LAUSR

Key Points Question What factors are associated with diabetic retinopathy (DR) among children, adolescents, and young adults with diabetes in the US? Findings In this cross-sectional study of 1640 young patients with type 1 or type 2 diabetes, DR was present in 3.5% of patients at the time of screening; risk factors included duration of diabetes and higher mean hemoglobin A1c level. The use of insulin pumps was associated with a lower likelihood of DR; racial and ethnic differences in DR prevalence were not significant after adjusting for insurance status, hemoglobin A1c level, insulin pump use (among those with type 1 diabetes), and duration of disease. Meaning In this study, young patients with type 1 diabetes who used insulin pumps were less likely to have DR independent of other risk factors.