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BE MAILED TO CBL % NAMEBALIPID WILL LIPIDS BE MAILED TO CBL $ NAMEBABGP7 PERFORM SBGM ON DAY OBTAINED SPECIMENS # NAMEBABGP6A2PROFILSET QC-WAS CORRECT STICK USED " NAMEBABGP6A1PROFILSET QC-STICK NO. DUPLICATED ! NAMEBABGP6A PROFILSET QUALITY-CONTROLLED  NAMEBABGP2E NOT MAILED: OTHER OR UNKNOWN  NAMEBABGP2D NOT MAILED: PATIENT REFUSED TO COLLECT  NAMEBABGP2C NOT MAILED: PATIENT LOST KIT  NAMEBABGP2B NOT MAILED:PATIENT FORGOT TO COLLECT  NAMEBABGP2A NOT MAILED: KIT DAMAGED  NAMEBABGP1 PROFILSET MAILED TO CBL  NAMEBAOTHABNOTHER ABNORMALITIES ON PHYSICAL EXAM  NAMEBAPTIBL FEET: POSTERIOR TIBIAL-LEFT  NAMEBAPTIBR FEET: POSTERIOR TIBIAL-RIGHT  NAMEBADPEDL FEET: PULSE DORSALIS PEDIA-LEFT  NAMEBADPEDR FEET: PULSE DORSALIS PEDIA-RIGHT  NAMEBAABNTOEFEET: ABNORMAL TOENAILS  NAMEBAFOOTINFEET: INFECTION  NAMEBAFOOTULFEET: ULCERS  NAMEBASPAN ABDOMEN: IF HEPATOMEGALY, SIZE SPAN  NAMEBAHEPATOABDOMEN: HEPATOMEGALY  NAMEBAINFLAMINJECTION SITES: INFLAMMATION  NAMEBALIPOHYINJECTION SITES: LIPOHYPERTROPHY  NAMEBALIPOATINJECTION SITES: LIPOATROPHY  NAMEBAHYPERT2ND BL PRESS. INDICATE HYPERTENSION  NAMEBAHIBLP 1ST BL PRESS. INDICATE HYPERTENSION  NAMEBAHYPDOCHYPERTENSION BEEN PREV. DOCU.  NAMEBAGROWTHFAILED TO MAINTAIN NORMAL GROWTH  NAMEBAADOLESLESS THAN 18 YEARS OLD  NAMEBARX4 Rx: VITAMIN SUPPLEMENTS-REGULARLY  NAMEBARX3 Rx: USED OVER-THE-COUNTER DRUGS  NAMEBARX2 Rx: HAS USED OR IS USING PRESCRIPTION ~ NAMEBARC9A OTHER MEDICAL PROBLEMS/DIFFICULTIES { NAMEBARC8 ADVERSE PSYCHOSOCIAL REACTION x NAMEBARC7 ENTERCURRENT ENDOCRINE EVENT u NAMEBARC6 MINOR OUTPATIENT SURGERY/INCIDENTAL r NAMEBARC5H INFECT: AT INSERTION SITE o NAMEBARC5G INFECT: OTHER-MONONUCLEOSIS, MEASLES l NAMEBARC5F INFECT: GANGRENE i NAMEBARC5E INFECT: POST-OPERATIVE OR DEEP WOUND f NAMEBARC5D INFECT: CUTANEOUS/MUCOCUTANEOUS c NAMEBARC5C INFECT: GASTROENTERITIS ` NAMEBARC5B INFECT: UPPER/LOWER RESPIRATORY TRACT ] NAMEBARC5A INFECT: URINARY TRACT INFECTION Z NAMEBARC4G VASCULAR: OTHER VASCULAR PROBLEM W NAMEBARC4F VASCULAR: TRANSIENT ISCHEMIC ATTACK T NAMEBARC4E