Symptoms
over last month (Raw
Score = 54)
| Excessive thirst and urination |
Rarely |
| Muscular strength and endurance |
As good as ever |
| Blurring of vision |
Usually |
| Exercise without low blood sugar |
A little |
| Energy |
Lots of energy |
| Sleep |
Slept well, minor problems |
| Constipation |
All of the time |
| Burning, tingling, pain, numbness |
Very severe |
| Able to function sexually |
Always |
| Vomit after eating |
Often |
| Faint, dizzy on sitting or standing |
Often |
| Appetite been good |
Rarely |
| Abdominal discomfort after eating |
Rarely |
| Lacking enough energy |
All of the time |
| Diarrhea |
Always |
| Nauseated after eating |
Rarely |
|
Well-Being
over last month (Raw
Score = 33)
| Anxious or worried |
Extremely |
| Good at most important |
Competent and skilled for the most part |
| Depressed |
Very depressed almost every day |
| Inconvenience of medicines |
Minor nuisance |
| Worried or fearful of future |
Quite worried |
| Daily life interesting |
Most of the time |
| Interest in sex |
Very high |
| Felt useful |
Quite useful |
| Felt things were going well |
Most of the time |
|
Moral
over last month (Raw
Score = 33)
| Felt optimistic |
Generally quite discouraged |
| Felt in charge of managing |
Played small, unimportant part |
| Worried insulin reaction, low glucose |
Extremely worried |
| Eaten what wanted |
Usually |
| Worth the effort |
For the most part |
| Schedule restricted |
Somewhat |
| Overall how is diabetes |
Couldn't be better |
| Uncertain how much to eat/insulin |
Often |
| Diabetes monitoring inconvenience |
Major problem |
| Have understood diabetes |
Minor questions or doubts |
|
Social
over last month (Raw
Score = 22)
| Met family obligations |
Rarely |
| Functioned well |
Very true |
| Enjoyed family life |
Often |
| How often functioned well |
Usually |
| Enjoyed social, recreational |
Mostly |
|
