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My diabetes Passport My Name: Phone: Take this passport to every appointment and use it with your health care team to help manage your diabetes My diabetes care team Family Doctor: Phone Nurse Practitioner:
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How to fill out my diabetes passport:

01
Gather all necessary information: Before filling out your diabetes passport, make sure to collect all relevant information such as your personal details, contact information, medical history, and any medications or treatments you are currently undergoing.
02
Provide accurate and up-to-date information: When filling out your diabetes passport, ensure that you provide accurate and current information. It is important to include any recent changes in your medical condition, medications, or treatments.
03
Include important emergency contacts: In your diabetes passport, include emergency contact numbers of your healthcare provider, endocrinologist, and any other medical professionals involved in your diabetes management. It is important to have these contacts readily available in case of any emergencies or unforeseen circumstances.
04
Include a list of medications: Make sure to include a comprehensive list of all medications you are taking for diabetes management. This should include both prescription medications and over-the-counter supplements or vitamins. It is also helpful to mention the dosage and the frequency of each medication.
05
Document your medical history: In your diabetes passport, document your medical history related to diabetes. Include any previous medical conditions, surgeries, or complications you have experienced. This will provide valuable information for healthcare providers in case of any future medical interventions.
06
Indicate any allergies or sensitivities: If you have any known allergies or sensitivities, it is important to mention them in your diabetes passport. This will help healthcare professionals avoid any potential risks or adverse reactions while providing treatment.

Who needs my diabetes passport:

01
You: The diabetes passport is primarily for your own use and reference. It serves as a consolidated document that contains essential information about your diabetes management. It can be especially useful when visiting new healthcare providers or during emergency situations.
02
Healthcare providers: Your diabetes passport can be shared with healthcare providers such as doctors, endocrinologists, and nurses. It provides valuable information about your medical history, medications, and emergency contacts, enabling them to provide better care and treatment.
03
Family members or caretakers: In certain situations, it may be helpful to share your diabetes passport with your family members or caretakers. This ensures that they are informed about your medical condition, medications, and emergency contacts, enabling them to provide appropriate support and assistance when needed.
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A diabetes passport is a document that contains important information about a diabetic individual, such as their medical history, medications, blood sugar levels, and emergency contacts.
A diabetic individual or their healthcare provider is required to fill out and maintain their diabetes passport.
To fill out a diabetes passport, you need to include personal information, medical history, current medications, blood sugar levels, emergency contacts, and any other relevant information about your diabetes management.
The purpose of a diabetes passport is to provide vital information to healthcare providers in case of an emergency or when seeking medical treatment.
Information such as medical history, medications, blood sugar levels, emergency contacts, and any other pertinent details related to diabetes management must be reported on a diabetes passport.
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