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Our Mission - 1 Billion Happy Patients by improving health literacy

We will donate 5% of the profits from (iCrush) Diabetes to patient education and diabetes research.
  1. How can we achieve this? Please share (iCrush) Diabetes Vital Checklist with your friends and family and help us spread this patient education tool throughout the globe. Now, a question may come to your mind, why should you share this Vital Checklist.
  2. Why should this (iCrush)Diabetes Vital Checklist be an integral part of the healthcare? Diabetes is a complex disease involving many organs. Diabetes usually consumes a lot of health resources, and it is a pandemic. There will be 333 million diabetic patients worldwide by 2025, and that number was 194 million in 2003 which means an increase of 72%. Being a complex disease, we need a method, a checklist method to educate and activate the patients from the get-go and therefore we have translated this in multiple languages. We want you to be at the same level as your health care provider. We hope you will download this (iCrush) Diabetes checklist and start a discussion with your healthcare provider for your better future.
  3. Why this Checklist is free for patients? Why is this Checklist free for patients? Every patient is different and has different triggers, cues and pain points. Health care providers are often worried about heart disease and stroke while a patient may want to talk about impotence. Patients may forget to ask questions about diabetes from their doctors as this is a complex disease. Not only that, patients may have compromised memory because of diabetes and this may lead to a communication gap. Unprepared patients may not remember to discuss their problems or may remember the questions at the tail end of their visit which may delay the care of the other patients. We hope to give our patients a starting point with (iCrush) Diabetes checklist, and after that, they can build their own disease question list by researching the internet. Asking questions upfront rather than at the tail end will save health caregivers time and thus make healthcare lean. (iCrush) Diabetes checklist provides a communication tool for patients and doctors. Healthcare is not an assembly line, and every patient is different and suffering from different Co-morbidity. At first, we need to listen to the patients, then educate, followed by activating the patients and this will result in a positive engagement with the patients. It is hard to imagine doing this with the voluminous medical knowledge available on the internet and this is the reason we need (iCrush) Diabetes Checklist. I dedicate this iCrush Diabetes checklist to Dr. Atul Gawande who has influenced me with his safe surgery Checklist and the Checklist Manifesto. Without the tools from the Toyota Production System, I would not have been able to accomplish my LEAN Patient Experience project.

    At last, I want to thank my dad—Anar Singh, who taught me the value of leaving a legacy for the world. I still remember September 19th, 1992, eleven days before his death, when he showed me the principle of work ethics. His words still echo in my ears, “work with so much a passion and commitment that even if you are sitting in a cave, people will come looking for you.” I came to the United States on 23rd September 2003 with 54 dollars in my pocket and my brother — Harvinder Paul Singh MD, helped me to stand up on my own feet. If my brother did not hold my hand, I would not have reached here. I owe and dedicate this to my brother. I am blessed to have awesome women in my life—Ajit Kaur (my mother), Aroma Singh (my wife) and Smita Singh (my sister-in-law) who have helped me in every way and stood beside me and I call them “Harpreet makers.” My wife wants to start a healthy kitchen and feed homeless people. Via her Aroma’s kitchen, she wants to educate people how to cook healthy. Now, it is Aroma’s and my time to give back to this great country—The United States of America. Thank you, America for giving me this opportunity.

"Patient Experience starts with Patient Education" - Dr. Harpreet Singh MD

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Please share this (iCrush) Diabetes Vital Checklist with your family member or friend and educate them.
Our goal is improving worldwide Health Literacy and making 1 Billion Happy Patients.

Problem
    Problem
  • Checking symptoms on the internet may confuse the patients and raise the anxiety level. Patients and family member spend more time on pages which highlight cancer, death and disease bringing the SEO rank of those pages up on Google search engine. As death and doom pages rank higher on the search engine because of the higher traffic, other patients have easy access to these website causing unnecessary stress, anxiety, and depression
  • Poor health literacy due to Complex medical jargon
Solution
    Solution
  • Easy to remember and difficult to forget chunked symptom checklist—Vital Checklist
  • Communication with patients and caregivers is easier
  • Multiple languages are housed under one domain name
Call to Action
    Ready → Set → (iCrush)
  • Free for patient, Always
  • Improve HCAHPS/CGCAHPS Score or Patient Experience score
  • Improves Health Literacy as patients know what to talk about before their appointments
  • Lean Health Care

Reviews for (iCrush) Diabetes & Vital Checklist Tool

What health caregivers and patients are saying about (iCrush) Diabetes tool:

The tool is intended to help patients in remembering and journallng the symptoms and co-morbidities that are associated with Diabetes. This tool can be used by clinics as well as hospitals to help patient track The tool is intended to help patients in remembering and journallng the symptoms and co-morbidities that are associated with Diabetes. This tool can be used by clinics as well as hospitals to help patient track The tool is intended to help patients in remembering and journallng the symptoms and co-morbidities that are associated with Diabetes. This tool can be used by clinics as well as hospitals to help patient track

Avantika Singh

Well references collection of checklists for nearly any kind of medical situation, Invaluable for the trainee or experienced clinician. Easy to use and remember. Not simply for board review but also useful in day to day clinical care.

Amazon Customer

This is a great book to have and fill out the page about your problem before going to the doctor's office. Easy to read. Pictures. Easy explanations. Such a good idea. This should be all over the medical community.

