|
Demographics & Co-morbidity
| | | | |
|
Inclusion/Exclusion Criteria
|
X
| | | |
|
Patient Identification
|
X
|
X
|
X
|
X
|
|
Date of visit
|
X
|
X
|
X
|
X
|
|
Date of consent
|
X
| | | |
|
Demographics
|
X
| | | |
|
Physical examination
|
X
|
X
|
X
|
X
|
|
Diabetes history
|
X
| | | |
|
Diabetic complications and co-morbidity
|
X
|
X
|
X
|
X
|
|
Pharmacotherapy
|
X
|
X
|
X
|
X
|
|
Laboratory values:
| | | | |
|
TC, TG, HDL-C, LDL-C
|
X
|
X
|
X
|
X
|
|
Serum-Creatinine, Micro-, Macroalbuminuria
|
X
|
X
|
X
|
X
|
|
CRP
|
X
|
X
|
X
|
X
|
|
HbA1c, FPG, PPG
|
X
|
X
|
X
|
X
|
|
Non-drug intervention
|
X
|
X
|
X
|
X
|
|
Hypoglycaemic events
|
X
|
X
|
X
|
X
|
|
Body Weight
| | | | |
|
Body weight and height
|
X
|
X
|
X
|
X
|
|
Hip and waist circumference
|
X
|
X
|
X
|
X
|
|
EQ-5D, DTSQ
|
X
| |
X
|
X
|
|
Hypoglycemia Awareness Questionnaire
|
X
|
X
|
X
|
X
|
|
WHO-5
|
X
| |
X
|
X
|
