Q1- Do you ask your diabetic patient about their general health? |
No |
1 |
2.9 |
100 |
0 |
0 |
0 |
1 |
1.9 |
Sometimes |
6 |
17.1 |
75 |
2 |
10.5 |
25 |
8 |
14.8 |
Yes |
28 |
80 |
62.2 |
17 |
89.5 |
37.8 |
45 |
83.3 |
The following questions are about their activities they might do during a typical day. Does their health now limit them in these activities? If so, do you ask them about these questions? |
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Q2- Moderate activities such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. |
No |
8 |
22.9 |
66.7 |
4 |
21.1 |
33.3 |
12 |
22.2 |
Sometimes |
15 |
42.9 |
57.7 |
11 |
57.9 |
42.3 |
26 |
48.1 |
Yes |
12 |
34.3 |
75 |
4 |
21.1 |
25 |
16 |
29.6 |
Q3- Climbing several flights of stairs. |
No |
11 |
31.4 |
78.6 |
3 |
15.8 |
21.4 |
14 |
25.9 |
Sometimes |
14 |
40 |
60.9 |
9 |
47.4 |
39.1 |
23 |
42.6 |
Yes |
10 |
28.6 |
58.8 |
7 |
36.8 |
41.2 |
17 |
31.5 |
During the past 4 weeks, have you asked your diabetic patient if they had any of the following problems with their work or other regular daily activities as a result of their physical health due to suffering from Type 2 Diabetes Mellitus? |
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Q4- Accomplished less than they would like. |
No |
10 |
28.6 |
76.9 |
3 |
15.8 |
23.1 |
13 |
24.1 |
Sometimes |
15 |
42.9 |
62.5 |
9 |
47.4 |
37.5 |
24 |
44.4 |
Yes |
10 |
28.6 |
58.8 |
7 |
36.8 |
41.2 |
17 |
31.5 |
Q5- Were limited in the kind of work or other activities. |
No |
10 |
28.6 |
90.9 |
1 |
5.3 |
9.1 |
11 |
20.4 |
Sometimes |
16 |
45.7 |
59.3 |
11 |
57.9 |
40.7 |
27 |
50 |
Yes |
9 |
25.7 |
56.3 |
7 |
36.8 |
43.8 |
16 |
29.6 |
During the past 4 weeks, have you asked your diabetic patient if they had any of the following problems with their work or other regular daily activities as a result of any emotional problems due to suffering from Type 2 Diabetes Mellitus (such as feeling depressed or anxious)? |
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Q6- Accomplished less than they would like. |
No |
8 |
22.9 |
61.5 |
5 |
26.3 |
38.5 |
13 |
24.1 |
Sometimes |
19 |
54.3 |
61.3 |
12 |
63.2 |
38.7 |
31 |
57.4 |
Yes |
8 |
22.9 |
80 |
2 |
10.5 |
20 |
10 |
18.5 |
Q7- Did they work or do activities less carefully than usual? |
No |
10 |
28.6 |
71.4 |
4 |
21.1 |
28.6 |
14 |
25.9 |
Sometimes |
20 |
57.1 |
62.5 |
12 |
63.2 |
37.5 |
32 |
59.3 |
Yes |
5 |
14.3 |
62.5 |
3 |
15.8 |
37.5 |
8 |
14.8 |
Q8- During the past 4 weeks, have you asked your diabetic patient about how much did the pain interfere with their normal work due to suffering from T2DM? |
No |
10 |
28.6 |
100 |
0 |
0 |
0 |
10 |
18.5 |
Sometimes |
13 |
37.1 |
68.4 |
6 |
31.6 |
31.6 |
19 |
35.2 |
Yes |
12 |
34.3 |
48 |
13 |
68.4 |
52 |
25 |
46.3 |
These questions relate to how your diabetic patient was feeling during the past 4 weeks. |
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Q9- Do you ask them: have you felt calm and peaceful? |
No |
7 |
20 |
53.8 |
6 |
31.6 |
46.2 |
13 |
24.1 |
Sometimes |
13 |
37.1 |
65 |
7 |
36.8 |
35 |
20 |
37 |
Yes |
15 |
42.9 |
71.4 |
6 |
31.6 |
28.6 |
21 |
38.9 |
Q10- Do you ask them: did you have a lot of energy? |
No |
10 |
28.6 |
62.5 |
6 |
31.6 |
37.5 |
16 |
29.6 |
Sometimes |
11 |
31.4 |
57.9 |
8 |
42.1 |
42.1 |
19 |
35.2 |
Yes |
14 |
40 |
73.7 |
5 |
26.3 |
26.3 |
19 |
35.2 |
Q11- Do you ask them: have you felt down-hearted and blue? |
No |
13 |
37.1 |
56.5 |
10 |
52.6 |
43.5 |
23 |
42.6 |
Sometimes |
13 |
37.1 |
76.5 |
4 |
21.1 |
23.5 |
17 |
31.5 |
Yes |
9 |
25.7 |
64.3 |
5 |
26.3 |
35.7 |
14 |
25.9 |
Q12- During the past 4 weeks, have you asked your diabetic patient about how much of the time has their physical health or emotional problems affected by Type 2 Diabetes Mellitus and interfered with their social activities (like visiting friends, relatives, etc.)? |
No |
12 |
34.3 |
52.2 |
11 |
57.9 |
47.8 |
23 |
42.6 |
Sometimes |
10 |
28.6 |
83.3 |
2 |
10.5 |
16.7 |
12 |
22.2 |
Yes |
13 |
37.1 |
68.4 |
6 |
31.6 |
31.6 |
19 |
35.2 |