A person is diagnosed to be a diabetic on his 45th bihday. You will recommend a dilated fundoscopic examination:
**Core Concept**
The underlying principle being tested is the importance of screening for diabetic retinopathy in patients with diabetes mellitus. **Diabetic retinopathy** is a common complication of diabetes that can lead to blindness if left untreated.
**Why the Correct Answer is Right**
The American Diabetes Association recommends a comprehensive dilated **fundoscopic examination** at the time of diagnosis for patients with type 2 diabetes. This is because **diabetic retinopathy** can be present at the time of diagnosis, and early detection is crucial for preventing vision loss.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it is not the recommended time for a dilated fundoscopic examination.
**Option B:** This option is also incorrect as the examination is recommended at the time of diagnosis, not after a certain period.
**Option D:** This option is incorrect because it does not align with the recommended screening guidelines.
**Clinical Pearl / High-Yield Fact**
It is essential to remember that patients with diabetes should have a comprehensive eye examination shortly after the diagnosis to detect any retinal damage.
**Correct Answer:** D. at the time of diagnosis