Amazon Customer
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VIDEOS

What patients are saying about Dr. Singh?
Invite Dr. Singh to speak to your organization. Email at drsingh@vitalchecklist.com

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ABOUT DR. SINGH MD

  • Internal Medicine Physician – MPCP
  • Chief Experience Officer – MPCP
  • Chief Medical Author – Vital Checklist; Road to USMLE Step 2 Clinical Skills, Vital Checklist Cardiology; (iCrush) Ebola
  • Communication & Clinical Skills Coach
  • Speaker
  • Inventor of Patient Education Tool- (iCrush)Diabetes.com
  • Radio Show Host of Talk Medicine on WBRN
  • Patient Experience Coach
  • USMLE Step 2 Clinical Skills trainer
  • Health and Wellness Patient Education
  • Medical Expert
  • Voracious reader of medical journals, UpToDate.com and Business Books
More About Dr. Singh MD

The Five Why’s of Vital Checklist

  1. Why should patients use Vital Checklist?
    • Health caregivers spend years/decades in getting trained in their field while patients have 15 minutes to ask questions. The Internet is an excellent tool as a symptom checker but to be on the same page; patients need symptom checklist to discuss their history and recognize disease patterns.
  2. Why health caregivers and patients should be on the same page? Why should health caregivers use Vital Checklist?
    • Improved communication and improved documentation.
  3. Why is it essential to document and communicate effectively?
    • Reimbursement by ICD-10 requires asking more questions and documentation.
    • Communication is the fundamental tenet which is measured by Patient Experience Score
  4. Why is Patient Experience (PE) Score vital for a health caregiver and healthcare facility?
    • PE improves job satisfaction decreases stress and promotes health and wellness of the health caregivers.
    • PE improves the credibility of the health care facility and health caregivers.
    • PE improves reimbursement
  5. Why is it essential to pay attention to job satisfaction of healthcare employees, credibility, crisp documentation, proactive communication, improved patient experience score?
    • Reduce malpractice lawsuits
    • Decrease burnout amongst health caregivers
Buy Black & White Book Amazon.com Buy Color Book on Amazon.com For bulk orders contact us

Invite Dr. Singh MD for Seminars & Workshops

Contact

(iCrush) Checklist for Diabetes

The Vital Checklist Way

i
Infection of the feet or other skin issues [1,2]
  • Do you pay regular visits to your foot doctor?
C
Cholesterol(checked every 3-6 month if uncontrolled) [3]
  • Do you get blood cholesterol levels checked regularly?
R
Do you keep a record of your blood sugars? [4]
  • Do you keep a record of your blood sugars?
U
Urine protein and kidney function [5]
  • Get checked for Microalbuminuria.
  • Do you go for regular follow-ups to your Primary Care Physician?
  • Do you get blood and urine tests done regularly?
S
Sleep apnea [6] Stroke
  • Do you snore while you sleep?
  • Do you feel that you did not have a good sleep at night?
  • Do you feel sleepy and fatigued during the day?
  • Do you know symptoms of stroke?
H
Heart disease [7.8]
  • Do you have heart disease?
  • Diabetes and heart disease can co-exit
  • Some diabetic patients may not have typical chest pain.
  • Talk to your doctor about shortness of breath, heart making funny sounds (palpitations), atypical chest pressure
D
Depression [9] Dementia
  • Do you feel sad or depressed?
  • Dementia - Do you have any memory issues? Talk to your doctor about diabetes and dementia
I
Impotence [10]
  • Do you have erectile dysfunction?
A
A1C [11,12]
  • Do you get your A1C or long term sugars checked?
B
Blood pressure [13]
  • Do you have high blood pressure?
E
Eye: Diabetic retinopathty [14,15]
  • Do you go for regular eye exams to the eye doctor?
T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]
  • Do you have any tingling and numbness in any part of body
  • Did you notice any weakness in your arms or legs?
E
Ear check-up [17]
  • Did you notice any changes in your hearing?
  • Did you notice any problems with your balance?
S
Stomach problems (Gastroparesis, Constipation) [18-20]
  • Do you experience early satiety, nausea, bloating senstion after meals?
  • Do you have constipation?
I
Infection of the feet or other skin issues [1, 2]

D;k vki fu;fer :i ls iSj fpfdRld dh ;k=k djrs gSa\

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

D;k vki fu;fer :i ls izkFkfed fpfdRld ds lkFk ikyu djrs gSa\
D;k vki jDr ijh{k.k dh tkap djrs gSa\

R
Record of low and high blood sugars [4]

D;k vki fu;fer :i ls mPp vkSj fuEu jDr 'kdZjk dk fjdkWMZ cuk;k djrs gSa\

U
Urine protein and kidney function [5]

D;k vki fu;fer :i ls izkFkfed fpfdRld ds lkFk ikyu djrs gSa\
D;k vki jDr] ew= ijh{k.k dh tkap djrs gSa\

S
Sleep apnea [6] Stroke

vki [kjkZVs ysrs gks\
D;k vki jkr esa Bhd ls lks ugha ikrs gks\
D;k vki fnu ds nkSjku uhan vkSj Fkdk eglwl djrs gSa\

H
Heart disease [7.8]

D;k vkidks fny dh chekjh gS\

D
Depression [9] Dementia

D;k vkidks ekufld fpark] ijs'kkuh gS\

I
Impotence [10]

D;k vki fuiqald gSa\

A
A1C [11,12]

D;k vki fu;fer :i ls mPp vkSj fuEu jDr 'kdZjk dk fjdkWMZ cuk;k djrs gSa\

B
Blood pressure [13]

D;k vki fu;fer :i ls izkfkfed fpfdRld ds lkFk ikyu djrs gSa\
D;k vki jDrpki ijh{k.k djrs gSa\

E
Eye: Diabetic retinopathty [14,15]

D;k vkius vk¡[k ds ijns dh tkap djokbZ gS\

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

D;k vkidks vkids tksM+ksa] vaxksa esa lrE/k ¼lqUu½ gksrk gS\

E
Ear check-up (Peripheral neuropathy) [17]

D;k vki fu;fer :i ls dku fpfdRld dh ;k=k djrs gSa\

S
Stomach problems (Gastroparesis, Constipation) [18-20]

D;k vki fu;fer :i ls izkFkfed fpfdRld ds lkFk ikyu djrs gSa\
D;k vki isV fpfdRld ls isV ijh{k.k dh tkap djrs gSa\
D;k vkidks dCt gS\

i
Infection of the feet or other skin issues [1,2]

kI qusI smyNisr Awpxy pYr dyfwktr nMU imldy ho ?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

kI qusI smy isr Awpxy pRwiemrI fwktr nMU iml ky klstRol dI jWc krwauNdy ho ?

