Diabetic History (OSCE)

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Type and Duration[edit]

  • Type1DM or Type2DM? Consider other types such as Gestational diabetes and LADA.
  • AGE of onset
  • MANNER of diagnosis - Routine Tests or Symptomatic, if symptomatic explore presenting symptoms

Glucose Control[edit]

  • FREQUENCY of monitoring
  • VALUES - usual numbers at AM and PM, taken AC or PC, range, HbA1c
  • HYPOGLYCEMIC episodes
    • frequency
    • severity
    • sympathetic prodrome
    • unheralded neuroglycopenic symptoms
      • hunger, dizziness, tingling, blurred vision, difficulty thinking, and faintness

Please give time interval between last meal and fasting blood sugar test and values in all tests.It will help people.

Diet and Exercise (CDA)[edit]

  • quantity (calories)
  • quality

Medications[edit]

  • oral hypoglycemics
  • insulin (type, units, timing)
  • antagonistic drugs (thiazides, corticosteroids)

Modifiable Risk Factors[edit]

  • Hypertension
  • Hypercholesterolemia
  • Smoking
  • Alcohol

PMHx[edit]

  • Stroke
  • MI

FMHx[edit]

ROS[edit]

Neuropathy[edit]

  • Neuropathy
  • Autonomic:
    • erectile dysfunction
    • orthostatic hypotension
    • gastroparesis
    • constipation
    • incontinence
  • Peripheral:
    • anesthesia
    • paresthesia
    • hyperesthesia

Retinopathy[edit]

  • date of last eye exam with an OPHTHALMOLOGIST (MD/DO)

Nephropathy[edit]

  • renal disease
  • proteinuria or microalbuminuria
  • last URINE ANALYSIS
  • last serum creatinine

Vascular[edit]

Cardiac[edit]

  • angina
  • dyspnea
  • orthopnea
  • CHF
  • MI

Peripheral Vascular Disease[edit]

  • claudication
  • foot care

Hospitalization[edit]

  • Hypoglycemia
  • DKA
  • HONKS (hyperosmolar nonketotic state)

Other OSCE Modules[edit]