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 I DM 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: Ans. is 'd' i.e., After 5 years o 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 expes. o For 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. o Diabetic women who become pregnant, should have dilated eye examination in the first trimester & close follow up throughout the pregnancy.", 'role': 'assistant'}]