CDE Detailed Report
Subdomain Name: General Health History
CRF: Diabetes-Related Medical History
Displaying 51 - 100 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 |
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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 |
Free-Form Entry |
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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 |
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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 |
Free-Form Entry |
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C20257 | Medication reduce blood sugar prior diagnosis diabetes indicator | MedsRdceBldSgrPriorDiagDbtsInd | The indicator of whether the participant had been on medication to reduce blood sugar levels prior to diagnosis of the diabetes | The indicator of whether the participant had been on medication to reduce blood sugar levels prior to diagnosis of the diabetes | Was the participant on medications to lower blood sugar prior to diagnosis of diabetes? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
If YES, select the 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 | 2.00 | 2024-02-29 15:41:36.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20290 | Urgent care clinic use past year count | UrgentCareClinicUsePastYearCt | The count of the times the participant used an after-hours or urgent care clinic other than the emergency room in the past 12 months | The count of the times the participant used an after-hours or urgent care clinic other than the emergency room in the past 12 months | How many times did the participant go to the After Hours/Urgent Care Clinic? | 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 15:42:10.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20268 | Insulin current use indicator | InsulinCurrentUseInd | The indicator of whether the participant currently uses insulin | The indicator of whether the participant currently uses insulin | Is the participant currently on insulin? | No;Yes | No;Yes | 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 15:41:44.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20301 | Medical office visit past year indicator | MedicalOfficeVisitPastYearInd | The indicator of whether the participant was seen by a health care provider at a medical office in the past 12 months | The indicator of whether the participant was seen by a health care provider at a medical office in the past 12 months | In the last 12 months, has the participant seen a health care provider like a physician or nurse practitioner for an office visit? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If YES, complete the questions on the number of times the participant has seen a health care provider like a physician or nurse practitioner for an office visit |
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 15:42:19.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20244 | Diabetes insulin receive diagnosis indicator | DiabInsulinReceiveDiagnosisInd | The indicator of whether the participant received insulin at the time the diabetes was diagnosed | The indicator of whether the participant received insulin at the time the diabetes was diagnosed | Did the participant receive insulin at the time of diagnosis? | No;Yes;Unknown | No;Yes;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 15:41:19.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20280 | Emergency room use hyperglycemia past year count | EmrgncyRmUseHyprglycmiaPstYrCt | The count of the times the participant used the emergency room for hyperglycemia in the past 12 months | The count of the times the participant used the emergency room for hyperglycemia in the past 12 months | Number of times the participant went to the Emergency Room for: Hyperglycemia (high 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 15:42:04.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20258 | Medication reduce blood sugar prior diagnosis type | MedReduceBldSugarPriorDiagTyp | The type of the medication to reduce blood sugar levels taken by the participant prior to diagnosis of the condition/disorder | The type of the medication to reduce blood sugar levels taken by the participant prior to diagnosis of the condition/disorder | Select the medication | Other;Metformin;GLP1RA;SGLT2i | Other;Metformin;GLP1RA (Examples: Liraglutide (Victoza), Exenatide (Byetta, Bydureon), Semaglutide, Lixisenatide, Dulaglutide (Trulicity), Albiglutide (Tanzeum);SGLT2i (Examples: Dapagliflozin (Farxiga), Empagliflozin (Jardiance), Canagliflozin (Invokana), Ertugliflozin (Steglatro) | 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 | 2.00 | 2024-02-29 15:41:37.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20291 | Urgent care clinic use hypoglycemia past year count | UrgntCarClincUsHypolycmPstYrCt | The count of the times the participant used an after-hours or urgent care clinic for hypoglycemia in the past 12 months | The count of the times the participant used an after-hours or urgent care clinic for hypoglycemia in the past 12 months | How many times did the participant go to the After Hours/Urgent Care Clinic 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 15:42:11.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20270 | Insulin basal total daily unit count | InsulinBasalTotalDailyUnitCt | The daily total of basal or long acting insulin used by the participant, in units | The daily total of basal or long acting insulin used by the participant , in units | Total daily basal insulin (or long acting) in units | 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 | 1.10 | 2024-02-29 15:41:45.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 200 | units per day | |||||||
