CDE Detailed Report
Disease: Mitochondrial Disease
Subdomain Name: General Health History
CRF: Diabetes-Related Medical History
Displaying 1 - 50 of 115
Subdomain Name: General Health History
CRF: Diabetes-Related Medical History
Displaying 1 - 50 of 115
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59775 | Hypoglycemia diagnosis reason | HypoglycemiaDiagnosRsn | Reason for hypoglycemia diagnosis | Reason for hypoglycemia diagnosis | If the participant has a diagnosis of hypoglycemia, have they been told the cause? | Adrenal insufficiency;Growth hormone deficiency;Ketotic hypoglycemia;Hyperinsulinism;Other | Adrenal insufficiency;Growth hormone deficiency;Ketotic hypoglycemia;Hyperinsulinism;Other | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:31.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59743 | Genetic test diabetes indicator | GeneticTestDiabetesInd | Indicator related to whether the participant had genetic testing related to diabetes | Indicator related to whether the participant had genetic testing related to diabetes | Did the participant have genetic testing related to diabetes? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:21.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59754 | Insulin premix dose | InsulinPremixDose | Dose of premix insulin taken by the participant | Dose of premix insulin taken by the participant | Premix | Numeric Values |
Enter average if not constant |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:49.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C59765 | Medication diabetes other not insulin status | MedctnDiabetesOthrNotInslnStat | Status related to the use of other medications for diabetes other than insulin | Status related to the use of other medications for diabetes other than insulin | Other (Glinides, alpha-glucosidase inhibitors (acarbose), etc.) | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:00.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C19722 | Laboratory procedure glycosylated hemoglobin measurement | LabProcedGlycsyltdHbMeasr | Measurement of the amount of glycosylated hemoglobin (hemoglobin A1C) in the participant's blood | Measurement of the amount of glycosylated hemoglobin (hemoglobin A1C) in the participant's blood | If known what is the participant's current hemoglobin A1C level | Numeric Values |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 2.00 | 2024-02-29 15:41:24.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
percent | |||||||||
| C59744 | Genetic test diabetes result text | GeneticTestDiabetesResltTxt | Free-text field related to the results of diabetes genetic testing | Free-text field related to the results of diabetes genetic testing | If YES, what were the results? | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:22.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C59755 | Insulin inject difficult status | InsulinInjectDifficultStat | Status related to difficulty injecting insulin | Status related to difficulty injecting insulin | Does the participant have any difficulty injecting insulin (using insulin syringes, pen, or pump)? | Yes, difficulty using insulin pump;Yes, difficulty using syringes;Yes, difficulty using pens;No | Yes, difficulty using insulin pump;Yes, difficulty using syringes;Yes, difficulty using pens;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:53.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C59766 | Medication diabetes combination status | MedctnDiabetesCombinationStat | Status related to the use of combination medications for diabetes | Status related to the use of combination medications for diabetes | Combination medications | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:01.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20003 | Hypoglycemia diagnosis indicator | HypoglycemDiagInd | The indicator related to having hypoglycemia or low blood sugar | The indicator related to having hypoglycemia or low blood sugar | Has there ever been clinical concern for hypoglycemia? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2015-02-11 23:35:02.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59745 | BMI diabetes diagnosis category | BMIDiabetesDiagnosCat | Category of the participant's BMI (body mass index) at the time of diabetes diagnosis | Category of the participant's BMI (body mass index) at the time of diabetes diagnosis | If known, at diagnosis of diabetes what was the participant's BMI category? | Normal weight;Obese;Overweight;Underweight | Normal weight;Obese;Overweight;Underweight | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:23.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59756 | Insulin inject difficult type | InsulinInjectDifficultTyp | Type of difficulty injecting insulin | Type of difficulty injecting insulin | If YES, what is causing the challenges using the insulin device? | Other, specify;Poor dexterity;Decreased vision | Other, specify;Poor dexterity;Decreased vision | Alphanumeric |
