proactive about your health, you can protect yourself. All you need is the knowledge that regular, compre- hensive eye and physical examina- tions provide, and the willingness to follow your health care providers’ recommendations. Make an appointment with your eye care provider if you have any of the following symptoms: • Blurry vision Difficulty reading • Sudden loss of vision in one eye • Suddenly clearer vision* Seeing rings around lights • Seeing dark spots or flashing lights Results of Bullying Quiz Question 7 a = 2 b = 1 c = 0 Question 8 a = 1 b = 2 c = 0 Question 9 a = 0 b = 1 c = 2 *Sometimes, one of the earlier visual symptoms in an undiagnosed diabetic is suddenly clearer vision. For example, someone wakes up one day and can see without their glasses. Yesterday, they were nearsighted. Today, they have perfect vision, which will then fluctuate with their blood sugar levels over the next hours or days. This dramatic improvement in vision is usually accompanied by extremely high blood sugar readings.