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Diabetes Hx - Coggle Diagram
Diabetes Hx
Past medical Hx
Other vascular risk factors
dyslipidaemia
hypertension
smoking
other autoimmune conditions
coeliac
thyroid conditions
addisons
history of
glucocorticoid use
pancreatitis
GDM
polycystic ovarian syndrome
Deficiencies
iron
B12
folate
Changes in weight recently
appetite?
eating regularly?
if not, do you alter your dosages?
Control of disease
How do you monitor your blood glucose at home?
What is your target glucose range?
Have you been managing that well?
Complications
Macrovascular
Coronary artery disease
MI
Chest pain
Peripheral artery disease
Intermittent claudication
Foot ulcers
Cerebrovascular disease
Strokes
Microvascular
Retinopathy
Blurry vision
Cataracts
Glaucoma
Nephropathy
been told protein in urine?
dysuria
nocturia
haematuria
hypertension
meds?
oedema
Any EUC abnormalities you're aware of on last blood test?
Neuropathy
Peripheral
numbness/tingling/burning in extremeties
Autonomic
Postural hypotension
Gastroparesis
nausea
vomiting
bloating
Erectile dysfunction
Have you ever had a hypoglycaemic episode?
Yes
what triggered it?
How was it managed?
Symptoms?
headaches
fatigue
Severe
Coma
Seizures
Nausea
night sweats
Are you aware of the signs when your blood glucose is starting ton drop? (checking hypoglycaemic awareness)
Have you needed to make any lifestyle modifications since being diagnosed?
diet
carb counting
exercise
work
History of Diabetes
When were you diagnosed?
What symptoms initially brought you to your doctor?
How is it being treated at the moment?
Has that changed since you were first diagnosed?
Side effects from the meds?
Compliance with the meds?
Have you noticed any changes in your weight or appetite since starting the medications?
Have you ever been hospitalised due to your diabetes?
Social Hx
Alcohol, smoking, drugs
How does having diabetes affect your day to day life?
Does it prevent you from doing anything?
support at home?
How have you been feeling, generally, lately?
Sleep
Appetite
Energy levels