C20302 | Hospital admission hypoglycemia past year total day count | HsptlAdmtHypoglyPstYrTtlDayCt | The total duration, in days, of all of the participant's admissions to hospital for hypoglycemia in the past 12 months | The total duration, in days, of all of the participant's admissions to hospital for hypoglycemia in the past 12 months | # of days for all hypoglycemia admissions | 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 15:42:15.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 366 | day | ||||||||
C20245 | Full term birth indicator | FullTermBirthInd | Indicator of whether the participant was born at full term | Indicator of whether the participant was born at full term | Was the participant born at term? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If NO, answer how many weeks early the participant was born |
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 15:41:26.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20281 | Emergency room use other diabetes related past year count | EmrgcyRmUsOthDiabReltdPstYrCt | The count of the times the participant used the emergency room for diabetes-related reasons other than hypoglycemia or hyperglycemia in the past 12 months | The count of the times the participant used the emergency room for diabetes-related reasons other than hypoglycemia or hyperglycemia in the past 12 months | Number of times the participant went to the Emergency Room for: Other reasons related 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 15:42:04.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20259 | Diabetic ketoacidosis emergency post diagnosis diabetes indicator | DKAEmrgncyPostDiagnosDiabetInd | The indicator of whether the participant has experienced a diabetic ketoacidosis (DKA) episode requiring emergency or urgent treatment, in the time since their diagnosis of diabetes | The indicator of whether the participant has experienced a diabetic ketoacidosis (DKA) episode requiring emergency or urgent treatment, in the time since their diagnosis of diabetes | Since diagnosis has the participant ever experienced diabetic ketoacidosis (high blood sugar plus ketones, also known as DKA) diagnosed by a doctor for which they went to either the hospital, emergency room, or another healthcare facility? | No;Yes | No;Yes | Alphanumeric |
If YES, answer questions on number of events and DKA in the past year. If NO, skip to question on severe hypoglycemia |
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 15:41:37.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20292 | Urgent care clinic use hyperglycemia past year count | UrgtCarClincUsHyprglycmPstYrCt | The count of the times the participant used an after-hours or urgent care clinic for hyperglycemia in the past 12 months | The count of the times the participant used an after-hours or urgent care clinic for hyperglycemia in the past 12 months | How many times did the participant go to the After Hours/Urgent Care Clinic for: Hyperglycemia (high 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 15:42:11.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C00311 | Birth weight report value | BirthWgtRprtVal | Birth weight according to the participant's medical report or reported by the parent or legal guardian | Birth weight according to the participant's medical report or reported by the parent or legal guardian | What was the participant's birth weight? | 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 | 4.20 | 2024-02-29 15:41:27.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | |||||||||
C20271 | Insulin bolus total daily unit count | InsulinBolusTotalDailyUnitCt | The daily total of bolus or short acting insulin used by the participant, in units | The daily total of bolus or short acting insulin used by the participant, in units | Total daily bolus insulin (or short acting) in units | 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 | 1.10 | 2024-02-29 15:41:46.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 200 | units per day | |||||||
C20303 | Hospital admission hyperglycemia past year total day count | HsptlAdmtHyprglyPstYrTtlDayCt | The total duration, in days, of all of the participant's admissions to hospital for hyperglycemia in the past 12 months | The total duration, in days, of all of the participant's admissions to hospital for hyperglycemia in the past 12 months | # of days for all hyperglycemia admissions | 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 15:42:16.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 366 | day | ||||||||
C20246 | Birth premature week early count | BirthPrematureWeekEarlyCt | The count of weeks early that the participant was born prematurely | The count of weeks early that the participant was born prematurely | How many weeks early was the participant born? | 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 15:41:26.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
week | ||||||||||
C20282 | Emergency room use not diabetes related past year count | EmrgcyRmUsNotDiabReltdPstYrCt | The count of the times the participant used the emergency room for reasons unrelated to diabetes in the past 12 months | The count of the times the participant used the emergency room for reasons unrelated to diabetes in the past 12 months | Number of times the participant went to the Emergency Room for: 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 15:42:05.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20260 | Diabetic ketoacidosis emergency past year indicator | DKAEmergencyPastYearInd | The indicator of whether the participant has experienced a diabetic ketoacidosis (DKA) episode requiring emergency or urgent treatment in the past 12 months | The indicator of whether the participant has experienced a diabetic ketoacidosis (DKA) episode requiring emergency or urgent treatment in the past 12 months | In the past 12 months, has the participant ever experienced diabetic ketoacidosis (high blood sugar plus ketones, also known as DKA) diagnosed by a doctor for which they went to either the hospital, emergency room, or another healthcare facility? | No;Yes | No;Yes | Alphanumeric |
