You are seeing Mrs. Rajwal, a 69 year old woman, who feels concerned about her health. She heard that her sister was recently diagnosed with diabetes and wonders if she is at risk of developing the disease as well. Take a focused history, addressing Mrs. Thompson’s concern.
History
- Addresses patient’s concerns about diabetes
- Establishes patient’s ethnicity
- Polydipsia, polyuria
- Nocturia
- Fatigue
- Blurry Vision
- Parasthesias/numbness in peripheries
- Lower extremity ulceration or infection
- Skin darkening
- Weight history: gain/loss
- Asks about diet history
- Current medications/Allergies
- Personal history of gestational diabetes
- Personal history of myocardial infarction and stroke
- Personal history of renal disease
- Peripheral vascular disease (patient has intermittent claudication)
- Dyslipidemia
- Hypertension
- Smoking history (quantity in pack-years)
- Family history of Type II diabetes mellitus
- Family history of cardiac or cerebrovascular events
Case 4 – Diabetes