Choose all that apply |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:53.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C59767 | Medical office visit diabetes past year count unknown status | MedOffVstDiabPstYearCtUnkStat | Status related to count of times that the participant was seen by a health care provider at a medical office for reasons related to diabetes in the past 12 months is unknown | Status related to count of times that the participant was seen by a health care provider at a medical office for reasons related to diabetes in the past 12 months is unknown | How many times has the participant seen a health care provider like a physician or nurse practitioner for an office visit for diabetes? | Unknown | Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:21.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20004 | Hypoglycemia diagnosis type | HypoglycemDxTyp | The type related to having concern or diagnosis of hypoglycemia or low blood sugar | The type related to having concern or diagnosis of hypoglycemia or low blood sugar |
Has there ever been clinical concern for hypoglycemia? |
Fasting;Post-prandial;Laboratory blood glucose < 50 mg/dL;Symptomatic? If so, specify;Symptoms improved after feeding | Fasting;Post-prandial;Laboratory blood glucose < 50 mg/dL;Symptomatic? If so, specify;Symptoms improved after feeding | Alphanumeric |
If YES, choose all that apply |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 2.00 | 2024-03-18 15:21:17.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C59746 | Glycosylated hemoglobin diabetes diagnosis value | GlycsyltdHmglbnDbtsDiagnosVal | Value of glycosylated hemoglobin (A1C) at diabetes diagnosis | Value of glycosylated hemoglobin (A1C) at diabetes diagnosis | If known, what was the participant's hemoglobin A1C at diabetes diagnosis | Numeric Values |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:23.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C59757 | Insulin inject difficult type other text | InsulinInjectDifficultTypOTH | The free-text field related to 'Insulin inject difficult type', specifying other text. Type of difficulty injecting insulin | The free-text field related to 'Insulin inject difficult type', specifying other text. Type of difficulty injecting insulin | Other, specify | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:54.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C59768 | Medical office visit not diabetes related past year count unknown status | MedOffVstNtDiabRlPtYrCtUnkStat | Status related to count of times that the participant was seen by a health care provider at a medical office for reasons not related to diabetes in the past 12 months is unknown | Status related to count of times that the participant was seen by a health care provider at a medical office for reasons not related to diabetes in the past 12 months is unknown | How many times has the participant seen a health care provider like a physician or nurse practitioner for an office visit for other reasons? | Unknown | Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:22.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20005 | Hypoglycemia symptom diagnosis text | HypoglycemSymDxTxt | The free-text field related to 'Hypoglycemia diagnosis type', specifying the symptom related to having concern or diagnosis of hypoglycemia or low blood sugar | The free-text field related to 'Hypoglycemia diagnosis type', specifying the symptom related to having concern or diagnosis of hypoglycemia or low blood sugar | Symptomatic? If so, specify | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.10 | 2024-02-29 15:42:26.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C59747 | Glycosylated hemoglobin measure method type | GlycsyltdHbMeasurMethdTyp | Type of method used to measure glycosylated hemoglobin (HbA1C) | Type of method used to measure glycosylated hemoglobin (HbA1C) | If known methodology of hemoglobin A1C level | Other;Unknown;Enzymatic;Point of care;Immunoassay;HPLC | Other;Unknown;Enzymatic;Point of care;Immunoassay;HPLC | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:25.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59758 | Medication diabetes not insulin current former indicator | MedctnDbtsNotInslnCurntFrmrInd | Indicator of whether the participant is currently taking or has previously taken any diabetes medication other than insulin | Indicator of whether the participant is currently taking or has previously taken any diabetes medication other than insulin | Is the participant or has the participant previously been on any diabetes medications other than insulin? | No;Yes | No;Yes | Alphanumeric |
If YES, please complete the questions on medication type |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:55.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59769 | Dietician consult count unknown status | DieticianConsultCountUnkStat | Status related to the count of times the participant consulted a dietician is unknown | Status related to the count of times the participant consulted a dietician is unknown | How many times has the participant seen a dietician? | Unknown | Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:24.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20269 | Insulin delivery method last use type | InsulinDeliveryMethdLastUseTyp | The insulin delivery method used most recently by the participant | The insulin delivery method used most recently by the participant | What insulin delivery method was the participant using coming into the visit? | Injections (correction doses only);Injections (daily long acting / prn corrections);Injections (fixed dose);Daily long acting only;Fixed mix;Insulin pump (traditional/manual);Automated insulin delivery system (integrated pump/CGM);Injections (multiple daily injections/"basal-bolus") | Injections (correction doses only);Injections (daily long acting / prn corrections);Injections (fixed dose);Daily long acting only;Fixed mix;Insulin pump (traditional/manual);Automated insulin delivery system (integrated pump/CGM);Injections (multiple daily injections/"basal-bolus") | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 2.00 | 2024-02-29 15:41:44.