To the Editor Dr Dabelea and colleagues1 provided much needed data on the natural history of complications in adolescents and young adults with diabetes. We agree that the increasing number of children and adolescents living with diabetes calls for strategies to reduce the development of diabetic complications in early adulthood. With regards to diabetic eye disease, such strategies require a deeper understanding than currently available of the natural history of diabetic retinopathy. Specifically, analyses of the prevalence of and progression to retinopathy requiring treatment are needed.
Ibanez-Bruron MC, Solebo AL, Rahi JS. Complications of Diabetes Diagnosed in Children and Adolescents. JAMA. 2017;317(24):2553. doi:10.1001/jama.2017.6231