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©2013 UpToDate ® Print Email Ophthalmologic examination schedule Patient group Recommended first examination Minimum routine follow-up* Type 1 diabetes Within 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. Counsel on the risk of development and/or progression of retinopathy. Close follow-up throughout pregnancy and for one year postpartum. * 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. Copyright © 2004 American Diabetes Association From Diabetes Care Vol 27, Supplement 1, 2004. Reprinted with permission from The American Diabetes Association. Modifications from Standards of Medical Care in Diabetes--2009. Diabetes Care Vol 32, Supplement 1, 2009.