Age and characteristics of onset of diabetes (e.g., DKA, asymptomatic laboratory finding)

Eating patterns, physical activity habits, nutritional status, and weight history; growth and development in children and adolescents

Diabetes education history

Review of previous treatment regimens and response to therapy (A1C records)

Current treatment of diabetes, including medications, meal plan, physical activity patterns, and results of glucose monitoring and patient's use of data

DKA frequency, severity, and cause

Hypoglycemic episodes

• Hypoglycemia awareness

• Any severe hypoglycemia: frequency and cause

History of diabetes-related complications

• Microvascular: retinopathy, nephropathy, neuropathy (sensory, including history of foot lesions; autonomic, including sexual dysfunction and gastroparesis)

• Macrovascular: CHD, cerebrovascular disease, PAD

• Other: psychosocial problems^*, dental disease^*

Height, weight, BMI

Blood pressure determination, including orthostatic measurements when indicated

Fundoscopic examination^*

Thyroid palpation

Skin examination (for acanthosis nigricans and insulin injection sites)

Comprehensive foot examination:

• Inspection

• Palpation of dorsalis pedis and posterior tibial pulses

• Presence/absence of patellar and Achilles reflexes

• Determination of proprioception, vibration, and monofilament sensation

A1C, if results not available within past 2–3 months

If not performed/available within past year:

• Fasting lipid profile, including total, LDL and HDL cholesterol and triglycerides

• Liver function tests

• Test for urine albumin excretion with spot urine albumin-to-creatinine ratio

• Serum creatinine and calculated GFR

• Thyroid-stimulating hormone in type 1 diabetes, dyslipidemia, or women over age 50 years

Annual dilated eye exam

Family planning for women of reproductive age

Registered dietitian for MNT

DSME

Dental examination

Mental health professional, if needed