Arrange diabetic eye screening on schedule and a comprehensive foot check at least annually
Diabetic eye and foot damage may cause little warning before sight loss or ulcers. Early detection leaves more treatment options. Type 2 diabetes needs a comprehensive dilated eye examination at diagnosis; adults with type 1 start 5 years after onset. After one or more normal annual checks and good glucose control, every 1–2 years may be considered. Check feet at least annually.
What it takes
A dilated eye examination costs tens to hundreds of RMB in the Chinese estimate. Foot examination is usually part of the consultation without an extra charge. Remembering while asymptomatic is difficult.
What you may gain
Diabetic retinopathy and diabetic foot problems may remain unnoticed until advanced damage. Detecting them before vision loss or ulceration creates an opportunity for treatment.
Context & considerations
Type 2 diabetes may have been present unnoticed for years, explaining the earlier first examination. Normal repeated eye examinations and target glucose may justify 1–2-year intervals. People with reduced foot sensation should inspect their soles daily, using a mirror if helpful.
Research & references
American Diabetes Association (2026). Standards of Care in Diabetes—2026, section 12: Retinopathy, Neuropathy, and Foot Care. Diabetes Care. It recommends a dilated comprehensive eye examination at type 2 diagnosis, 5 years after onset for adults with type 1, possible 1–2-year screening intervals after normal annual examinations with glucose in target, and comprehensive foot evaluation at least annually for ulcer/amputation risk. https://doi.org/10.2337/dc26-S012