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It has been suggested that an initial noncellular stage of inhibition of both the melanocytes and the nevus cells may be responsible for the development of the depigmented halo, preceding the appearance of a dermal lympho-macrophagic infiltrate that ultimately leads to the destruction of the nevus (331)

Typical monitoring intervals include: No diabetic retinopathy at baseline: recheck at six to 12 months Mild diabetic retinopathy: every six months, or at three months if A1C drops rapidly Moderate to severe diabetic retinopathy or macular edema: every three months with retina specialist coordination Proliferative retinopathy or treated macular edema: follow the retina specialist schedule Advanced imaging helps us detect subtle retinal changes before they affect your vision

Overall diet quality matters beyond just protein