Diabetes Management Cheat Sheet: Key Information and Assessment Points, Exercises of Pathophysiology

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Cheat Sheet

Demographics o Required: Date of Birth, Sex, Ethnicity History Medical o Required: Diabetes Type, Year of Diabetes Diagnosis, Diabetes Duration o If Applicable: History of Chronic Kidney Disease, High Blood Pressure, Dyslipidemia, Angina, Heart Attack, Stroke/TIA, Peripheral Arterial Disease, Depression, Erectile Dysfunction, Shingles Family o If Applicable: History of Diabetes, Chronic Kidney Disease, High Blood Pressure, Dyslipidemia, Angina, Heart Attack, Stroke/TIA, Peripheral Arterial Disease Economic o If Applicable: Private/Government/No Drug Coverage Plans Physical & Lab Assessment o Required: Weight, Height, Systolic BP, %HbA1c o If Applicable: Tobacco Use, Fasting/Random Blood Glucose, Total Cholesterol, HDL, LDL, eGFR, AC o If Available: Waist Circumference, Diastolic BP, Arm Used, Device used Medication o Required: Current Medications (Diabetes, Hypertension, Dyslipidemia and Vascular Disease ONLY) o If Applicable: Medication Adherence, Hypoglycemic Events, Vaccination Record (Influenza, Pneumococcus, Shingles ONLY) Assessment and Plan o Required: Patient Goal(s) o Clinical, lifestyle and/or personal goals, as agreed upon by the patient. o Required: Condition Goal(s) and Action(s) o Required: Diabetes  Target %HbA1c, Actions (Education, Adherence, Lifestyle, Laboratory Assessment, Medication Change, Referral, Follow Up) o If Applicable: Hypertension  Target BP, Actions (Education, Adherence, Lifestyle, Laboratory Assessment, Medication Change, Referral, Follow Up) o If Applicable: Dyslipidemia  Target LDL, Actions (Education, Adherence, Lifestyle, Laboratory Assessment, Medication Change, Referral, Follow Up) o If Applicable: Tobacco Use  Target Use, Actions (Discuss Options, Quit Date, Nicotine Replacement, Pharmacological Therapy, Referral) o Required: Visit Duration