VASCULAR: SUSPECTED NON-ACUTE MI Q NAMEBARC4D1 VASCULAR: CHEST PAIN-CLINICAL ANGINA N NAMEBARC4D VASCULAR: CHEST PAIN K NAMEBARC4C VASCULAR:IMPAIRED PERIPH. VASCULAR CIRC H NAMEBARC4B VASCULAR: CONGESTIVE HEART DISEASE E NAMEBARC4A VASCULAR: SHORTNESS OF BREATH B NAMEBARC3B RENAL: OTHER RENAL PROBLEM ? NAMEBARC3A RENAL: EDEMA < NAMEBARC2L NEUR: WILL GO TO NEUROL. FOR VISIT 9 NAMEBARC2K NEUR: OTHER NEUROLOGICAL PROBLEM 6 NAMEBARC2J NEUR: SYMPTOMS COMPAT. W FOCAL NEUROP. 3 NAMEBARC2I NEUR: IMPOTENCE 0 NAMEBARC2H NEUR: SEIZURE (NOT DUE TO HYPOG.) - NAMEBARC2G NEUR: FAINTING (NOT WITH HYPOG.) * NAMEBARC2F NEUR: DIZZINESS/LIGHTHEADEDNESS ' NAMEBARC2E NEUR: URINARY RETENTION $ NAMEBARC2D NEUR: RECURRENT DIARRHEA ! NAMEBARC2C NEUR: VOMITING/BLOATING AFTER MEALS  NAMEBARC2B NEUR: UNEXPLAINED MUSCLE WEAKNESS  NAMEBARC2A NEUR: PAIN/NUMBNESS IN HANDS/FEET  NAMEBARC1D WILL BE SENT TO OPHTH. 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TREAT SELF  NAMEBADC4D3 EPISODES RESULT IN INJURY-PT/OTHERS  NAMEBADC4D2 FREQUENCY RECEIVE IV GLUCOSE  NAMEBADC4D1 FREQENCY RECEIVE GLUCAGON  NAMEBADC4C3 HYPOG.-NOT NEED DOCTOR OR OTHER PERSON  NAMEBADC4C2 HYPOG.-REQUIRE HELP OF ANOTHER PERSON  NAMEBADC4C1 HYPOG.-REQUIRED PROF. MEDICAL HELP  NAMEBADC4B2 HYPOG.-LOST CONSCIOUS. WITH SEIZURE  NAMEBADC4B1 HYPOG.-LOST CONSCIOUS. W/OUT SEIZURE  NAMEBADC4A NO. HOSPITALIZATIONS FOR HYPOGLYCEMIA  NAMEBADC3D3 DID TEST INDICATE PREGNANCY  NAMEBADC3D2  WAS PREGNANCY TEST PERFORMED  NAMEBADC3D1 LAST MENSTRUAL PERIOD > 5 WKS. AGO  NAMEBADC3C1 DOES PATIENT MENSTRUATE  NAMEBADC3B2 PATIENT TREATED FOR VAGINAL ITCHING  NAMEBADC3B1 VAGINAL ITCHING OR DISCHARGE  NAMEBADC3A PATIENT FEMALE  NAMEBADC2D MODERATE/LARGE KETONUR.-SPONTANEOUS  NAMEBADC2C MODERATE/LARGE KETONUR.-EQUIPM. FAILED  NAMEBADC2B MODERATE/LARGE KETONUR.-DUE TO ILLNESS  NAMEBADC2A MODERATE/LARGE KETONUR.-CHANGE ROUTINE  NAMEBADC2 FREQ. DAYS-MODERATE OR LARGE KETONURIA  NAMEBADC1E EXPERIENCE OTHER SYMPTOMS HYPERGLYC.  