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Acknowledgements The authors thank Thibault Willaume from the Radiology Department of Strasbourg University Hospital for providing the imaging scan shown in Fig

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Recommended monitoring strategies include: Monitoring frequency individualised by severity and local protocols, with consideration of closer follow-up in the first year if pre-existing retinopathy Coordination between diabetes care teams and ophthalmology services Regular HbA1c monitoring to track the rate of glycaemic improvement Patient education about symptoms requiring urgent assessment Dose titration strategy may influence retinopathy risk