American Diabetes Association

Table 1

Ophthalmologic examination schedule

Patient group	Recommended first examination	Minimum routine follow-up^*
Type 1 diabetes	Within 3–5 years after diagnosis of diabetes once patient is age 10 years or older^†	Yearly
Type 2 diabetes	At time of diagnosis of diabetes	Yearly
Pregnancy in preexisting diabetes	Prior to conception and during first trimester	Physician discretion pending results of first trimester exam

Patient group	Recommended first examination	Minimum routine follow-up^*
Type 1 diabetes	Within 3–5 years after diagnosis of diabetes once patient is age 10 years or older^†	Yearly
Type 2 diabetes	At time of diagnosis of diabetes	Yearly
Pregnancy in preexisting diabetes	Prior to conception and during first trimester	Physician discretion pending results of first trimester exam

Abnormal findings necessitate more frequent follow-up.

†

Some evidence suggests that the prepubertal duration of diabetes may be important in the development of microvascular complications; therefore, clinical judgment should be used when applying these recommendations to individual patients.

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