NAMEBADC1D FREQUENCY OF DKA  NAMEBADC1C ON AVERAGE, NO. 8 OZ. GLASSES DAILY  NAMEBADC1B DC-NIGHTS IN PAST WK. WAKE UP-URIN. 2  NAMEBADC1A DC-NIGHTS IN PAST WK. WAKE UP-URIN. 1  NAMEBANA4C NA-EXP.: ON PUMP, CHANGE SYRINGES- WRONG NAMEBANA4B NA-EXP.: ON PUMP, CHANGE CATHETERS-WRONG NAMEBANA4A NA-EXP.: ON PUMP, CHANGE BATTERIES-WRONG NAMEBANA3D NO MONITOR URINE ACETONE WHEN BG>240  NAMEBANA3C NO. OF TIMES NO REPORT LOW BG TO CLINIC | NAMEBANA3B NO. OF TIME NO TEST AT 3 A.M. y NAMEBANA3A NA-EXP: NOT TAKE PRESCRIBED DELIVERY v NAMEBANA2F2 NA-STD:SICK-NO TEST/RECORD URINE ACETO. s NAMEBANA2F1 NA-STD: PATIENT BEEN ILL p NAMEBANA2D NA-STD: FAILED TO TAKE PRESCRIBED DOSE m NAMEBANA2C NA-STD: FEWER INJECTIONS OF INSULIN j NAMEBANA2B NA-STD: EXTRA INJECTIONS OF INSULIN g NAMEBANA2A NA-STD: >PRESCRIBED UNITS OF INSULIN d NAMEBANA1I3 NA-PERFORM SBGM > ONCE/DAYFOR 7 a NAMEBANA1I2 NA-USE SBGM TO ADJUST INSULIN DOSAGE ^ NAMEBANA1I1 NA-PATIENT PERFORM SBGM [ NAMEBANA1H NA-FAILED TO BRING IN DAILY RECORD X NAMEBANA1G2 NA-INTERCURR. EVENTS NO REPORT ON TIME U NAMEBANA1G1 NA-NO. INTERCURRENT EVENTS R NAMEBANA1F NA-DONE > 7 CAPILLARY BLOOD COLLECTIONS O NAMEBANA1E NA-ROTATING SITE OF INJECTION L NAMEBANA1D NA-USED TYPE OF INSULIN NOT PRESCRIBED I NAMEBANA1C2 FAILED TO ADJUST INSULIN DOSE AS PRESC. F NAMEBANA1C1 NA-NO. OF ILL. (INTERCURRENT OR NOT) C NAMEBANA1B NA-PATTERN OF EATING--EATING DISORDER @ NAMEBANA1A NA-FREQ. CLAIMED FOLLOWED MEAL PLAN = NAMEBADM12 PERFORM>GLUC. MONITOR. THAN PRESCRIBED : NAMEBADM32 DM 3 INJ.-MORE SBGM THAN PRESCRIBED 7 NAMEBAMDT2D EXP.-OTHER MODIFICATIONL 4 NAMEBAMDT2C4EXP.-STATED GOALS IN EFFECT AT PRESENT 1 NAMEBAMDT2C EXP.-INSTRUCT LESS STRICT GOALS THERAPY . NAMEBAMDT2B1EXP.-FREQ. OF SBGM 2 INJECTIONS DAILY  NAMEBAMDT1B > 2 INJECTIONS INSULIN DAILY  NAMEBAMDT1A2UGM > SPECIFIED IN PROTOCOL  NAMEBAMDT1A1SBGM > SPECIFIED IN PROTOCOL  NAMEBAMDT1A GLUC MONITOR. > FREQ. THAN PROTOCOL  NAMEBAMDT1 SINCE LAST VISIT, PT. MODIF. THERAPY?   NAMEBAMDF2 CURRENTLY ON MODIFIED FOLLOW-UP SCHEDULE  NAMEBAMDF1 MODIFIED FOLLOW-UP SCHEDULE AT ANY TIME  NAMEBAIS1A CURRENTLY ON TRANSFER TO INACTIVE STATUS NAMEBAIS1 SINCE LAST VISIT-ON INACTIVE STATUS  NAMEBADV1A CURRENTLY ON DEVIATION FROM TREATMENT  NAMEBADV1 SINCE LAST VISIT-DEVIATION FROM TREATM.  