PREMA K CHANDE
DBM, FIACLE, FAAO ( PhD), Faculty, Lotus College of Optometry, Mumbai
India is fast becoming the World’s Diabetes capital, overtaking China in the race. The Asian population, particularly southeast Asians have a genetic predisposition, and this coupled with urban, sedentary lifestyles and easy access to processed food is only speeding up the process.1-2
Why is this important for Eye and Vision Care?
Diabetic retinopathy is the leading cause of avoidable blindness in the world. Diabetics who have poor control or long-standing diabetes, over several years do develop diabetic retinopathy. Besides retinopathy, diabetics are also at the risk for glaucoma and cataract.3
Eye care professionals need to understand that well before retinopathy, cataract, or glaucoma precipitates, several early functional and structural changes are seen in the eyes. Fluctuating vision, frequent change in spectacle prescription, blurred vision in reduced lighting conditions due to loss of contrast sensitivity are few of the symptoms.4-5
Before performing refraction, it is important to ask the patient if they have diabetes and also if it is well controlled? Fluctuating blood glucose levels can lead to transient changes in refraction, like hyperglycemia can have a myopic shift and on treatment can move towards hyperopia.
Similarly, if the patients complain of blurred vision in changing light conditions, this can be easily measured using contrast sensitivity (offered in digital VA displays) and also available in standard charts. This will also indicate that the blood glucose levels are not well controlled.
Eye care professionals can also play an important role in the prevention of diabetes and its related complications. Prediabetes or impaired fasting glucose is a condition where HbA1c levels are not in the diabetes range of 6.5% and above but between 5.7%-6.4%.
This is a condition called prediabetes.6 The condition is asymptomatic but has several signs like positive family history, obesity, age above 40 years, and sedentary lifestyle. Studies show that one of the reasons for early presbyopic addition acceptance is due to diabetes.7
While doing refraction for presbyopes, if a practitioner notices that the presbyopic addition accepted is higher or earlier than age-matched individuals, it is worth asking for the presence of prediabetes or referring the patient to their physician. Prediabetes is a reversible condition with just lifestyle correction. The patient just needs to add 150 minutes of walk every week and diet correction with low glycemic index foods and diabetes can be prevented!!
1. YOUR CONSENT
By providing your contact information, you also consent to be contacted via phone and sms, email or any other modes of communication by TIO. You agree that you are explicitly soliciting communication from TIO on the phone number and email-id provided by you to assist you with required information about TIO magazine and services or as specified herein. In preview of the Telecom Regulatory Authority of India (TRAI) guidelines, you hereby authorise TIO to communicate with you through phone and sms even if your number/numbers is/are registered in the National Do Not Call Registry or www.nccptrai.gov.in
2. COLLECTION OF INFORMATION
From time to time, we may collect, receive, possess, store, deal or handle information from you either directly or through our advertisers and agents. Our primary goal in doing so is to provide you a safe, efficient, smooth and customised experience. This allows us to provide magazine, services and features that most likely meet your needs, and to customize our Website to make your experience safer and easier. More importantly, while doing so we collect information from you that we consider necessary for achieving this purpose.
In general, you can browse the Website without telling us who you are or revealing any information about yourself. Once you give us your information, you are not anonymous to us. We may also combine and aggregate information received from you or our advertisers and business partners through your different interactions with our products and services. Where possible, we indicate which ﬁelds are required and which ﬁelds are optional. You always have the option to not provide information by choosing to not use the Website.
If you transact with us, we collect some additional information, such as your name, email address, phone numbers and preferences, details of your subscription payment details and tracking information from online payments, cheques or money orders.
If you choose to post messages on our message boards, chat rooms or other message areas or leave feedback, we will collect that information you provide to us. We retain this information as necessary to promote our brands, resolve disputes, provide customer support and troubleshoot problems as permitted by law.
If you send us personal correspondence, such as emails or letters, or if other users or third parties send us correspondence about your activities or postings on the Website, we may record and maintain such information.
