Diabetes and its complications History Taking Why has the patient come in? Could their presenting compliant relate to diabetes complications? When where you diagnosed with diabetes? Did they present as an emergency or with symptomatic hyperglycaemia or was the diabetes picked up through routine screening? What type of diabetes do they have? What do they understand about the role of self-management in diabetes? Do you monitor your glucose levels? What are the usual readings? Are there hypoglycaemia or hyperglycaemia? Have they ever required hospital or intensive care admission for diabetic emergencies? Do they suffer from hypoglycaemic episodes? Are they aware of becoming hypoglycemics? Have they needed external help to manage hypoglycaemia? Who do they see to manage their diabetes? E.g. GP, nutritionist, specialist nurse etc. What medications are they on? Do they inject insulin, and do they rotate injection sites? What size needle do they use? Are they able to adjust doses of insulin or other medications according to blood glucose levels and carbohydrate intake? What other medications are they taking? Have they suffered from cardiovascular events? If yes -> is that being managed? Do they have a chest pain or any blood pressure changes? Are they undergoing regular eyes checks? Have they had any retinal or other eye related interventions? Do they have any vision problems? Are they supplying regular urine samples for diabetic nephropathy screening? Do they have any urine output changes or changes to urine appearance? Are they taking ACE-I or ARBs? Have they had any diabetic nephropathy or vascular diseases affecting their limbs? Do the sensory issues? Do they any ulcers? Have they experienced a foot ulcer? Do they require a foot amputation? Social history: Do they smoke? How much and for how long? Have they tried to quit? Diet Exercise Alcohol Recreational drugs Are they aware of any key lifestyle interventions around healthy eating, weight reduction and exercise?