Diabetes Questions
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1.
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What is your sugar level? |
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2.
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Does your sugar go up and down constantly? How often? |
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3.
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When were you diagonsed as a diabetic? |
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4.
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Any stiffness, tingling, burning or numbness in your hand, elbows, feet, legs or other joints? How often? |
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5.
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How ofthen does these sympytoms last? |
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6.
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Are you experiencing any depression? If so, why? |
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7.
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Do have excessive thrust? |
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8.
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Do you have blurry vision? |
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9.
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Do you have pain? Where at and how often? |
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10.
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Do your medication make the pain stop? If so for how long? |
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11.
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What activities make the pain worse? |
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12.
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What activities lessens the pain? |
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13.
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Any amputations or sores not healing? |
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14
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How do you spend your days? |
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15.
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Have you spoken to your doctor about why you feel you are unable to work? Does your doctor agree that you are unable to work? |
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16.
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Do you have Neuropathy pain? |
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17.
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Has your blood pressure gotten out of control? |
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18.
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Do you have organ damage? |
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19.
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Do you have arthritis? |
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20.
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Have you ever been hospitalized? |
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21.
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Observation Notes: |