R
Record of low and high blood sugars [4]

kI qusI lgwqwr Awpxy KUn dw glukoS cYk krdy ho ?
Aqy Pyr vwDy Aqy Gwty nMU log book iv`c not krdy ho ?

U
Urine protein and kidney function [5]

kI qusI smyN isr Awpxy pRwiemrI fwktr kol KUn Aqy ipSwb dI jWc krwauNdy ho ?

S
Sleep apnea [6] Stroke

kI qusI sONdy hoey GrwVy mwrdy ho ? kI quhwnMU rwqI sOx iv`c qklIP huMdI hY ? kI qusI svyry aunINdw jW Qkwvt mihsUs krdy ho ?

H
Heart disease [7.8]

kI quhwnMU idl dI ibmwrI hY ?

D
Depression [9] Dementia

kI qusI audws jW hqwS ho ?

I
Impotence [10]

kI quhwnMU mrdwnw gupq AMg dI vrqoN iv`c qklIP hMudI hY ?

A
A1C [11, 12]

kI qusI smyN isr HbA1C jWc krwauNdy ho ?

B
Blood pressure [13]

kI quhwfw blf prYSr v`D hY ?

E
Eye: Diabetic retinopathy [14, 15]

kI qusI A`Kw dy fwktr kol smyN isr A`Kw cYk krwaux leI jWdy ho ?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

kI SUgr dI ibmwrI krky quhwfy h`Q pYr suMn rihMdy hn ?

E
Ear check-up [17]

kI SUgr dI ibmwrI krky quhwnUM suxn iv`c jW is`Dy KVHn Aqy qurn – iPrn iv`c qklIP hY ?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

kI quhwnMU pyt BirAw-BirAw lgdw rihMdw hY ? kI quhwnMU kbz rihMdI hY ?

i
Infection of the feet or other skin issues [1,2]

మీ వైద్యుని దగ్గర తరచుగా మీ కాళ్ళు పరీక్ష చేయించుకుంటున్నారా?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

మీమీకు అధిక కొలెస్ట్రాల్ ఉందా?

R
Record of low and high blood sugars [4]

మీరు క్రమం తప్పకుండా మీ రక్తంలోని చక్కెర శాతాన్ని ఇంట్లోనే పరీక్షించుకుంటున్నారా మరియు హెచ్చుతగ్గులను పట్టికలో నమోదు చేస్తున్నారా?

U
Urine protein and kidney function [5]

మీ ఆరోగ్యాన్ని పరీక్షించుకోవడo కోసం క్రమం తప్పకుండ మీ వైద్యుని దగ్గరకు వెళుతున్నారా మరియు రక్త పరీక్షలు, మూత్ర పరీక్షలు చేయించుకుంటున్నారా?

S
Sleep apnea [6] Stroke

మీరు నిద్రలో గురక పెడుతున్నారా?
మీరు రాత్రి సరిగ్గా నిద్ర పోనట్టు అనిపిస్తుందా?
పగటి సమయంలో ఆలసటగా మరియు నిద్ర వస్తున్నట్లుగా అనిపిస్తుందా?

H
Heart disease [7.8]

మీకు గుండె జబ్బు ఉందా?

D
Depression [9] Dementia

మీకు విచారంగా లేదా నిరాశగా ఉంటుందా?

I
Impotence [10]

మీమీకు అంగస్తంభనలో సమస్యలు ఉన్నాయా?

A
A1C [11, 12]

మీరు హెచ్బిఎవన్సి ( HbA1C) పరీక్షను తరుచుగా చేయించుకుంటున్నారా?
మీ ఇటీవలి హెచ్ బిఎ1సి (HbA1C) సంఖ్య ఎంత?

B
Blood pressure [13]

మీకు అధిక రక్తపోటు సమస్య ఉందా?

E
Eye - Diabetic retinopathy [14, 15]

మీరు క్రమంతప్పకుండ కంటి వైద్యునితో కంటిచూపు పరీక్షలు చేయించుకుంటున్నారా?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

మీ ఉంట్లో తిమ్మిరిగా లేదా మొద్దుబారినట్లుగా అనిపించిందా?
మీ చేతుల్లో లేదా కాళ్ళలో బలహీనత అనిపించిందా?

