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LIFESTYLE QUESTIONNAIRE ___ ___ PATIENT NAMEDATEWe recognize that your eyes are very important to you. We would like to know how you use your eyes on a daily basis. Along with your eye exam, this

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How to fill out diabetes and your eyes

01

Schedule regular eye exams with an ophthalmologist or optometrist.

02

Inform your eye care professional about your diabetic status.

03

Monitor your blood sugar levels closely.

04

Maintain a healthy lifestyle by eating a balanced diet and exercising regularly.

05

Follow your doctor's recommendations for managing your diabetes.

Who needs diabetes and your eyes?

01

Individuals with diabetes are at higher risk for eye complications such as diabetic retinopathy, macular edema, and other vision problems.

02

Anyone with diabetes should pay special attention to their eye health to prevent and treat any potential issues.

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What is diabetes and your eyes?

Diabetes and your eyes refers to the impact that diabetes can have on a person's eye health, including risks such as diabetic retinopathy.

Who is required to file diabetes and your eyes?

Individuals with diabetes or individuals at risk of diabetes are required to undergo regular eye exams to monitor for any eye complications related to the condition.

How to fill out diabetes and your eyes?

To fill out diabetes and your eyes, individuals need to schedule regular eye exams with an eye care professional and provide any necessary medical history and information related to their diabetes.

What is the purpose of diabetes and your eyes?

The purpose of diabetes and your eyes is to monitor and address any potential eye complications that may arise as a result of diabetes, such as diabetic retinopathy.

What information must be reported on diabetes and your eyes?

Information that must be reported on diabetes and your eyes includes any changes in vision, eye pain, or other symptoms related to eye health, as well as results from eye exams.

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