We collect personally identiﬁable information (email address, name, phone number, credit card / debit card / other payment instrument details, etc.) from you when you set up a free account with us. While you can browse some sections of our Website without being a registered member, certain activities (such as placing an order) do require registration. We do use your contact information to send you offers based on your previous orders and your interests.
We may automatically track certain information about you based upon your behaviour on our Website. We use this information to conduct internal research on our users’ demographics, interests, and behavior to better understand, protect and serve our users. This information is compiled and analysed on an aggregated basis. This information may include the URL that you just came from (whether this URL is on our Website or not), which URL you next go to (whether this URL is on our Website or not), your computer browser information, and your IP address.
4. USE OF DEMOGRAPHIC / PROFILE DATA / YOUR INFORMATION
We use your information to provide the products and services you request, to manage your orders and respond to any other requests you may have. To the extent, we use your information to market to you, we will provide you the ability to opt-out of such uses or alternatively, you may inform us in writing (in the manner set out in Section 8 below) that you are not interested in receiving details of any offers.
We use your personal information to resolve disputes, troubleshoot problems, help promote a safe service, collect money, measure consumer interest in products and services, inform you about online and offline offers, products, services, events, research, news and updates, customise your experience, detect and protect us against error, fraud and other criminal activity, enforce our terms and conditions, and as otherwise described to you at the time of collection.
In our efforts to continually improve our product and service offerings, we collect and analyse demographic and proﬁle data about our users’ activity on our Website. Wherever possible or required by Applicable Law, such information processing activities are carried out on an anonymised or pseudonymised basis.
We identify and use your IP address to help diagnose problems with our server, and to administer our Website. Your IP address is also used to help identify you and to gather broad demographic information.
We will occasionally ask you to complete optional online surveys. These surveys may ask you for contact information and demographic information (like zip code, age, or income level). We use this data to tailor your experience at our Website, providing you with content that we think you might be interested in and to display content according to your preferences.
5. SHARING OF PERSONAL INFORMATION
We may disclose information to third parties who provide us with services, for instance those handling marketing communications on our behalf. When data is disclosed to any third party every precaution will be taken to ensure that any data provided is handled safely and securely by such third-party organisation in compliance with the Applicable Law. You may inform us in writing (in the manner set out in Section 8 below) that your information is not to be disclosed to third parties for their marketing and advertising purposes.
6. DATA PROTECTION
Our Website has stringent security measures in place to protect the loss, misuse, and alteration of the information under our control. Any information that you choose to provide us about yourself may be held on secure computer servers at locations within or outside India. Once your information is in our possession we adhere to strict security guidelines, protecting it against unauthorised access. We and any company or organisation who provide us with services will have in place appropriate technical and security measures to prevent unauthorized or unlawful access to or accidental loss of or destruction or damage to your information. We aim to ensure that the information stored will be accurate, relevant and not excessive, though you should ensure that you notify us of any changes in circumstances (such as a change of address) so we can update our records accordingly. We will keep the data up to date and not retain your information longer than is necessary. We will keep data securely to prevent unauthorised access by other people.
We will not sell any identifiable information about you to any third party without your consent. We may share generalised information about behaviour patterns with partners or other parties in such a way that an individual customer can never be identified. Wherever possible or required by Applicable Law, information processing activities are carried out on an anonymised or pseudonymised basis.
7. LINKS TO OTHER SITES
You always have the option to not provide your information by choosing to not use the Website. You also have the right to ask us to not use your information for marketing purposes or send you offers based on your previous orders and your interests or share your information with third parties for their marketing and advertising purposes by sending an email to us at any time at the e-mail : email@example.com
The downloads from this Website have been thoroughly scanned and tested at all stages of production, but, as with all downloads, we recommend that you run a virus check before use. We also recommend that you have an up-to-date backup of your hard disk before using the downloaded content. We cannot accept responsibility for any disruption, damage and/or loss of data on your data or computer system that may occur while using the downloaded content.
