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Table 1 Overview of variables in the questionnaire

From: Feasibility of using self-reported patient data in a national diabetes register

Basic data

Diabetes duration (years), height, weight, HbA1c, type of diabetes (type I/II), family history of diabetes, family history of premature coronary heart disease, participation in educational course for type 2 diabetes, ethnicity (white/African/Asian/other)

Health habits

Smoking habits (current smoker, ex-smoker for more than three months, never smoked), physical activity (at least 30 minutes of brisk walking or similar activity once a week ), self-monitoring of blood glucose at least once a week

Eye- and foot examination

Date of examination by an eye specialist (month/year), date of foot examination (not further specified) by a doctor (month/year)

Treatment

Insulin including insulin device, other antidiabetic therapy, antithrombotic therapy, lipid lowering therapy, antihypertensive therapy

Complications

Coronary heart disease, laser treated retinopathy, stroke, foot ulcer, arterial lower limb surgery, severe hypoglycemia (i.e. in need of assistance), amputation