NAMEBADM8 SUSPECT REPORTED GLUCOSE INACCURATE  NAMEBADM7B2 URINE GLUCOSE MONITORING  NAMEBADM7B1 SELF BLOOD GLUCOSE MONITORING  NAMEBADM7A6 CHANGE DOSE-OTHER  NAMEBADM7A5 CHANGE DOSE-OREGBABCT  NAMEBADM7A4 CHANGE DOSE-HEMOGLOBIN A1C ABOVE LIMIT ~ NAMEBADM7A3 CHANGE DOSE-RECURRENT KETONURIA } NAMEBADM7A2 CHANGE DOSE-UNACCEPTABLE DEGREE HYPOGL. | NAMEBADM7A1 CHANGE DOSE-SYMPT. POLYURIA,POLYDIPSIA { NAMEBADM7A PRESCRIBED CHANGE IN INSULIN REGIMEN z NAMEBADM6C TECHN. PROBLEMS-INSULIN INFUSION PUMP y NAMEBADM6B DIFFERENT BASAL RATES USED/DAY x NAMEBADM6A UNITS BASAL INSULIN INFUSED DAILY w NAMEBADM5 DESCRIBE INSULIN REGIMEN v NAMEBA7030OTUNITS 70/30 INSULIN USED-OTHER u NAMEBA7030BEUNITS 70/30 INSULIN USED-BEDTIME t NAMEBA7030SUUNITS 70/30 INSULIN USED-SUPPER s NAMEBA7030LUUNITS 70/30 INSULIN USED-LUNCH r NAMEBA7030BRUNITS 70/30 INSULIN USED-BREAKFAST q NAMEBAULTOTHUNITS ULTRALENTE INSULIN USED-OTHER p NAMEBAULTBEDUNITS ULTRALENTE INSULIN USED-BEDTIME o NAMEBAULTSUPUNITS ULTRALENTE INSULIN USED-SUPPER n NAMEBAULTLUNUNITS ULTRALENTE INSULIN USED-LUNCH m NAMEBAULTBRKUNITS ULTRALENTE INSULIN USED-BREAKFAST l NAMEBALENOTHUNITS LENTE INSULIN USED-OTHER k NAMEBALENBEDUNITS LENTE INSULIN USED-BEDTIME j NAMEBALENSUPUNITS LENTE INSULIN USED-SUPPER i NAMEBALENLUNUNITS LENTE INSULIN USED LUNCH h NAMEBALENBRKUNITS LENTE INSULIN USED-BREAKFAST g NAMEBANPHOTHUNITS NPH INSULIN USED-OTHER f NAMEBANPHBEDUNITS NPH INSULIN USED BEDTIME e NAMEBANPHSUPUNITS NPH INSULIN USED-SUPPER d NAMEBANPHLUNUNITS NPH INSULIN USED-LUNCH c NAMEBANPHBRKUNITS NPH INSULIN USED-BREAKFAST b NAMEBASEMOTHUNITS SEMILENTE INSULIN USED-OTHER a NAMEBASEMBEDUNITS SEMILENTE INSULIN USED-BEDTIME ` NAMEBASEMSUPUNITS SEMILENTE INSULIN USED-SUPPER _ NAMEBASEMLUNUNITS SEMILENTE INSULIN USED-LUNCH ^ NAMEBASEMBRKUNITS SEMILENTE INSULIN USED-BREAKFAST ] NAMEBAREGOTHUNITS REGULAR INSULIN USED-OTHER \ NAMEBAREGBEDUNITS REGULAR INSULIN USED-BEDTIME [ NAMEBAREGSUPUNITS REGULAR INSULIN USED-SUPPER }Z NAMEBAREGLUNUNITS REGULAR INSULIN USED-LUNCH zY