This Website should not be regarded as an infallible guide to our products and services, nor does it constitute an offer for the sale of any particular products and services. We are not responsible for any losses you suffer on account of relying on the information contained on this website.
We do not warrant or represent the accuracy or completeness of information provided on this Website. You are advised to verify it before you agree to buy a product from advertisers or service. We do not guarantee that use of this Website will be uninterrupted or error-free, or that the Website and its servers are free of computer viruses or bugs.
10. EXCLUSIONS OF OUR LEGAL LIABILITY
The Website only complies with Indian laws. Information during visits to our Website are processed by us according to the provisions of Applicable Law.
We are strongly committed to protecting the privacy of our customers and we have taken all necessary and reasonable measures to protect the confidentiality of customer information and its transmission through the Website. We shall not be held liable for disclosure of information, in the course of your use of our Website caused by abnormal and unforeseeable circumstances outside our reasonable control, which would have been unavoidable despite all efforts to the contrary, for example delays or failures caused by industrial action, problems with another system or network, third party viruses or malware, mechanical breakdown or data-processing failures.
This Website is intended for residents of India only. All information on this Website is therefore intended only for the Indian market. The information contained on this Website may be altered or amended at any time without prior notification or obligation.
11. NOTICE OF CHANGE
EFFECTIVE AS OF FEBRUARY 01, 2021
The tionet.in website (“Website”) is hosted and operated by The Indian Optician (TIO); Registered in A-99 Defence Colony, New Delhi 110024, India.
The information contained on this Website may be altered or amended at any time without prior notification or obligation.
This Website should not be regarded as an infallible guide to The Indian Optician products and services, nor does it constitute an offer for the sale of any particular brand.
Access to, browsing and use of the tionet website, Internet services and mobile device apps (‘App’) are subject to the following Terms and Conditions (‘Terms’). Please read these Terms carefully. Creating an account with tionet (‘we’, ‘us’) or otherwise using any tionet or tionet related service or App will signify that you have read, understood, and agree to be bound by these Terms and to comply with all applicable laws and regulations. These Terms constitute a binding agreement between you and The Indian Optician and affiliates. If you do not agree to these Terms, you may not use this website. THESE TERMS CONTAIN WARRANTY DISCLAIMERS AND OTHER PROVISIONS THAT LIMIT THE LIABILITY OF TIONET, SO PLEASE READ THESE TERMS IN THEIR ENTIRETY. tionet reserves the right to immediately terminate your access to the website, service or tionet related app, if you do not comply with this agreement. The tionet website, Internet services and mobile device apps collectively constitute the ‘Service’. This Service is owned and operated by The Indian Optician. The Service includes the website tionet.in and the App that provides you the capability to order, subscribe the magazines, publication related content (collectively known as ‘Publications’) and to have these digital versions of the Publications delivered to you.
INFORMATION WE COLLECT
1. When you create The Indian Optician (TIO) account at tionet.in, we collect your Name, Email address, Password and Gender (optional). We collect these basic details so that you can access your subscriptions on multiple devices. Also, when you change your device, these details will help you sync you’re tionet account and get access to your subscriptions.
2. When you purchase a magazine/subscription on our website, we additionally collect your Address (with Pin Code) and Card details in certain scenarios. This is done to validate the transactions and we shall clear such data when validations are no longer required. Please note that we don’t store your card details and they are stored only by the payment gateway.
3. When you contact us, we collect your email address to provide services and answer your queries.
1. Articles you’ve read– To understand your interests and showcase more relevant articles
2. Time spent on reading each magazine and article– To analyze the quality of content and provide appropriate feedback to publishers
3. Web and app pages you’ve visited– To track features used by you and recommend features that you’ve not used
Cookies are alphanumeric identifiers that we transfer to your computer or device to enable our systems to recognize your browser and tell us how and when pages in our website are visited and by how many people.
