Diabetic History (OSCE)
Type and Duration
[edit | edit source]- 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 | edit source]- 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 | edit source]- quantity (calories)
- quality
Medications
[edit | edit source]- oral hypoglycemics
- insulin (type, units, timing)
- antagonistic drugs (thiazides, corticosteroids)
Modifiable Risk Factors
[edit | edit source]- Hypertension
- Hypercholesterolemia
- Smoking
- Alcohol
PMHx
[edit | edit source]- Stroke
- MI
Types 1 and 2
FMHx
[edit | edit source]Family hIstory of autoimmune disease associated with T1D e.g. Autoimmune thyroid disease, coeliac's disease, pernicious anaemia and vitiligo
ROS
[edit | edit source]Neuropathy
[edit | edit source]- Neuropathy
- Autonomic:
- erectile dysfunction
- orthostatic hypotension
- gastroparesis
- constipation
- incontinence
- Peripheral:
- anesthesia
- paresthesia
- hyperesthesia
Retinopathy
[edit | edit source]- date of last eye exam with an OPHTHALMOLOGIST (MD/DO)
Nephropathy
[edit | edit source]- renal disease
- proteinuria or microalbuminuria
- last URINE ANALYSIS
- last serum creatinine
Vascular
[edit | edit source]Cardiac
[edit | edit source]- angina
- dyspnea
- orthopnea(under pulmonary)
- CHF
- MI
Peripheral Vascular Disease
[edit | edit source]- claudication
- foot care
Hospitalization
[edit | edit source]- Hypoglycemia
- DKA
- HONKS (hyperosmolar nonketotic state)