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 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)

Other OSCE Modules edit