*3.1.7 Screening for complications*

It has been shown by different studies that complications start either after a duration of 5 years if a child is pre-pubertal or after 2 years if the patient is diagnosed within/after puberty. This is different from studies done in Africa, where achieving a good control is challenging, screening must be done much earlier after the initial diagnosis and then 1-2 yearly. Hence, every year, the following screening tests should be done:

