Diabetes is a leading cause of blindness worldwide. It can cause diabetic retinopathy (DR) through changes in the retinal blood vessels. DR progresses through stages from mild nonproliferative DR to more severe proliferative DR. Treatment includes laser photocoagulation surgery, intravitreal injections of anti-VEGF drugs, and sometimes vitrectomy surgery. Tight control of blood glucose and blood pressure is important to prevent or slow the progression of DR. Regular eye screening is also needed according to guidelines based on type of diabetes and duration. A team-based approach is important for optimal diabetes and eye disease management.