When Should You Start Getting Diabetic Eye Exams?
- Brandywine Eye Center
- Apr 18
- 4 min read
Updated: May 12

Protecting Your Sight Through Early Detection and Expert Care
Living with diabetes means staying proactive about your health—especially when it comes to your vision. One of the most important (yet often overlooked) aspects of diabetes management is the diabetic eye exam. But when should you start getting them? And how often? This guide, brought to you by the specialists at Brandywine Eye Center, breaks down everything you need to know to protect your eyes for years to come.
What Is a Diabetic Eye Exam?
A diabetic eye exam is a specialized form of vision assessment designed to detect changes in the eyes caused by diabetes. Unlike a routine vision test, it focuses specifically on identifying early signs of diabetic retinopathy, macular edema, and other diabetes-related complications.
At Brandywine Eye Center, your eye exam doctor will use advanced diagnostic tools to perform a comprehensive eye exam for diabetic retinopathy, including:
Dilated retinal exam
Optical coherence tomography (OCT)
Fundus photography
Intraocular pressure testing
If you've been wondering, "What is a diabetic eye exam?"—it’s a vital step in preventing long-term vision loss from diabetic complications.
How Diabetes Affects Your Eyes
Diabetes can damage the tiny blood vessels in the retina—the light-sensitive tissue at the back of the eye. Over time, high blood sugar levels can lead to:
Diabetic retinopathy
Macular edema
Cataracts
Glaucoma
The scary part? Many of these issues begin with no noticeable symptoms. That's why routine diabetic retinal eye exams are so crucial for early detection and treatment.
When Should You Start Getting Diabetic Eye Exams?

According to diabetic eye exam recommendations from the American Diabetes Association:
Type 1 Diabetes: Begin annual exams within 5 years of diagnosis.
Type 2 Diabetes: Begin at diagnosis—damage can already be present.
Gestational Diabetes: An eye exam may be recommended if you have risk factors or preexisting eye issues.
If you’re newly diagnosed or haven’t had an exam yet, the best time to schedule one is now. Brandywine Eye Center makes it easy to book your diabetes eye clinic visit with skilled specialists.
How Often Should You Have Diabetic Eye Exams?

Most patients need a yearly exam. However, frequency may increase based on:
Duration and control of diabetes
Existing eye conditions
Recommendations from your eye exam doctor
At Brandywine Eye Center, your exam schedule is customized to your needs, with proactive care every step of the way.
Warning Signs You Shouldn’t Ignore
Don’t wait for your next appointment if you notice:
Blurred or fluctuating vision
Floaters or dark spots
Eye pain or pressure
Sudden vision loss
These could be signs of advanced diabetic retinopathy. Prompt evaluation by a specialist at our diabetes eye clinic can help prevent permanent vision damage.
What to Expect During a Diabetic Eye Exam
Your diabetic retinal eye exam includes:
Visual acuity testing – to assess sharpness of vision
Pupil dilation – to view the back of the eye clearly
OCT or imaging – to evaluate the retina in detail
Intraocular pressure test – for signs of glaucoma
Patients sometimes ask about diabetic eye test side effects—these are minimal. You may experience light sensitivity and blurred near vision from dilation for a few hours, but it’s temporary and painless.
Can an Eye Exam Detect Diabetes?
Interestingly, yes. In some cases, signs of diabetes—like retinal bleeding or blood vessel changes—are first detected during an eye exam. This is especially true for people who haven’t yet been diagnosed.
So if you’ve been experiencing vision changes, scheduling a full diabetic eye exam may uncover more than just an issue with your sight.
Managing Diabetes to Protect Your Vision
Keeping your eyes healthy starts with managing your diabetes effectively. Here are a few key steps:
Maintain stable blood sugar levels
Control blood pressure and cholesterol
Exercise regularly
Eat a balanced diet
Take medications as prescribed
Routine exams paired with lifestyle changes are your best defense against diabetic eye disease.
Do Diabetics Get Free Glasses?
It depends on your insurance and healthcare plan. Some Medicare or Medicaid plans offer free or low-cost vision benefits for diabetic patients, including glasses. However, coverage varies.
At Brandywine Eye Center, our staff is happy to help you navigate insurance benefits and determine what’s covered under your plan, whether you're booking a glasses exam or a retinal screening. Most of the time, medical insurance covers diabetic eye exams, and vision insurance covers glasses, which may necessitate two separate visits.
Why Choose Brandywine Eye Center for Diabetic Eye Care?
Located in Wilmington, Delaware, Brandywine Eye Center offers:
Skilled diagnosticians experienced in managing diabetic eye diseases
State-of-the-art diagnostic equipment for early detection
Personalized care plans tailored to your vision and health needs
Convenient scheduling and thorough follow-up care
We make it simple for you to access high-quality, compassionate care from a team that puts your eye health first.
Conclusion: Don’t Wait to Protect Your Vision

If you or a loved one has diabetes, your vision deserves special attention. Early and consistent diabetic eye exams are your best defense against sight-threatening complications.
Whether you’re newly diagnosed or haven’t had an exam in years, the experts at Brandywine Eye Center are here to help. Schedule your appointment today—and take the first step toward lasting, healthy vision.
FAQs
What is a diabetic eye exam?
It's a detailed eye exam designed to check for diabetic complications like retinopathy, macular edema, and glaucoma.
How often should diabetics get eye exams?
Typically, once a year, or more often if you already have diabetic eye disease.
Can an eye exam detect diabetes?
Yes, early signs of diabetes can sometimes be detected in a retinal exam before a medical diagnosis.
Do diabetic eye tests hurt?
A: No. The tests are non-invasive and generally painless, though you may experience mild sensitivity after dilation.
Can diabetics get free glasses? Some insurance plans cover glasses for diabetic patients. Sometimes diabetic eye exams are covered by medical insurance, and glasses are covered by vision insurance. Check with your provider or ask our team for assistance.When Should You Start Getting Diabetic Eye Exams?
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