E
Ear check-up [17]

మీకు వినికిడిలో లేదా శరీరం అదుపు తప్పే సమస్యలూన్నయా?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

ఆహారం తీసుకున్న వెంటనే వికారంగా.
పొట్ట ఊబ్బినట్లుగాను అనిపిస్తుందా?
మీకు మలబద్దకం ఉందా?

i
Infection of the feet or other skin issues [1,2]

کیا آپ اپنے ڈاکٹر کے پاس روزانہ جاتے ہیں؟

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

کیا آپ اپنا گلوکوز لیول باقائید گی سے گھر میں چیک کرتے ہیں؟ کیا آپ ایک لوگ بک مینٹین رکھتے ہیں جس میں ہائی اور لو بلڈ پریشڑ کی ریڈنگز ہوں؟

R
Record of low and high blood sugars [4]

کیا آپ اپنا گلوکوز لیول باقائید گی سے گھر میں چیک کرتے ہیں؟ کیا آپ ایک لوگ بک مینٹین رکھتے ہیں جس میں ہائی اور لو بلڈ پریشڑ کی ریڈنگز ہوں؟

U
Urine protein and kidney function [5]

کیا آپ باقائیدگی سے اپنے فیزیشن کے پاس معائینے کے جاتے ہیں؟ کیا آپ باقائیدگی سے خون اور پیشاب کا معائینہ کرواتے ہیں؟

S
Sleep apnea [6] Stroke

کیا آپ نیند کے دوران خراٹے لیتے ہیں؟ کیا آپرات میں صحیح سے نیند نہیں لیتے؟ کیا آپکو دن میں غنودگی اور نیند محسوس ہوتی ہے؟

H
Heart disease [7.8]

کیا آپ کو دل کی بیماری ہے؟

D
Depression [9] Dementia

کیا آپ اداس یاں غمغین رہتےہیں؟

I
Impotence [10]

کیا آپ کے عضاء صحیح سے کام کرتےہیں؟

A
A1C [11, 12]

کیا آپ روز ایچ۔ بی۔ اے۔ ۱۔ سی چیک کرتے ہیں؟ آخری بار آپکا ایچ۔ بی۔ اے۔ ۱۔ سی کیاتھا؟

B
Blood pressure [13]

کیا آپکو ہائی بلڈ پریشر ہے؟

E
Eye: Diabetic retinopathy [14, 15]

کیا آپ روز آنکھو کے معائینے کے لیے جاتے ہیں؟

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

کیا آپ کو جسم کے مختلف حصوں میں سنناہٹ یاں بیجان محسوس ہوتےہیں ؟ کیا آپ نے بازو اور ٹانگوں میں کمزوری محسوس کی؟

E
Ear check-up [17]

کیا آپ نے سننے میں کوئی فرق محسوس کیا؟ کیا آپ کواپنے توازن میں کوئی فرق محسوس ہوتا ہے ؟

S
Stomach problems (Gastroparesis, Constipation) [18-20]

کیا آپ کھانے کے فورَا بعد کپکپاہٹ، نزلہ جیسی کیفیت محسوس کرتے ہیں؟ کیا آپ کو قبض ہے؟

i
Infection of the feet or other skin issues [1,2]

Вы консультируйтесь у своего подиатра регулярно?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

Вы регулярно посещаете вашего лечащего врача и делаете анализы крови ?

R
Record of low and high blood sugars [4]

Вы проверяете уровень глюкозы в крови регулярно в домашних условиях и ведёте журнал с показаниями низких и высоких уровнях?

U
Urine protein and kidney function [5]

Вы регулярно посещаете вашего лечащего врача и делаете анализы крови и мочи?

S
Sleep apnea [6] Stroke

Вы храпите во время снa ?
Вы чувствуете, что Вы не выспались этой ночью?
Вы чувствуете сонливость и усталость в течение дня?

H
Heart disease [7.8]

Есть ли у Вас болезнь сердца?

D
Depression [9] Dementia

Вы чувствуете себя в грустном или подавленном настроении ?

I
Impotence [10]

У Вас есть эректильная дисфункция?

A
A1C [11,12]

Вы регулярно проверяете A1C ?

B
Blood pressure [13]

У Вас высокое кровяное давление?

E
Eye: Diabetic retinopathty [14,15]

Вы регулярно посещаете глазного врача и делайте осмотр глаз?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

Диабетическая нейропатия, периферическое кровообращение и потеря чувствительности.

E
Ear check-up [17]

Есть ли у вас какие- то изменения слуха или проблемы с равновесием?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

Есть ли у Вас чувство быстрого насыщения, тошнота, вздутие живота после еды?

i
Infection of the feet or other skin issues [1,2]

Você vai regularmente ao seu podólogo?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

Você faz acompanhamento regular do seu colesterol com seu médico generalista e faz exames de sangue? (Cheque a cada 3-6 meses se o colesterol estiver alto)

R
Record of low and high blood sugars [4]

Você checa regularmente em casa seus níveis de glicose e mantém os registros dos valores elevados e baixos?

U
Urine protein and kidney function [5]

Você faz acompanhamento regular com seu médico generalista e faz exames de sangue e urina?

S
Sleep apnea [6] Stroke

Você ronca durante o sono?
Você sente que não tem boas noites de sono?
Você se sente sonolento ou cansado ao longo do dia?

H
Heart disease [7.8]

Você tem doença cardíaca?

D
Depression [9] Dementia

Você se sente triste ou deprimido?

I
Impotence [10]

Você tem disfunção erétil?

A
A1C [11,12]

Você checa sua HbA1c (hemoglobina glicada) regularmente?

B
Blood pressure [13]

Você tem pressão alta?

E
Eye: Diabetic retinopathty [14,15]

Você faz exames de vista regularmente com seu oftamologista?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

Neuropatia diabética, circulação periférica e perda de sensação

E
Ear check-up [17]

Você teve alguma mudança na sua audição ou problemas com seu equilíbrio?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

Você está constipado? Quando foi sua última evacuação?

i
Infection of the feet or other skin issues [1,2]

സ്ഥീരമായി നിങ്ങളുടെ പാദങ്ങൾ ഡോക്ടറെ കൊണ്ട് പരിശോധിപ്പിക്കുന്നുണ്ടോ?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

തുടർചികിത്സയ്ക്കും രക്തപരിശോധനകൾക്കും നിങ്ങളുടെ പ്രൈമറി കെയർ ഫിസിഷനെ കാണുന്നുണ്ടോ?

