Diabetes

‍‍HISTORY: 
‍‍﻿ diabetes follow-up
‍‍Complications of diabetes: ‍﻿ ‍﻿﻿
‍‍﻿
‍‍Blood sugar monitoring: ‍﻿﻿
‍‍Fasting: ‍﻿ ‍﻿﻿
‍‍Postprandial: ‍﻿ ‍﻿﻿
‍‍Hypoglycemic episodes: ‍﻿ ‍﻿ ‍﻿, ‍﻿﻿
‍‍﻿
‍‍Current symptoms: ‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿‍﻿﻿
‍‍﻿
‍‍Medications:
‍‍﻿‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿﻿
‍‍Adherence: ‍﻿, ‍﻿﻿
‍‍﻿
‍‍Social history:
‍‍Diet: ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿﻿
‍‍Physical activity: ‍﻿﻿
‍‍Smoking: ‍﻿, ‍﻿ pack-years
‍‍Alcohol: ‍﻿, ‍﻿ drinks per ‍﻿﻿
‍‍Recreational drugs: ‍﻿ ‍﻿, ‍﻿﻿
‍‍﻿
‍‍Weight: ‍﻿ ‍﻿, ‍﻿﻿
‍‍Blood pressure monitoring: ‍﻿ ‍﻿ (target ‍﻿)
‍‍Foot examination: ‍﻿ ‍﻿﻿
‍‍Eye examination: ‍﻿ ‍﻿﻿
‍‍﻿
‍‍Labs:
‍‍HbA1c: ‍﻿ ‍﻿﻿
‍‍Fasting blood glucose: ‍﻿ ‍﻿﻿
‍‍Creatinine: ‍﻿ ‍﻿﻿
‍‍Na: ‍﻿ ‍﻿, K: ‍﻿ ‍﻿﻿
‍‍Hb: ‍﻿ ‍﻿﻿
‍‍Lipids: ‍﻿, Cholesterol: ‍﻿, LDL: ‍﻿, HDL: ‍﻿, Triglycerides: ‍﻿﻿
‍‍TSH: ‍﻿ ‍﻿﻿
‍‍Microalbuminuria: ‍﻿ ‍﻿﻿
‍‍Urinalysis: ‍﻿ ‍﻿﻿
‍‍﻿
‍‍Vaccinations:
‍‍Pneumococcal: ‍﻿﻿
‍‍Influenza: ‍﻿﻿
‍‍Covid: ‍﻿﻿
‍‍﻿
‍‍EXAM: 
‍‍General appearance: ﻿
‍‍Vital signs: ‍﻿, BP ‍﻿, HR ‍﻿, RR ‍﻿, SpO2 ‍﻿ %, Temp ‍﻿°
‍‍Measurements: weight: ‍﻿ kg, height: ‍﻿ cm, waist: ‍﻿ cm, BMI: ‍﻿﻿
‍‍Eyes: -R: , -L: , ‍﻿﻿
‍‍Neck: ﻿
‍‍Heart: , ﻿
‍‍Lungs: , ‍﻿﻿
‍‍Extremities: , ‍﻿, ‍﻿, cap refill ‍﻿, pulses ‍﻿, ‍﻿﻿
‍‍Sensation:  to ﻿
‍‍Neurologic: cranial nerves , strength , sensation , reflexes , cerebellar function , gait ﻿
‍‍﻿
‍‍ASSESSMENT: 
‍‍﻿, ‍﻿﻿
‍‍﻿
‍‍PLAN: 
‍‍- Blood work: ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿﻿
‍‍- Urine: ‍﻿, ‍﻿﻿
‍‍- ECG
‍‍- Healthy diet (low in salt, carbs and fat)
‍‍- Regular exercise
‍‍- Weight loss counseling
‍‍- Medication renewal for ‍﻿ months
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- ‍﻿﻿
‍‍- Advise on foot inspection and care
‍‍- Home blood glucose monitoring
‍‍- Home blood pressure monitoring
‍‍- Repeat HbA1c in ‍﻿ ‍﻿﻿
‍‍- Referral to diabetes educator
‍‍- Referral to dietitian
‍‍- Referral to podiatrist
‍‍- Referral to ‍﻿﻿
‍‍- Referral to endocrinologist
‍‍- Follow-up in ‍﻿ months
‍‍- Return if blood glucose levels are consistently above target or if new symptoms develop such as frequent urination, increased thirst, unexplained weight loss, fatigue, blurred vision, slow-healing sores or frequent infections