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Retinopathy development (OR 1.05 [95%CI 1.02-1.07] per mmol/mol increase) and progression (OR 1.05 [1.04-1.06]) at seven years was associated with higher HbA atdiabetesdiagnosis. Obesity (OR 0.88 [0.79-0.98]) and high socioeconomic status (OR 0.63 [0.53-0.74]) were negatively associated with retinopathy development at seven years. Baseline retinopathy prevalence has declined since UKPDS. Additionally, HbA at diabetes diagnosis remains important for retinopathy development and progression. Baseline retinopathy prevalence has declined since U