R
Record of low and high blood sugars [4]

നിങ്ങളുടെ ഷുഗർ ലെവൽ വീട്ടിൽ പരിശോധിക്കാറുണ്ടോ?ഉണ്ടെങ്കിൽ ആ അളവുകൾ ഒരു ലോഗ് ബുക്കിൽ രേഖപ്പെടുത്താറുണ്ടോ?

U
Urine protein and kidney function [5]

പ്രൈമറി കെയർ ഫിസിഷ്യൻ നിർദേശിക്കുന്ന ലാബ് ടെസ്റ്റുകൾ എല്ലാം പതിവായി നടത്താറുണ്ടോ?

S
Sleep apnea [6] Stroke

നിങ്ങൾ ഉറങ്ങുപ്പോൾ കൂർക്കം വലിക്കുന്നുണ്ടോ?
ഉറങ്ങിയെഴുന്നേറ്റാലും ക്ഷീണം തോന്നുന്നുണ്ടോ?

H
Heart disease [7.8]

നിങ്ങൾക്കു ഹൃദ്രോഗം ഉണ്ടോ?

D
Depression [9] Dementia

നിങ്ങൾക്കു നൈരാശ്യം ഉണ്ടോ?

I
Impotence [10]

നിങ്ങൾക്കു ഉദ്ധാരണക്കുറവ് ഉണ്ടോ?

A
A1C [11,12]

നിങ്ങൾളുടെ എച്ബിഎ1സി (HbA1C) രക്ത പരിശോധന സ്ഥിരം നടത്താറുണ്ടോ?

B
Blood pressure [13]

നിങ്ങൾക്കു ഉയർന്ന രക്തസമ്മർദം ഉണ്ടോ?

E
Eye: Diabetic retinopathty [14,15]

കണ്ണുകൾ ഡോക്ടറെ കാണിച്ചു പരിശോധിപ്പിക്കുന്നുണ്ടോ?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

നിങ്ങളുടെ കാലുകൾക്കു മരവിപ്പ് ഉണ്ടോ?

E
Ear check-up [17]

നിങ്ങൾക്കു കേൾവിക്കുറവ്, ശരീരം ബാലൻസ് ചെയുവാൻ ബുദ്ധിമുട്ട് ഇവ ഉണ്ടോ?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

നിങ്ങൾക്കു വിശപ്പില്ലായ്മ, വയറുപെരുകുക, മലബന്ധം തുടങ്ങിയവ ഉണ്ടോ?

i
Infection of the feet or other skin issues [1,2]

هل تقوم بزيارة طبيب الاقدام بأنتظام؟

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

هل تذهب بأنتظام لمواعيد المتابعة مع طبيبك ، هل تقوم بفحص الدم بأنتظام؟

R
Record of low and high blood sugars [4]

في المنزل هل تقوم بقياس مستوى السكر في دمك بأنتظام، هل تقوم بتسجيل القراءات المرتفعة و المنخفضة في سجل خاص؟

U
Urine protein and kidney function [5]

هل تذهب بأنتظام لمواعيد المتابعة مع طبيبك ، هل تقوم بفحص الدم و الادرار بأنتظام؟

S
Sleep apnea [6] Stroke

هل تعاني من الشخير اثناء النوم هل تشعر بأنك تنام بشكل مريح في الليل؟ هل تشعر بالنعاس او التعب اثناء النهار؟

H
Heart disease [7.8]

هل تعاني من امراض القلب؟

D
Depression [9] Dementia

هل تعاني من الاكتئاب؟

I
Impotence [10]

هل تعاني مشاكل في الانتصاب (العضو الذكري او القضيب)؟

A
A1C [11,12]

هل تقوم بقياس نسبة الهيموغلوبين أ ١ سي بأنتظام؟ كم كانت نسبة نسبة الهيموغلوبين أ ١ سي اخر مرة؟

B
Blood pressure [13]

هل تعاني من مرض ارتفاع ضغط الدم؟

E
Eye: Diabetic retinopathty [14,15]

هل تذهب الى طبيب العيون لفحص بصرك بأنتظام؟

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

هل تعاني من الشعور بالوخز او الخدر في أي جزء من اجزاء الجسم؟ هل لاحظت أي ضعف او وهن في اليدين او الساقين؟

E
Ear check-up [17]

هل لاحظت انك تعاني من اية مشاكل في السمع؟ هل لاحظت انك تعاني من اية مشاكل في التوازن؟

S
Stomach problems (Gastroparesis, Constipation) [18-20]

هل تشعر بالشبع بسرعة، الغثيان، الشعور بالانتفاخ بعد الانتهاء من الأكل؟ هل تعاني من الأمساك؟

i
Infection of the feet or other skin issues [1,2]

ನಿಮ್ಮ ಕಾಲು ವೈದ್ಯರನ್ನು ನೀವು ನಿಯಮಿತವಾಗಿ ಭೇಟಿ ನೀಡುತ್ತೀರಾ?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

ಪ್ರಾಥಮಿಕ ಪರಿಶೀಲನೆಗಾಗಿ ನೀವು ನಿಯಮಿತವಾಗಿ ಹೋಗುತ್ತೀರಾ?
ನೀವು ನಿಯಮಿತ ರಕ್ತ ಪರೀಕ್ಷೆಗಾಗಿ ಹೋಗುತ್ತೀರಾ?

