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DIABETES, INADEQUATELY MANAGED

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PHYSICAL DATA

Vital signs
Any symptoms of a current severe illness including
infection (urinary, skin/wound, respiratory, etc. ) or an
unstable chronic affliction
Significant alterations in function, degree of awareness,
orientation, disposition and cognition

MEDICAL HISTORY

Patient’s age and sex
Patient’s blood sugars over past 7 days when compared to
typical trend over recent months
Onset and duration of any blood sugar variations
Changes in food and fluid intake and urine productivity over
the past 7 days
All current prescription drugs, including any recent changes
All current diagnoses
Doses and times of most current anti-hyperglycemic
medicine given (oral or insulin)
Recent lab or diagnostic examination results
Results of finger stick blood sugar, if accessible, including
average day-to-day glucose levels
Recent or present adjustments in dietary intake, for
example, friends and family started bringing in food
Any current skin dysfunction
Presence of neuropathy
Baseline A1c
Any new infection

Possible Indicators and Signals of Hypoglycemia
in the Frail Elderly
Altered conduct and psychological function
Altered level of consciousness (sleepiness,
listlessness, etc. )
Confusion or disorientation
Falls
Generalized weakness
Hallucinations
Craving for food
Irritability
Inadequate attentiveness and coordination
Pallor
Possible Symptoms and Signs of Hyperglycemia
in the Frail Elderly
Blurred vision
New or escalating confusion
Listlessness
Polydipsia, polyphagia
Weight loss
Worsening incontinence
Fruity breath scent.

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