SHARING OF YOUR PERSONAL INFORMATION
Personal Information will only be shared by Company to provide or improve our products, services, to contact you about our services; and with our advertisers to contact you about their new products etc; it will not be shared with third parties for their marketing purposes.
SECURITY OF YOUR PERSONAL INFORMATION
We allow you to limit access to your account via a password for your privacy and security. If you access your account via a third party site or service, you may have additional or different sign-on protections via that third party site or service. You are responsible for ensuring against unauthorized access to your account and Personal Information by selecting and protecting your password and/or other sign-on mechanism appropriately and limiting access to your computer and browser by signing off after you have finished accessing your account.
We use industry-standard Secure Socket Layer (SSL) software to encrypt your Personal Information during transmission. However, because no data transmission over the Internet is completely secure, and no system of physical or electronic security is impenetrable, Company cannot guarantee the security of Personal Information in its possession or the security of its servers or databases. Unauthorized entry or use, hardware or software failure, and other factors, may compromise the security of user information at any time.
In the unlikely event that Company believes that the security of your Personal Information in its possession or control may have been compromised, Company may seek to notify you. If notification is appropriate, Company may notify you by email, messaging to your device, or other means within 72 hours of data compromise.
PERSONAL INFORMATION YOU CAN ACCESS
Company allows you to access the following information about you for the purpose of viewing, and in certain situations, updating that information: email address, name, location and marketing preferences. This list may change as the Service changes. The information you can view, update, and delete may change as the Website changes. If you have any questions about viewing or updating information, we have on file about you, please contact us at firstname.lastname@example.org or at The Indian Optician., A-99 Defence colony, New Delhi – 110024
You can add or update certain personal information on your account, such as name and email address. When you update information, however, we often maintain a copy of the unrevised information in our records.
Upon your written request to privacy@ tionet.in we will remove your Personal Information from our active user database provided that (a) you are current with all payment obligations, (b) we do not believe it reasonably necessary to keep such information for any pending legal action, and (c) we are under no obligation to retain such information. Please be aware that any unfulfilled subscriptions may be cancelled without refund and you will have to re-register in order to use the Service. It is your responsibility to request a refund from us.
All names, images, logos identifying The Indian Optician are proprietary marks of The Indian Optician. All third-party brand, product, service and company names contained on this Website are the trademarks, service marks and trade names of their respective holders. TIO do not give permission for their use by any person other than the holders. Any such use may constitute an infringement of the holders’ rights.
The Indian Optician do not represent, warrant, endorse or hold responsibility over any external sites that may be linked to and from this Website. Any external site that you visit by clicking through a link on this Website is outside the control of TIO and you visit entirely at your own risk.
These Terms and Conditions and the other rules, guidelines, licenses and disclaimers posted on the Service (on the tionet website or tionet Apps constitute the entire agreement between tionet and you with respect to your use of the Service and supersede all previous written or oral agreements between us with respect to the subject matter hereof.
From time to time, tionet may revise these Terms and Conditions to keep them up to date with tionet products and services. Please refer to the tionet website and tionet Apps periodically for any changes. The update date first written above is used to alert you to recent modifications. Your access or use of the Service subsequent to such an update will signify your assent to be bound by such changes.
If you have any questions regarding our terms and conditions, please email us at email@example.com
RETURN AND REFUNDS
If for any reason you are not completely satisfied with The Indian Optician magazine subscription, you may claim a full refund of your subscription, by contacting us within 30 days of your transaction processing date for online subscription and print subscription.
You may cancel your Subscription at any time during your subscription term. If you choose to cancel your Subscription, please note that we do not issue refunds on magazines already delivered. You may request a refund for all magazines not yet delivered, by contacting us at firstname.lastname@example.org. The amount to be refunded will be a pro rata value based on the number of magazines already issued. Money will be refunded as below:
1) If paid by credit card, refunds will be issued to the original credit card provided at the time of purchase.
2) In case of payment gateway, payments refund will be made to the same account or in the bank account provided by the customer.