R
Record of low and high blood sugars [4]

ನೀವು ಕಡಿಮೆ ಮತ್ತು ಅಧಿಕ ರಕ್ತದ ಸಕ್ಕರೆಯ ರೆಕಾರ್ಡ್ ಅನ್ನು ಇರಿಸುತ್ತೀರಾ?

U
Urine protein and kidney function [5]

ಪ್ರಾಥಮಿಕ ಪರಿಶೀಲನೆಗಾಗಿ ನೀವು ನಿಯಮಿತವಾಗಿ ಹೋಗುತ್ತೀರಾ?
ನೀವು ರಕ್ತ ಮತ್ತು ಮೂತ್ರ ಪರೀಕ್ಷೆಗೆ ನಿಯಮಿತವಾಗಿ ಹೋಗುತ್ತೀರಾ?

S
Sleep apnea [6] Stroke

ನೀವು ನಿದ್ದೆ ಮಾಡುವಾಗ ಗೊರಕೆ ಮಾಡುತ್ತೀರಾ?
ರಾತ್ರಿಯಲ್ಲಿ ನೀವು ಒಳ್ಳೆಯ ನಿದ್ರೆ ಹೊಂದಿಲ್ಲವೆಂದು ನೀವು ಭಾವಿಸುತ್ತೀರಾ?
ದಿನದಲ್ಲಿ ನೀವು ನಿದ್ದೆ ಮತ್ತು ದಣಿವು ಅನುಭವಿಸುತ್ತೀರಾ?

H
Heart disease [7.8]

ನಿಮಗೆ ಹೃದಯ ಕಾಯಿಲೆ ಇದೆಯೆ?

D
Depression [9] Dementia

ನೀವು ದುಃಖ/ಖಿನ್ನತೆ ಅನುಭವಿಸುತ್ತೀರಾ?

I
Impotence [10]

ನಿಮಗೆ ನಿಮಿರುವಿಕೆಯ ಅಪಸಾಮಾನ್ಯ ಕ್ರಿಯೆ ಇದೆಯೆ?

A
A1C [11,12]

ನೀವು ಕಡಿಮೆ ಮತ್ತು ಅಧಿಕ ರಕ್ತದ ಸಕ್ಕರೆಯ ರೆಕಾರ್ಡ್ ಅನ್ನು ಇರಿಸುತ್ತೀರಾ?

B
Blood pressure [13]

ನೀವು ನಿಮ್ಮ ಪ್ರಾಥಮಿಕ ಆರೈಕೆ ವೈದ್ಯರಿಗೆ ನಿಯಮಿತ ಅನುಸರಣೆಗಾಗಿ ಹೋಗುತ್ತೀರಾ?
ನೀವು ನಿಯಮಿತ ರಕ್ತದೊತ್ತಡ ತಪಾಸಣೆಗೆ ಹೋಗುತ್ತೀರಾ?

E
Eye: Diabetic retinopathty [14,15]

ನೀವು ಕಣ್ಣಿನ ವೈದ್ಯರಿಗೆ ನಿಯಮಿತ ಕಣ್ಣಿನ ಪರೀಕ್ಷೆಗಳಿಗಾಗಿ ಹೋಗುತ್ತೀರಾ?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

ದೇಹದ ಯಾವುದೇ ಭಾಗದಲ್ಲಿ ನೀವು ಜುಮ್ಮೆನಿಸುವಿಕೆ ಮತ್ತು ಮರಗಟ್ಟುವಿಕೆ ಹೊಂದಿದ್ದೀರಾ?
ನೀವು ನಿಮ್ಮ ತೋಳುಗಳಲ್ಲಿ ಅಥವಾ ಕಾಲುಗಳಲ್ಲಿ ದೌರ್ಬಲ್ಯವನ್ನು ಗಮನಿಸಿದಿರಾ?

E
Ear check-up [17]

ನೀವು ನಿಯಮಿತವಾಗಿ ಕಿವಿ ತಪಾಸಣೆಗಾಗಿ ಹೋಗುತ್ತೀರಾ?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

ನೀವು ನಿಮ್ಮ ಪ್ರಾಥಮಿಕ ಆರೈಕೆ ವೈದ್ಯರಿಗೆ ನಿಯಮಿತ ಅನುಸರಣೆಗಾಗಿ ಹೋಗುತ್ತೀರಾ?
ನೀವು ಮಲಬದ್ಧತೆ ಹೊಂದಿದ್ದೀರಾ?

i
Infection of the feet or other skin issues [1,2]

ík{ku ík{khk ÃkøkLkk hkuøkku MktçktrÄík zkufxhLke rLkÞr{ík {w÷kfkík ÷ku Aku ?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

ík{ku ík{khk zkuõxh (VeÍeþeÞLk) Lke rLkÞr{ík {w÷kfkík ÷ELku hõík [fkMkýe fhkðku Aku ?

R
Record of low and high blood sugars [4]

ík{ku ík{khk zkÞkçkexeMk{kt ½hu íkÃkkMk fhe, Mkwøkh ÷uð÷Lke ðÄ ½xLke LkkUÄ hk¾ku Aku ?

U
Urine protein and kidney function [5]

ík{ku ík{khk VeÍeþeÞLkLke rLkÞr{ík {w÷kfkík ÷E hõík [fkMkýe yLku ÞwrhLk xuMx fhkðku Aku ?

S
Sleep apnea [6] Stroke

ô½{kt LkMkfkuhk çkku÷u Au ?
ík{kuLku Ãkqhíkk «{ký{kt Wt½ LkÚke ykðíke íkuðwt ÷køku Au ?
rËðMk ËhBÞkLk Úkkfu÷k ÷køkku y™u ô½ s ykÔÞk fhu íkuðwt ÷køku Au?

