Open Access Journal of Diabetes Research Reviews & Reports ISSN: 2755-0184 J Diabet Res Rev Rep, 2024 Volume 6(1): 1-5 Review Article Pre-Existing Knowledge and Self-Reported Barriers to uptake Eye Care among Type-1 Diabetic Patients attending a City Diabetic Hospital at Southern Bangladesh 1 Professor, Institute of Community Ophthalmology, Bangladesh 2 Medical Officer of a General Hospital, Bangladesh Jasmin Ahmad 1 *, Priyanka Paul 1 and Akin Elahi 2 Keyword: Type-1 Diabetes, Diabetic Retinopathy, Knowledge of Diabetes, Barrier, Diabetic Eye Care. Introduction Diabetes is one of the fastest growing diseases according to Diabetes Atlas of International Diabetic Federation’s There were 425 million people lived with diabetes at year 2017 in the world and increased to 463 million by year 2019 that was 01 in 11 adult world-wide. It is predicted that the number will increase to 629 million by 2045 [1-4]. Type 1 diabetes is an autoimmune disease where beta cells in islets of langerhans of pancreas destroyed so insulin could not be produced. As a result, there is absolute or partial deficiency of insulin in the body [1,4]. Children and adolescents are suffering more frequently. Type 1 diabetic patient need injectable insulin daily to maintain glucose metabolism and without insulin would not be able to survive. So, early death may happen. The incidence of type 1 diabetes is increasing worldwide [1]. So, the type 1 DM incidence also increasing day by day worldwide, but there was huge variation in reported incidence of different countries. The International Diabetic Federation (IDF) Diabetic Atlas provide the estimates of children and adolescents below age 20 with type 1 diabetes has risen to over a million [1]. The number of children and adolescents with type 1 diabetes (<20 years) at 2017 was 1,106,500 (1.1 million) and number of newly diagnosed case each year is (0.13 million) 132,600 [1]. Bangladesh is a highly populated country. In Bangladesh estimated number of DM population in 2019 was 8.4 million which will be estimated 14.9 million in 2045, increase by 79 % [4]. Diabetes Mellitus (DM) is a chronic metabolic disease and is associated with chronic microvascular, macrovascular complications. Diabetic Retinopathy (DR) is one of the common and blinding microvascular complication of diabetes. Several studies suggest the major risk factors for DR are diabetes duration, *Corresponding author Jasmin Ahmad, Professor, Institute of Community Ophthalmology, Bangladesh. Received: November 22, 2023; Accepted: February 15, 2024; Published: February 22, 2024 ABSTRACT Purpose: To find out the knowledge about diabetic complication of eye & the barriers to uptake of diabetic eye care among Type-1 diabetic patients. Method: is is a hospital based observational case series of 100 cases of Type-1 Diabetes Mellitus (DM1). Demographic data, knowledge about diabetic complication of eye, self reported barriers to uptake diabetes eye health service were collected by face-to-face interview. Interview was done on a formulated questionnaire including pre-existing knowledge about diabetes related ocular problems and factors act as a barrier to receive eye care. All DM1 patients attending in a city diabetic hospital during one year (from October 2017 to September 2018) period were included. Written consent was taken. Patients refuse to give consent & aged more than 30 years were excluded. Results: e mean age of participants was (17.09 ± 3.92) years with range 6 to 23 years and 57% of them were female. About 59 % subjects were students. Around 50% of the respondent had knowledge about the adverse effect of diabetes on eyes, among them only 6% had knowledge about retina problems and 3% knew that blindness may happen. Only 32% of study population gave answer about the reason behind not seeking diabetic eye care and the most common (12%) answer was “not feeling necessity of eye care”. Conclusion: DM1 patients are more prone to systemic and ocular morbidity. e main reasons for not getting eye care services was lacks of awareness. Increase awareness building program can bring them to the eye health service which will very important to reduce diabetic ocular morbidity of young people who have long life in front of them.