TABLE 1

American Diabetes Association screening recommendations for diabetic retinopathy in different patient populations

Patient populationInitial eye examinationFollow-up eye examination interval
Type 1 diabetesWithin 5 years after onset of type 1 diabetesAt least annuallya
Type 2 diabetesAt time of diagnosis of type 2 diabetesAt least annuallya
Preexisting diabetes and planning on pregnancyBefore pregnancyEvery trimester and up to 1 year post partum
Gestational diabetesNot requiredbNot requiredb
  • a If diabetic retinopathy is symptomatic or sight-threatening, examinations should be more frequent. If ≥ 1 annual eye examination shows no evidence of diabetic retinopathy, examinations can occur every 1 to 2 years.

  • b Individuals who develop gestational diabetes do not appear to be at increased risk of developing diabetic retinopathy during pregnancy.

  • Based on information from references 2,1113.