Score of Romm and Hulka for Evaluating Diabetic Control Status

Purpose: To evaluate the level of diabetes control seen in an adult diabetic based on the score of Romm and Hulka.

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Evaluation

Are you evaluating an adult diabetic from 30 to 65 years of age?

Yes

Gender of the patient

Male

Female

Body weight

Percent of visits with hypoglycemia (enter from 0 to 100)

Number of hospitalizations over the past year for ketoacidosis

Number of glucose readings > 300 mg/dL

Number of glucose readings 251 to 300 mg/dL

Number of glucose readings 201 to 250 mg/dL

Number of glucose readings <= 200 mg/dL

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total number of glucose readings

Percent of glucose readings > 300 mg/dL

Percent of glucose readings > 250 mg/dL

Percent of glucose readings > 200 mg/dL

Percent of glucose readings <= 200 mg/dL

Total score for diabetes control status

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Drugs Capable of Causing Hypoglycemia
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus
Criteria For Diagnosis
Severity, Prognosis, Stage
- Indian Diabetes Risk Score (IDRS)
Complications
Failure Handling, When To Refer
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus

Therapy

Options
- Diabetes Mellitus | Guidelines for Hospital Admission
- Recommendations for Managing a Diabetic in the Hospital
Selection
Drug Interactions
- Drugs Capable of Causing Hypoglycemia
Dosage Calculations
- Glycemic Penalty Index (GPI)
Dosage Adjustments
Administration
Failure Handling And Therapy Escalation
- Troubleshooting Diabetic Patient with Persistently High Hemoglobin A1c
- Patient Management | Type 2 Diabetes Poorly Controlled | Single Oral Hypoglycemic Agent
Prevention

Monitoring

Response To Therapy
- Diabetes Mellitus Performance Measures for Evaluating Outpatient Management
Adverse Effects
Overdose And Reversal
- Prolonged Hypoglycemia | Use of Sulfonylurea and Its Treatment with Octreotide
Disease Progression
Complication Detection
- Risk Factors for Failing to Recognize Hypoglycemia in a Diabetic
- Screening Patients for Drug-Induced Hyperglycemia

Patient Concerns

Travel
- Glycemic Penalty Index (GPI)

Specialty

Endocrinology
Clinical Laboratory

Objective

laboratory tests
severity
prognosis
stage
disease progression

ICD-10

E10-E14 - Diabetes mellitus

Info

Purpose: To evaluate the level of diabetes control seen in an adult diabetic based on the score of Romm and Hulka.

Specialty: Endocrinology, Clinical Laboratory

Objective: laboratory tests, severity, prognosis, stage, disease progression

ICD-10: E10-E14,

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