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Table 1—

Ophthalmologic examination schedule

Patient groupRecommended first examinationMinimum 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 groupRecommended first examinationMinimum 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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