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001) stronger than diabetes duration (OR 1.42, 95% CI 1.23 to 1.63, P0.001) and HbA1c (OR 1.02, 95% CI 1.001 to 1.05, P=0.041) in this population. In the multivariate analysis of these three explanatory variables only age was associated with DR (adjusted OR 1.52, 95% CI 1.10 to 2.10, P=0.012). Emergence of DR during adolescence and early adulthood is not rare and increases with age in patients with deteriorating metabolic control during puberty and thereafter. This underpins the need to prevent deterioration of glycemic control from
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