NAMEBAREGBRKUNITS REGULAR INSULIN USED-BREAKFAST wX NAMEBAREGPR IS THIS REGIMEN PRESCRIBED BY CLINIC tW NAMEBAINSREGCURRENT INSULIN REGIMEN qV NAMEBAGROUP WHAT GROUP PATIENT RANDOMIZED nU NAMEBABPULT TYPE OF INSULIN-BEEF/PORK ULTRALENTE kT NAMEBABPLEN TYPE OF INSULIN-BEEF/PORK LENTE hS NAMEBABPNPH TYPE OF INSULIN-BEEF/PORK NPH eR NAMEBABPSEMITYPE OF INSULIN-BEEF/PORK SEMILENTE bQ NAMEBABPREG TYPE OF INSULIN-BEEF/PORK REGULAR _P NAMEBAHU7030TYPE OF INSULIN-HUMAN 70/30 \O NAMEBAPO7030TYPE OF INSULIN-PORK 70/30 YN NAMEBAHUULT TYPE OF INSULIN-HUMAN ULTRALENTE VM NAMEBAPOLEN TYPE OF INSULIN-PORK LENTE SL NAMEBAHULEN TYPE OF INSULIN-HUMAN LENTE PK NAMEBAPONPH TYPE OF INSULIN-PORK NPH MJ NAMEBAHUNPH TYPE OF INSULIN-HUMAN NPH JI NAMEBAPOSEMITYPE OF INSULIN-PORK SEMILENTE GH NAMEBAHUSEMITYPE OF INSULIN-HUMAN SEMILENTE DG NAMEBAPOREG TYPE OF INSULIN-PORK REGULAR AF NAMEBAHUREG TYPE OF INSULIN-HUMAN REGULAR >E NAMEBAVSITNOFOLLOW-UP VISIT NUMBER ;D NAMEBASCHDNONO. OF TIMES RESCHEDULED VISIT 8C NAMEBARESCHDNECESSARY TO RESCHEDULE VISIT 5B NAMEBAWTCHA CHANGE IN WEIGHT (KG) 0A NAMEBAHEIGHTCURRENT HEIGHT (CM) (@ NAMEBAWEIGHTCURRENT WEIGHT (KG)  ? NAMEBADESIWTPATIENT'S DESIRED WEIGHT > NAMEBANA2E NA-STD: NOT DONE 2 URINE OR 1 SBGM/DAY = NAMEBABGP8G RESULTS OF SBGM-BEDTIME < NAMEBABGP8F RESULTS OF SBGM-90 MIN. PRESUPPER  ; NAMEBABGP8E RESULTS OF SBGM-PRESUPPER : NAMEBABGP8D RESULTS OF SBGM-90 MIN. PRELUNCH 9 NAMEBABGP8C RESULTS OF SBGM-PRELUNCH 8 NAMEBABGP8B RESULTS OF SBGM-90 MIN. PREBREAKFAST 7 NAMEBABGP8A RESULTS OF SBGM-PREBREAKFAST 6 NAMEBADIASR2SECOND BLOOD PRESSURE-DIASTOLIC 5 NAMEBASYSTR2SECOND BLOOD PRESSURE-SYSTOLIC 4 NAMEBADIASR FIRST BLOOD PRESSURE-DIASTOLIC 3 NAMEBASYSTR FIRST BLOOD PRESSURE-SYSTOLIC 2 NAMEBAPULSE PULSE (BPM) 1 NAMEBARX1 Rx: NO. ASPIRIN-CONTAINING TABLETS 0 NAMEBADM1BESDM 1 INJ.-BLOOD SHOULD DO BEFORE BEDTIME/ NAMEBADM1BEDDM 1 INJ.-BLOOD DONE BEFORE BEDTIME . NAMEBADM1UESDM 1 INJ.-URINE SHOULD DO BEFORE BEDTIME- NAMEBADM1UEDDM 1 INJ.-URINE DONE BEFORE BEDTIME , NAMEBADM1BDSDM 1 INJ.-BLOOD SHOULD DO BEFORE DINNER + NAMEBADM1BDDDM 1 INJ.