Romm and Hulka developed a score for evaluating the control status for a diabetic patient. The authors are from the Veterans Administration Medical Center in Durham and University of North Carolina in Chapel Hill.
Patient selection: diabetic from 30 to 65 years of age with initial fasting blood glucose >= 125 mg/dL
Time interval: 1 year
Parameters:
(1) hospitalizations for ketoacidosis
(2) percent of visits with hypoglycemia
(3) body weight and gender
(4) distribution of blood sugars
Parameter
Finding
Points
hospitalizations for ketoacidosis
0
0
1
3
>= 2
16
visits with hypoglycemia
< 50% of visits
0
50 to 75% of visits
1
>= 76% of visits
4
body weight
female and < 77 kg
0
male and < 91 kg
0
other
3
Glucose > 300 mg/dL
Glucose > 250 mg/dL
Gluose > 200 mg/dL
Points
0
NA
< 25%
0
>= 75%
NA
NA
16
NA
> 50%
NA
4
other
other
other
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 39
• The higher the score the worse the control of the diabetes.
Limitations:
• Diabetes would be more tightly controlled today, avoiding hyperglycemia and hypoglycemia as much as possible.
• The availability of glucometers would mean that more glucose readings are available.
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