Why Diabetic Retinopathy Requires Attention During Pregnancy

Understanding Diabetic Retinopathy and Pregnancy

Diabetic retinopathy (DR) is a condition that affects the eyes of individuals with diabetes, and it can pose significant risks, particularly during pregnancy. For women battling diabetes, whether Type 1 or Type 2, it's important to understand the heightened vulnerability to complications like DR while expecting.

Early Screening is Essential

Healthcare professionals emphasize that women with chronic diabetes should receive an eye exam to screen for retinopathy early in their pregnancy. This early examination can help detect any changes in their condition before symptoms become severe. Irena Tsui, MD, presented crucial insights at the Retina 2025 conference regarding this issue, highlighting that the body undergoes various hormonal and vascular changes during pregnancy that can escalate diabetic retinopathy.

Managing Diabetes Before Pregnancy

Before a woman becomes pregnant, it's vital for her diabetes to be well-managed. A pre-pregnancy eye exam can determine whether any baseline retinopathy is present, allowing for tailored monitoring. Tsui points out that screening should not just occur in the first trimester but also continue into the second and third trimesters. This proactive approach can protect the health of both mother and baby.

Potential Risks and Treatments

Interestingly, treatments like anti-VEGF that are commonly used for managing diabetic retinopathy come with significant warnings. These treatments have not been extensively studied in pregnant women and may lead to complications like placental insufficiency, preeclampsia, or even risks of preterm birth. Understanding these potential risks is essential for both healthcare providers and patients.

The Importance of Comprehensive Prenatal Care

Unfortunately, many women do not receive the necessary prenatal care, making it hard to accurately estimate the rate of diabetes during pregnancy. Concierge medical practice owners should encourage their patients to prioritize comprehensive prenatal care, which includes regular screenings for conditions like diabetic retinopathy. By building a rapport with patients, practices can pave the way toward healthier pregnancies.

Connecting with Patients for Better Outcomes

For concierge medical practice owners, it’s not just about being reactive; it’s about being proactive in patient engagement. By discussing the importance of diabetic screenings and managing diabetes effectively during pregnancy, they can significantly enhance patient outcomes. Using a personalized approach fosters trust and positions your practice as a vital resource in navigating these complex health concerns.