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59748 | Participant mother pregnancy diabetes status | PartcpntMotherPregDiabetesStat | Status of diabetes for participant's mother during pregnancy | Status of diabetes for participant's mother during pregnancy | Did the participant's mother have diabetes during pregnancy? | No;Unknown;Yes, preexisting diabetes;Yes, gestational diabetes | No;Unknown;Yes, preexisting diabetes;Yes, gestational diabetes | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:29.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59759 | Medication diabetes biguanide status | MedctnDiabetesBiguanideStat | Status related to the use of biguanide medications for diabetes | Status related to the use of biguanide medications for diabetes | Metformin (biguanides) - Examples: Fortamet, Glucophage, Glumetza, Riomet | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:56.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59770 | Medication hypoglycemia indicator | MedctnHypoglycemiaInd | Indicator of whether the participant has taken any medication for hypoglycemia | Indicator of whether the participant has taken any medication for hypoglycemia | Has the participant taken any medication for hypoglycemia? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If YES, what medication? |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:27.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58756 | Lab test result standard unit of measure | LabTestResltStdUOM | Unit of measure for the laboratory test result from a standardized list | Unit of measure for the laboratory test result from a standardized list | If known, what was the participant's hemoglobin A1C at diabetes diagnosis/ current hemoglobin A1C level | %;mmol/mol | %;mmol/mol | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 2.00 | 2024-02-29 15:41:24.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59749 | Family history insulin current use indicator | FmlyHistInsulinCurrentUseInd | Indicator of whether the close family member (mother, father, sibling, or grandparent only) of the participant with diabetes is currently on insulin | Indicator of whether the close family member (mother, father, sibling, or grandparent only) of the participant with diabetes is currently on insulin | Is this individual currently on insulin? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:32.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59760 | Medication diabetes sulfonylurea status | MedctnDiabeteSulfonylureaStat | Status related to the use of sulfonylurea medications for diabetes | Status related to the use of sulfonylurea medications for diabetes | Sulfonylureas - Examples: Tolbutamide (Orinase), Glimepiride (Amaryl), Glipizide (Glucotrol), Glyburide (Micronase, DiaBeta, Glynase), Chlorpropamide | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:56.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59771 | Medication hypoglycemia type | MedctnHypoglycemiaTyp | Type of medication taken for hypoglycemia | Type of medication taken for hypoglycemia | If YES, what medication? | Corn starch;Other;Octreotide/Lanreotide;Diazoxide | Corn starch;Other;Octreotide/Lanreotide;Diazoxide | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:28.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
||||||||
| C59704 | Hyperglycemia history indicator | HyperglycemiaHistInd | Indicator of whether the participant has a history of hyperglycemia (high blood glucose) | Indicator of whether the participant has a history of hyperglycemia (high blood glucose) | Has the participant ever been told they have a history of high blood sugars? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-02 09:29:20.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59750 | Blood glucose test method type | BldGlucoseTestMethdTyp | Type of method used to test blood glucose | Type of method used to test blood glucose | What method does the participant use to check blood glucoses? | Continuous glucose monitor (CGM);Participant does not check glucose levels at home;Fingersticks | Continuous glucose monitor (CGM);Participant does not check glucose levels at home;Fingersticks | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:43.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59761 | Medication diabetes thiazolidinedione status | MedctnDiabeteThiazolidinedioneStat | Status related to the use of thiazolidinedione medications for diabetes | Status related to the use of thiazolidinedione medications for diabetes | Thiazolidinediones (TZDs) - Examples: Pioglitazone (Actos), Rosiglitazone (Avandia) | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:57.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59772 | Hypoglycemia feed change indicator | HypoglycemiaFeedChangeInd | Indicator of whether any changes in feeding due to hypoglycemia have been made | Indicator of whether any changes in feeding due to hypoglycemia have been made | Have any feeding changes been made due to hypoglycemia? