Basic Information
Type 2 or other types
Type 1 or LADA
20 years or less
More than 20 years
Treatment & Medications
Diet only or safe medications (Metformin, Empagliflozin, etc.)
Modern long-acting insulin (Lantus 300, Tresiba)
Rapid-acting insulin (Novorapid, Humalog)
Modern sulfonylureas (Diamicron, Amaryl)
Short-acting insulin (Actrapid)
Older long-acting insulin (Lantus 100, Levemir, NPH)
Advanced closed-loop system (smart pump)
Open closed-loop system
Traditional insulin pump
Premixed insulin (Mixtard, Novomix)
Older sulfonylureas (Daonil, Glipizide)
I don't experience hypoglycemia
About once a week
1-2 times per week
3-5 times per week
1-2 times daily
More than once daily
Had severe hypoglycemia (needed help) in the past month
I don't feel symptoms of low blood sugar (hypoglycemia unawareness)
Health Status
Less than 7.5%
Between 7.5% and 9%
9% or higher
I use a continuous glucose monitor (Freestyle Libre, Dexcom)
Regularly (daily or several times a week)
Sometimes (once or twice a month)
I never check my blood sugar
No, not in the past 6 months
Yes, within the past 6 months
Yes, within the past 3 months
Yes, within the past month
Complications
No problems
Yes, but stable and monitored by doctor
Yes, and it's unstable or recent
Normal (eGFR more than 60)
Mild impairment (eGFR 45-60)
Moderate impairment (eGFR 30-45)
Kidney failure or dialysis (eGFR less than 30)
No complications
One complication
Two complications
Three or more complications
Good, I can take care of myself
I'm over 70 and live alone
Mild physical weakness (need help sometimes)
Moderate physical weakness (need help often)
Severe cognitive or physical impairment (dementia, Alzheimer's, or disability)
Lifestyle
Light (office work, sitting most of the time)
Moderate (walking, housework)
Strenuous (heavy physical work, construction, farming)
Yes, I received education
No, I haven't received education
16 hours or less
More than 16 hours