H
Heart disease [7.8]

ík{kuLku ÓËÞ hkuøk Au ?

D
Depression [9] Dementia

ík{ku WËkMkeLkíkk fu níkkþk y™w¼ðku Aku ?

I
Impotence [10]

ík{kuLku ®÷øk Lkk WíÚkkLk{kt ftE VuhVkh ÷køku Au ?

A
A1C [11,12]

Hb A1c rLkÞr{ík [fkMkýe fhkuðku Aku ?

B
Blood pressure [13]

ík{kuLku nkE çkeÃke Au ?

E
Eye: Diabetic retinopathty [14,15]

ík{u rLkÞr{ík ík{khe ykt¾Lke íkÃkkMk ykt¾Lkk zkuõxh ÃkkMku fhkðe Au ?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

zkÞkçkexef LÞwhkuÃkÚke ÷kune ¼ú{ý fu MktðuËLk{kt ½xkzku ?

E
Ear check-up [17]

ík{kuLku Mktíkku÷Lk ò¤ððk{kt fu Mkkt¼¤ðk{kt fkuE íkf÷eV ?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

ík{kuLku ðnu÷e ík]ÂÃík, Wçkfk, W÷xe fu sBÞk ÃkAe ÃkuxLkwt Vw÷ðwt ÚkkÞ Au?
ík{kuLku fçkrsÞkík Au ?

i
Infection of the feet or other skin issues [1,2]

Visitas regulamermente al podiatra?

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

Chequeas regularmente tu colesterol con tu médico generalista y haces exámenes de sangre?(Controle a cada 3-6 meses caso el colesterol este aumentado)

R
Record of low and high blood sugars [4]

Chequeas regularmente en casa los niveles de glucosa y mantienes los registros elevados o bajos?

U
Urine protein and kidney function [5]

Visitas regularmente a tu médico grneralista y haces exámenes de sangre y orina?

S
Sleep apnea [6] Stroke

Roncas durante el sueño?
Sientes que no tienes buenas noches de sueño?
Te sientes cansado o con sueño durante el día?

H
Heart disease [7.8]

Tienes enfermedad cardíaca?

D
Depression [9] Dementia

Te sientes triste o deprimido?

I
Impotence [10]

Tienes disfunción eréctil?

A
A1C [11,12]

Controlas tu HbA1c (hemoglobina glucosilada) regularmente?

B
Blood pressure [13]

Tienes presión elevada?

E
Eye: Diabetic retinopathty [14,15]

Haces exámenes regularmente con tu oftalmologo?

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

Neuropatia diabética, circulación periférica y pérdida de sensaciones?

E
Ear check-up [17]

Tuviste alguna mudanza en la audición o problemas en el equilibrio?

S
Stomach problems (Gastroparesis, Constipation) [18-20]

Tienes constipación?

i
Infection of the feet or other skin issues [1,2]

உங்கள் உதவியாளர்களை தினந்தோரும் உங்கள் பாதங்களை கவனிக்க சொல்லவும்

C
Cholesterol(checked every 3-6 month if ucontrolled) [3]

உங்களுடைய இரத்ததில் உள்ள வெவ்வேறு வகையான கொழுப்பின் அளவினை தெரிந்து கொள்ளவும் (எச்.டி.எல், எல்டி.எல் மற்றும் டிரைகிளிசரைட்ஸ்)

R
Record of low and high blood sugars [4]

இரத்ததில் அதிகம் மற்றும் குறைந்த சர்க்கரையின் அளவுகளை பதிவு செய்யவும்

U
Urine protein and kidney function [5]

சிறுநீரில் புரத சத்து வெளியேறுவது சிறுநீரகத்தின் பாதிப்பை வெளிகாட்டும்; கிட்னியை பாதுகாக்கும் மருந்துகள் ஏ.ஆர்.பி மற்றும் ஏ.சி.இ தடுப்பான்கள்; ஜி.எப்.ஆர் சிறுநீரகத்தின் செயல் திறனை அறிய உதவும்; இரத்ததின் யூரியா கிரியாட்டின் அளவு சரியாக இருக்க வேண்டும்

S
Sleep apnea [6] Stroke

குறட்டை விடுதல் மற்றும் காலையில் தலைவலி – சிலிப் அப்னியா நோயை குறிக்கும் அறிகுறிகள் ஆகும்

H
Heart disease [7.8]

ஆஸ்பிரின் சாப்புடுகிறீர்களா? உங்களுக்கு நெஞ்சுவலி அல்லது பக்கவாதத்தின் அறிகுறிகள் ஏற்பட்டால் 911 ஐ அழைக்கவும்

D
Depression [9] Dementia

தொடர்ந்து இரண்டு வாரங்களுக்கு மேலாக மன அழுத்தம் இருந்ததா?

I
Impotence [10]

உங்களுக்கு இரத்ததில் டெஸ்டோஸ்டிரான் அளவு குறைந்து உள்ளதா அல்லது ஆண்மை குறைவு உள்ளதா?