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:28.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59705 | Pre-diabetes diagnosis ever indicator | PrediabetesDiagnosEverInd | Indicator of whether the participant has ever been diagnosed with pre-diabetes (impaired fasting glucose, impaired glucose tolerance) | Indicator of whether the participant has ever been diagnosed with pre-diabetes (impaired fasting glucose, impaired glucose tolerance) | Has the participant ever been diagnosed with "pre-diabetes" (impaired fasting glucose, impaired glucose tolerance)? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-02 10:14:59.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59751 | Insulin basal current use status | InsulinBasalCurntUseStat | Status indicating whether the participant currently uses basal or long acting insulin | Status indicating whether the participant currently uses basal or long acting insulin | Total daily basal insulin (or long acting) in units | Not used | Not used | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:46.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59762 | Medication diabetes GLP-1 agonist status | MedctnDiabetesGLP-1AgonistStat | Status related to the use of GLP-1 (glucagon-like-peptide 1) agonist medications for diabetes | Status related to the use of GLP-1 (glucagon-like-peptide 1) agonist medications for diabetes | GLP-1 agonists - Examples: Liraglutide (Victoza), Exenatide (Byetta, Bydureon), Semaglutide, Lixisenatide, Dulaglutide (Trulicity), Albiglutide (Tanzeum) | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:58.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C59773 | Hypoglycemia feed change type | HypoglycemiaFeedChangeTyp | Type of change in feeding due to hypoglycemia | Type of change in feeding due to hypoglycemia | If YES, what change? | Increased calories in feeds;Continuous feeds;Overnight feeds;Slower feeds;Placement of a G-tube | Increased calories in feeds;Continuous feeds;Overnight feeds;Slower feeds;Placement of a G-tube | Alphanumeric |
Choose all that apply |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:29.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C59707 | Hypoglycemia history indicator | HypoglycemiaHistInd | Indicator of whether the participant has a history of hypoglycemia | Indicator of whether the participant has a history of hypoglycemia | Has the participant ever been told they have a history of low blood sugars (hypoglycemia)? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
If YES, please complete the "Hypoglycemia" section. |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-02 11:19:00.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59752 | Insulin bolus current use status | InsulinBolusCurntUseStat | Status indicating whether the participant currently uses bolus or short acting insulin | Status indicating whether the participant currently uses bolus or short acting insulin | Total daily bolus insulin (or short acting) in units | Not used | Not used | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:47.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59763 | Medication diabetes DPP-4 inhibitor status | MedctnDiabetesDPP-4InhbtrStat | Status related to the use of DPP-4 (dipeptidyl peptidase 4) inhibitor medications for diabetes | Status related to the use of DPP-4 (dipeptidyl peptidase 4) inhibitor medications for diabetes | DPP-4 inhibitors - Examples: Sitagliptin, (Januvia), Saxagliptin (Onglyza), Alogliptin (Nesina), Linagliptin (Tradjenta) | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:59.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59774 | Hypoglycemia cause indicator | HypoglycemiaCauseInd | Indicator of whether the participant with a diagnosis of hypoglycemia has been told the cause | Indicator of whether the participant with a diagnosis of hypoglycemia has been told the cause | If the participant has a diagnosis of hypoglycemia, have they been told the cause? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:30.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59713 | Hospitalization diabetes diagnosis indicator | HospitalizDiabetesDiagnosInd | Indicator of whether the participant was hospitalized at the time the diabetes was diagnosed | Indicator of whether the participant was hospitalized at the time the diabetes was diagnosed | Was the participant hospitalized at the time of diagnosis? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-02 13:28:47.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59753 | Insulin neutral protamine hagedorn dose | InsulinNPHDose | Dose of neutral protamine hagedorn (NPH) insulin taken by the participant | Dose of neutral protamine hagedorn (NPH) insulin taken by the participant | NPH | Numeric Values |
