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MEDICAL/SOCIAL HISTORY pg 1b(Please print clearly)Patient Name: Date of Birth: Gender: Female Makeweight: Weight: Are you: Right handed Left handed Medical History Diabetes: /meds/deliver disease/hepatitisStomach
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Diabetes is a chronic health condition that occurs when the body is unable to properly process food for use as energy. Symptoms include increased thirst, frequent urination, extreme fatigue, blurred vision, and slow healing sores.
Individuals diagnosed with diabetes may need to file reports regarding their symptoms to healthcare providers, insurance companies, or for research purposes.
To fill out a diabetes symptoms report, one should provide a detailed account of their symptoms, frequency, duration, and any relevant medical history regarding diabetes management.
The purpose of documenting diabetes symptoms is to monitor the condition, adjust treatment plans, and provide necessary information to healthcare professionals.
Information that must be reported includes symptom description, frequency, severity, any medications being taken, and lifestyle factors such as diet and exercise.
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