People having fluctuations in blood sugar levels are at an increased risk of long-term diabetes. People don’t develop the problem until they have had diabetes for at least 10 years. The additional risk factors are: Pregnancy Period – Women who’re at their pregnancy period and simultaneously facing diabetes face issues with diabetic retinopathy. Poor disease management- The chances of developing complications are higher if your diabetes is not under control. Strict glycemic control is most effective in preventing diabetic retinopathy. Racial – African – Americans and Hispanics have a greater risk of diabetic retinopathy than the general public. Smoking – People suffering from diabetes who smoke regularly have higher chances of developing diabetic retinopathy.