Diabetic History (OSCE)
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
Types 1 and 2
FMHx edit
Family hIstory of autoimmune disease associated with T1D e.g. Autoimmune thyroid disease, coeliac's disease, pernicious anaemia and vitiligo
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(under pulmonary)
- CHF
- MI
Peripheral Vascular Disease edit
- claudication
- foot care
Hospitalization edit
- Hypoglycemia
- DKA
- HONKS (hyperosmolar nonketotic state)