Enter average if not constant |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:41:48.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C59764 | Medication diabetes SGLT2 inhibitor status | MedctnDiabetesSGLT2InhbtrStat | Status related to the use of SGLT2 (sodium-glucose cotransporter-2) inhibitor medications for diabetes | Status related to the use of SGLT2 (sodium-glucose cotransporter-2) inhibitor medications for diabetes | SGLT2 inhibitors - Examples: Dapagliflozin, (Farxiga), Empagliflozin (Jardiance), Canagliflozin (Invokana), Ertugliflozin (Steglatro) | Yes, previously;Yes, currently;No | Yes, previously;Yes, currently;No | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.00 | 2024-02-29 15:42:00.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C06358 | Diabetes mellitus type | DiabetesMellitusTyp | Type of diabetes mellitus | Type of diabetes mellitus | What type of diabetes was the participant told that they have? | Unknown;Type 1 diabetes;Type 2 diabetes;Monogenic diabetes (MODY);Mitochondrial diabetes;Gestational diabetes;Other | Unknown;Type 1 diabetes;Type 2 diabetes;Monogenic diabetes (MODY);Mitochondrial diabetes;Gestational diabetes;Other | Alphanumeric |
No instructions available |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 4.00 | 2024-02-29 15:41:20.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20255 | Family history hypertension parent type | FamHistHypertensionParentTyp | The type of the participant's parent with a history of hypertension | The type of the participant's parent with a history of hypertension | Indicate whether the participant's mother or father has a history of the following: High blood pressure | Mother;Father;Both;Neither;Unknown | Mother;Father;Both;Neither;Unknown | Alphanumeric | Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.10 | 2024-02-29 15:41:35.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20289 | Urgent care clinic use past year indicator | UrgentCareUsePastYearInd | The indicator of whether the participant has used after-hours or urgent care clinic other than the emergency room in the past 12 months | The indicator of whether the participant has used after-hours or urgent care clinic other than the emergency room in the past 12 months | In the last 12 months, has the participant had to use an After Hours/Urgent Care Clinic (other than an Emergency Room)? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If YES, complete the questions on number of times the participant had to use an After Hours/Urgent Care Clinic (other than an Emergency Room) |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 2.00 | 2024-02-29 15:42:09.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20267 | Blood glucose test daily frequency | BloodGlucoseTestDailyFreq | The daily frequency with which the participant checks their blood glucose | The daily frequency with which the participant checks their blood glucose | If the participant uses fingersticks, approximately how many times a day do they check their blood sugar? | Numeric Values | Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.10 | 2024-02-29 15:41:43.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
times per day | ||||||||||
| C20300 | Hospital admission not diabetes related past year count | HospitlAdmssnNotDiabRelPstYrCt | The count of the times the participant was admitted to hospital for reasons unrelated to diabetes in the past 12 months | The count of the times the participant was admitted to hospital for reasons unrelated to diabetes in the past 12 months | How many times was the participant admitted to the Hospital for: Other reasons unrelated to diabetes | Numeric Values | Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.10 | 2024-02-29 15:42:18.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
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| C20279 | Emergency room use hypoglycemia past year count | EmrgncyRmUseHypoglycmiaPstYrCt | The count of the times the participant used the emergency room for hypoglycemia in the past 12 months | The count of the times the participant used the emergency room for hypoglycemia in the past 12 months | Number of times the participant went to the Emergency Room for: Hypoglycemia (low blood sugars) | Numeric Values | Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 1.10 | 2024-02-29 15:42:03.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
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| C20243 | Diabetes laboratory diagnosis type | DiabLabDiagnosisTyp | Laboratory indications present at diagnosis of diabetes | Laboratory indications present at diagnosis of diabetes | Which of these was present at diagnosis? Laboratory diagnosis | Elevated fasting blood sugar;Elevated random blood sugar;Abnormal glucose tolerance testing;Elevated hemoglobin A1c;Glucose in the urine;Any positive anti-pancreatic auto-antibody laboratory tests;Diabetic ketoacidosis | Elevated fasting blood sugar;Elevated random blood sugar;Abnormal glucose tolerance testing;Elevated hemoglobin A1c;Glucose in the urine;Any positive anti-pancreatic auto-antibody laboratory tests;Diabetic ketoacidosis | Alphanumeric |
Choose all that apply |
Whittaker RG, Schaefer AM, McFarland R, Taylor RW, Walker M, Turnbull DM. Prevalence and progression of diabetes in mitochondrial disease. Diabetologia. 2007 Oct;50(10):2085-9.<br /><br />Pediatric Diabetes Consortium. The pediatric diabetes consortium: improving care of children with type 1 diabetes through collaborative research. Diabetes Technol Ther. 2010 Sep;12(9):685-8.<br /><br />Tamaroff J, DeDio A, Wade K, Wells M, Park C, Leavens K, Rummey C, Kelly A, Lynch DR, McCormack SE. Friedreich's Ataxia related Diabetes: Epidemiology and management practices. Diabetes Res Clin Pract. 2022 Apr;186:109828. | Adult;Pediatric | Exploratory | 2.00 | 2024-02-29 15:41:18.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
