Medical history
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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
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History of diabetes-related complications
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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*
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Physical examination
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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:
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Inspection -
Palpation of dorsalis pedis and posterior tibial pulses -
Presence/absence of patellar and Achilles reflexes -
Determination of proprioception, vibration, and monofilament sensation
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Laboratory evaluation
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Referrals
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Annual dilated eye exam -
Family planning for women of reproductive age -
Registered dietitian for MNT -
DSME -
Dental examination -
Mental health professional, if needed
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