Is Diabetic Retinopathy an Emerging Comorbidity in Youths With Type 2 Diabetes?

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1. You are a member of the healthcare team caring for a 12-year-old girl with type 2 diabetes (T2D). According to the systematic review and meta-analysis by Samaan and colleagues, which of the following statements about estimated global diabetic retinopathy (DR) prevalence in pediatric T2D is correct?
   Global DR prevalence in pediatric T2D was 3% overall
   Fundoscopy was about as sensitive as 7-field stereoscopic fundus photography in detecting retinopathy
   DR prevalence peaked at 3 years after T2D diagnosis and remained stable thereafter
   DR prevalence increased with age, with no significant differences by sex, race, or obesity
2. According to the systematic review and meta-analysis by Samaan and colleagues, which of the following statements about clinical and public health implications of estimated global DR prevalence in pediatric T2D is correct?
   The findings support annual screening with regular fundoscopy beginning at T2D diagnosis
   The study confirmed sex and race differences in retinopathy risk
   Equitable access to health care for DR detection and treatment is a global priority warranting increased attention
   The study confirmed long-term DR outcomes and mechanisms underlying its pathogenesis in children with T2D