-BLOOD DONE BEFORE DINNER * NAMEBADM1UDSDM 1 INJ.-URINE SHOULD DO BEFORE DINNER ) NAMEBADM1UDDDM 1 INJ.-URINE DONE BEFORE DINNER ( NAMEBADM1BLSDM 1 INJ.-BLOOD SHOULD DO BEFORE LUNCH ' NAMEBADM1BLDDM 1 INJ.-BLOOD DONE BEFORE LUNCH & NAMEBADM1ULSDM 1 INJ.-URINE SHOULD DO BEFORE LUNCH % NAMEBADM1ULDDM 1 INJ.-URINE DONE BEFORE LUNCH $ NAMEBADM1BBSDM 1 INJ.-BLOOD SHOULD DO BEFORE BREAK # NAMEBADM1BBDDM 1 INJ.-BLOOD DONE BEFORE BREAKFAST " NAMEBADM1UBSDM 1 INJ.-URINE SHOULD DO BEFORE BREAK. ! NAMEBADM1UBDDM 1 INJ.-URINE DONE BEFORE BREAKFAST  NAMEBADM33ASDM 3 INJ.-BLOOD SHOULD DO AT 3 A.M.  NAMEBADM33ADDM 3 INJ.-BLOOD DONE AT 3 A.M.  NAMEBADM3BESDM 3 INJ.-BLOOD SHOULD DO PRE-BEDTIME  NAMEBADM3BEDDM 3 INJ.-BLOOD DONE BEFORE BEDTIME  NAMEBADM3DISDM 3 INJ.-BLOOD SHOULD DO PRE-DINNER  NAMEBADM3DIDDM 3 INJ.-BLOOD DONE BEFORE DINNER  NAMEBADM3LUSDM 3 INJ.-BLOOD SHOULD DO BEFORE LUNCH  NAMEBADM3LUDDM 3 INJ.-BLOOD DONE BEFORE LUNCH  NAMEBADM3BRSDM 3 INJ.-BLOOD SHOULD DO BEFORE BREAK. | NAMEBADM3BRDDM 3 INJ.-BLOOD DONE BEFORE BREAKFAST x NAMEBATOTUNTTOTAL NUMBER OF UNITS/DAY OF INSULIN t NAMEBARENDATDATE RENAL SPEC. WILL BE COLLECTED n NAMEBALPDATEDATE LIPID SPECIMENS WILL BE DRAWN h NAMEBAHBDATEDATE HBA1C SPECIMEN COLLECTED b NAMEBAPRFDATDATE PROFILSET WILL BE MAILED \ NAMEBACOLDATDATE PROFILSET COLLECTED V NAMEBABLPDATDATE SECOND SITTING BLOOD PRESSURE P NAMEBAPEDATEDATE LAST PHYSICAL EXAMINATION J NAMEBADC3C2 DATE OF LAST MENSTRUAL PERIOD D NAMEBAMDTRETEXP.-DATE RETURNED TO GOALS OF EXPER. > NAMEBAMDT2C3EXP.-DATE NEW GOALS BECAME EFFECTIVE 8 NAMEBAMDT1C1DATE RETURN--1 TO 2 DAILY INJECTIONS 2 NAMEBAMDT1B2DATE NEW REGIMEN STARTED , NAMEBAMDT1B1DATE REC'D PERMIT MODIFIED REGIMEN & NAMEBAIS1A2 NEW TRANSFER-INACTIVE STATUS-DATE F016  NAMEBAIS1A1 DATE OF RETURN TO ACTIVE STATUS  NAMEBADV1A2 NEW DEVIATION, DATE F022  NAMEBADV1A1 DATE-TERMINATION OF DEVIATION  NAMEBAQURDATDATE OF LAST COMPLETED VISIT  NAMEFORM DCCT FORM NUMBER  NAMEFSASDATEFORMDATE AS SAS DATE VALUE MMDDYY  XOEH& COPY YZRHe*&(*1NONE EL A@ǃ@k@092292 120892092292 121692 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