A
A1C [11,12]

நீண்ட நாட்களாக இரத்ததில் சராசரி சக்கரை அளவு அறிய எச்பி எ1சி எனப்படும் இரத்த பரிசோதனையை மூன்று மாதத்திற்கு ஒரு முறை செய்து கொள்ளவும்

B
Blood pressure [13]

இரத்த அழுத்தம் மற்றும் இரத்த சர்க்கரை பதிவு தேவைபடும்; உபகரணங்கள்: குளுக்கோமீட்டர், ஸ்டிரிப்ஸ், கீட்டோன் ஸ்டிரிப்ஸ்

E
Eye: Diabetic retinopathty [14,15]

நீரிழிவு நோயினால் ஏற்படும் விழித்திறை பாதிப்புகள் மற்றும் கண்புரை போன்றவற்றை ஆரம்பத்திலேயே தெரிந்து கொள்ள வருடத்திற்கு ஒரு முறை கண் பரிசோதனை செய்து கொள்ளவும்

T
Tingling/numbness in limbs: Diabetic Peripheral Neuropathy [16]

சக்கரை வியாதியினால் நரம்பு தளர்ச்சி, தொடும் மற்றும் வலி போன்ற உணர்ச்சிகள் இழத்தல்

E
Ear check-up [17]

காது கேக்கும் திறன் மற்றும் சமநிலை இழத்தல் ஏற்படும்

S
Stomach problems (Gastroparesis, constipation) [18-20]

குடல் அசைவு குறைதல், வயிற்று போக்கு அல்லது மலசிக்கள் ஏற்படும்

References

  • Chirillo, F., et al., Infective endocarditis in patients with diabetes mellitus. J Heart Valve Dis, 2010. 19(3): p. 312-20.
  • Kanafani, Z.A., et al., Clinical characteristics and outcomes of diabetic patients with Staphylococcus aureus bacteremia and endocarditis. Eur J Clin Microbiol Infect Dis, 2009. 28(12): p. 1477-82.
  • Standards of medical care in diabetes–2014. Diabetes Care, 2014. 37 Suppl 1: p. S14-80.
  • Nathan, D.M., et al., Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. N Engl J Med, 2005. 353(25): p. 2643-53.
  • Mogensen, C.E., et al., Microalbuminuria and potential confounders. A review and some observations on variability of urinary albumin excretion. Diabetes Care, 1995. 18(4): p. 572-81.
  • Kuna, S.T., et al., Long-term effect of weight loss on obstructive sleep apnea severity in obese patients with type 2 diabetes. Sleep, 2013. 36(5): p. 641-649a.
  • Wackers, F.J., et al., Detection of silent myocardial ischemia in asymptomatic diabetic subjects: the DIAD study. Diabetes Care, 2004. 27(8): p. 1954-61.
  • Scognamiglio, R., et al., Detection of coronary artery disease in asymptomatic patients with type 2 diabetes mellitus. J Am Coll Cardiol, 2006. 47(1): p. 65-71.
  • Pillay, J., et al., Behavioral Programs for Type 1 Diabetes Mellitus: A Systematic Review and Meta-analysis. Ann Intern Med, 2015. 163(11): p. 836-47.
  • Kalter-Leibovici, O., et al., Clinical, socioeconomic, and lifestyle parameters associated with erectile dysfunction among diabetic men. Diabetes Care, 2005. 28(7): p. 1739-44.
  • Jakicic, J.M., et al., Four-year change in cardiorespiratory fitness and influence on glycemic control in adults with type 2 diabetes in a randomized trial: the Look AHEAD Trial. Diabetes Care, 2013. 36(5): p. 1297-303.
  • Ohkubo, Y., et al., Intensive insulin therapy prevents the progression of diabetic microvascular complications in Japanese patients with non-insulin-dependent diabetes mellitus: a randomized prospective 6-year study. Diabetes Res Clin Pract, 1995. 28(2): p. 103-17.
  • Buse, J.B., et al., Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation, 2007. 115(1): p. 114-26.
  • Pasquale, L.R., et al., Prospective study of type 2 diabetes mellitus and risk of primary open-angle glaucoma in women. Ophthalmology, 2006. 113(7): p. 1081-6.
  • Obrosova, I.G., S.S. Chung, and P.F. Kador, Diabetic cataracts: mechanisms and management. Diabetes Metab Res Rev, 2010. 26(3): p. 172-80.
  • Standards of Medical Care in Diabetes-2016: Summary of Revisions. Diabetes Care, 2016. 39 Suppl 1: p. S4-5.
  • Rubin, J. and V.L. Yu, Malignant external otitis: insights into pathogenesis, clinical manifestations, diagnosis, and therapy. Am J Med, 1988. 85(3): p. 391-8.
  • Horowitz, M., et al., Disordered gastric motor function in diabetes mellitus. Recent insights into prevalence, pathophysiology, clinical relevance, and treatment. Scand J Gastroenterol, 1991. 26(7): p. 673-84.
  • Mearin, F. and J.R. Malagelada, Gastroparesis and dyspepsia in patients with diabetes mellitus. Eur J Gastroenterol Hepatol, 1995. 7(8): p. 717-23.
  • Buysschaert, M., et al., Impaired gastric emptying in diabetic patients with cardiac autonomic neuropathy. Diabetes Care, 1987. 10(4): p. 448-52.

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I saw a 57-year-old Caucasian female with a past medical history of diabetes, hypertension, hyper cholesterol and coronary artery disease. Apart from taking a history, doing a physical examination planning assessment and plan, I always ask this question, “What else do you want to know about diabetes?” Diabetes is a complex disease and if I ask, “Do you have questions?” Most of the time my patients’ answer is nothing. If I ask do you know about diabetes, their answer is always affirmative as they know everything about diabetes. I think either patient knows everything or knows nothing. Asking a closed-ended question usually ends the communication with the patient and health caregiver goes to the next patient room. After the encounter with the patient, usually a medical assistant, or a nurse prints out diabetic education material which some patients leave in their cars, others throw in the trash or put in a shredder. Giving a pamphlet and checking the box to appease insurance companies is considered patient education. Can we change habits by just handing a pamphlet?
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