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Diabetic retinopathy in pregnancy — SCE Endocrinology MCQ

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ModerateEndocrinology in pregnancyDiabetic retinopathy in pregnancySCE Endocrinology

A 30-year-old woman with type 1 diabetes is 10 weeks pregnant. HbA1c is 58 mmol/mol and she has background retinopathy. She asks how often eyes should be checked. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Arrange retinal assessment during pregnancy and after rapid glycaemic improvement

Pre-existing diabetes in pregnancy requires retinal assessment because pregnancy and rapid glycaemic improvement can worsen retinopathy. Deferring screening misses treatable sight-threatening disease. Insulin should be optimised, not stopped.

Reference: NICE NG3 Diabetes in Pregnancy; NICE NG17