This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'In children with type IDM when is ophthalmologic evaluation indicated – \nSelect and explain. \nA. At the time of diagnosis, B. After 1 year, C. After 2 years, D. After 5 years', 'role': 'user'}, {'content': 'Answer: D \nExplanation: In IDDM, initial retinal examination should be done 5 yrs after the onset of disease as the sight threatening retinopathy usually does not appear in the first 5 yrs & thereafter, these should be screened annualy by retina experts.\nFor NIDDM, initial examination should be done right from the time of diagnosis, because upto 21% patients have retinopathy at the time of diagnosis & thereafter annually.\nDiabetic women who become pregnant, should have dilated eye examination in the first trimester & close follow up. throughout the pregnancy.', 'role': 'assistant'}]