What information should be included in a type 1 diabetes mellitus (DM) history?

Updated: Sep 13, 2019
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
  • Print
Answer

A focused diabetes history should also include the following questions:

  • Is the patient’s diabetes generally well controlled, with near-normal blood glucose levels? (Patients with poorly controlled blood glucose levels heal more slowly and are at increased risk for infection and other complications)

  • Does the patient have severe hypoglycemic reactions? (If the patient has episodes of severe hypoglycemia and therefore is at risk for losing consciousness, this possibility must be addressed, especially if the patient drives)

  • Does the patient have diabetic nephropathy that might alter the use of medications or intravenous (IV) radiographic contrast material?

  • Does the patient have macrovascular disease, such as coronary artery disease (CAD), which should be considered in the emergency department (ED)?

  • Does the patient self-monitor his or her blood glucose levels? (Note the frequency and range of values at each time of day; an increasing number of patients monitor with continuous sensors)

  • When was the patient’s hemoglobin A1c (HbA1c) value (an indicator of long-term glucose control) last measured? What was it?


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!