English Version: Instructions
Answer “YES” if you have any of the following in the last two weeks:
Each yes is scored as one point. Your score can range from 0 to 10.
- Are you often thirsty?
- Do you produce urine frequently?
- Are you worried about your urinary smell?
- Do you feel numbness in your extremities?
- Do you have edema or swelling in your legs?
- Do you have cramps in your legs?
- Are you insensitive to the pain of a small wound or burn?
- Do have wounds or sores that take long to heal?
- Do feel tired often?
- Is your vision blurry? Is your eyesight getting worse?
Each yes is scored as one point. Your score can range from 0 to 10.
Tagalog Version: Mga tagubilin
Sagutin ng “Oo” kung mayroon kang alinman sa mga sumusunod sa huling dalawang linggo:
- Madalas ka ba nauuhaw?
- Madalas ka bang naiihi?
- Nag-aalala ka ba tungkol sa amoy sa inyong ihi?
- Nararamdaman mo ba ang pamamanhid sa iyong mga paa at kamay?
- Mayroon ka bang edema o pamamaga sa iyong mga binti?
- Mayroon ka bang cramp sa iyong mga binti?
- Hindi ka ba sensitibo sa sakit ng sugat o paso?
- Mayroon ka bang sugat na matagal na gumaling?
- Nakaramdam ka ba ng madalas na pagod?
- Malabo ba ang iyong paningin? Lumalabo ba ang paningin mo?
Ang bawat “Oo” ay may score na isang puntos. Ang iyong score ay maaaring 0 hangang 10.
Interpretation of Questionnaire
If you answered yes to any one of the questions, please seek immediate consultation with your nearest physician or endocrinologist. A score of at least one (1) needs verification from your doctor.
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