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Response to NICE Guidelines Diabetes (type 1 and type 2) in children and young people 2015

1 September 2015

The Royal College of Ophthalmologists welcomes the update Guidelines from NICE on Diabetes (type 1 and type 2) in children and young people 2015

The College is pleased that the updated Guidelines recognise that although background retinopathy (BDR) is not part of the screening target, this condition is diagnosed during the screening, and the results are informed to the treating physician and patient and that BDR requires early diagnosis and systematic treatment.

Many of the recommendations in the updated Guidelines relating to diabetic retinopathy have been maintained from the 2004 Guidelines (modified in December 2014) as no evidence was found to make any change. This highlights a gap in the knowledge relating to diabetes in children and young people and the relevance of Diabetic Eye Disease in Childhood study of the incidence and patterns of presentation of Diabetic Eye disease in Children under 18 currently being undertaken by Ms Maria Ibanez Bruron and Professor Jugnoo Rahi at UCL Institute of Child Health. Case ascertainment which started in February 2015 is through the British Ophthalmological Surveillance Unit yellow card reporting system and will continue until July 2016.

For further details please contact Maria Ibanez Bruron, Lifecourse Epidemiology and Biostatistics Section, UCL Institute of Child Health, London, WC1N 1EH Tel: 020 7905 2769 Email: m.bruron@ucl.ac.uk