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How should diabetic retinopathy surveillance be adjusted for patients starting GLP-1 agonists?

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How often do you perform diabetic retinopathy surveillance in patients with severe non-proliferative diabetic retinopathy on GLP1 without DME?

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1 Answer
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Mednet MemberInvited Expert
Ophthalmology · Stanford University School of Medicine
Answered on

As with traditional anti-hyperglycemic medications, GLP-1 agonists may cause transient worsening of diabetic retinopathy due to the initial rapid control of blood glucose. Therefore, if a patient has existing retinopathy and is about to start GLP-1 agonist therapy, I recommend closer monitoring.

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