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Location : 1 Springwood Ave, Narre Warren VIC 3805
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Complication of Diebetes Program Online Assessment
This assessment takes 4 mins to complete
Male
Female
Do you have sex problem?
Yes
No
Do you feel numbness or tingling with your hands and feet?
Yes
No
Do you have diarrhea？
Yes
No
Do you have constipation?
Yes
No
Do you have renal retention?
Yes
No
Have your blood glucose increased?
Yes
No
Do you have hyperlipidemia?
Yes
No
Do you have hypertension？
Yes
No
Has your blood pressure control deteriorated?
Yes
No
Do you feel your eyes are frosted?
Yes
No
Do you have cataract?
Yes
No
Do you have protein leaky in the urine? How much is it?
Yes
No
What is your creatine level?
Yes
No
Do you have edema?
Yes
No
Do you have frequent urination？
Yes
No
Do you feel difficult on concentration?
Yes
No
Do you feel short of breath?
Yes
No
Have you lost appetite?
Yes
No
Do you feel dizzy?
Yes
No
Do you feel nausea and vomiting?
Yes
No
Do you feel tired?
Yes
No
Do you have persistent itching?
Yes
No
Do you have foot pain?
Yes
No
Do you have foot ulcer?
Yes
No
Do you have any infections?
Yes
No
Do you have periodontitis?
Yes
No
Do you have acid reflux?
Yes
No
Do you feel your tummy bloating?
Yes
No
For female, do you have menstrual disorders?
Yes
No
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