If YES, answer how many times. If NO, skip to question on severe hypoglycemia |
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 15:41:39.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20293 | Urgent care clinic use other diabetes related past year count | UrgtCarClncUsOthDiabRelPstYrCt | The count of the times the participant used an after-hours or urgent care clinic for diabetes-related reasons other than hypoglycemia or hyperglycemia in the past 12 months | The count of the times the participant used an after-hours or urgent care clinic for diabetes-related reasons other than hypoglycemia or hyperglycemia in the past 12 months | How many times did the participant go to the After Hours/Urgent Care Clinic for: Other reasons related 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 15:42:12.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C01581 | Weight unit of measure | WgtUoM | Unit of measure for the weight numerical value | Unit of measure for the weight numerical value | Weight measurement | Pounds;Kilograms;oz | Pounds;Kilograms;ounce | 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 | 3.00 | 2013-07-25 08:54:08.2 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
2630200 | ||||||||
C20272 | Insulin neutral protamine hagedorn current use status | InsulinNPHCurrUseStat | Status indicating whether the participant currently uses neutral protamine hagedorn (NPH) insulin | Status indicating whether the participantcurrently uses neutral protamine hagedorn (NPH) insulin | NPH | Not used | Not used | 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 | 2.00 | 2024-02-29 15:41:49.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20304 | Hospital admission other diabetes related past year total day count | HsptlAdmtOthDiabRelPstYrTtlDCt | The total duration, in days, of all of the participant's admissions to hospital for reasons related to diabetes other than hypoglycemia or hyperglycemia in the past 12 months | The total duration, in days, of all of the participant's admissions to hospital for reasons related to diabetes other than hypoglycemia or hyperglycemia in the past 12 months | # of days for all other diabetes related admissions | 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 |
Free-Form Entry |
0 | 366 | day | ||||||||
C20249 | Family history diabetes relative type | FamHistDiabetesReltvTy | Relationship to the participant of the family member with diabetes | Relationship to the participant of the family member with diabetes | If yes, select the relation of the family member and the approximate age of onset | Mother;Father;Grandparent;Sibling | Mother;Father;Grandparent;Sibling | 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 15:41:30.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
3165810 | ||||||||
C20283 | 911 call diabetes past year indicator | 911CallDiabetesPastYearInd | The indicator of whether the participant has called 911 (or their local equivalent) for reasons related to their diabetes in the past 12 months | The indicator of whether the participant has called 911 (or their local equivalent) for reasons related to their diabetes in the past 12 months | In the last 12 months, has 911 been called because of participant's diabetes? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Outside of the United States, evaluate the question with respect to the direct-dial emergency number(s) available to the participant If YES, complete the questions on number of times 911 (or local equivalent) was called. |
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 15:42:05.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20261 | Hypoglycemia severe loss of consciousness seizure post diabetes diagnosis indicator | HpoglySvrLoCSzrPstDibetDiagInd | The indicator of whether the participant has experienced severe hypoglycemia resulting in a loss of consciousness or seizure, in the time since their diagnosis of diabetes | The indicator of whether the participant has experienced severe hypoglycemia resulting in a loss of consciousness or seizure, in the time since their diagnosis of diabetes | Since diagnosis has the participant ever experienced severe hypoglycemia that resulted in passing out, losing consciousness, or seizure? | No;Yes | No;Yes | Alphanumeric |
If YES, answer questions on number of events and severe hypoglycemia in the past year |
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 15:41:40.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20294 | Urgent care clinic use not diabetes related past year count | UrgtCarClncUsNotDiabRelPstYrCt | The count of the times the participant used an after-hours or urgent care clinic for reasons unrelated to diabetes in the past 12 months | The count of the times the participant used an after-hours or urgent care clinic for reasons unrelated to diabetes in the past 12 months | How many times did the participant go to the After Hours/Urgent Care Clinic for: 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 15:42:12.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C10539 | Diabetes first diagnosis age value | DiabetFrstDiagnosisAgeVal | Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus | Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus | How old was the participant at diagnosis? | Numeric Values |
For participants younger than 21 years, indicate both years and months. For those 21 and older, indicate years only. |
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 | 3.10 | 2024-02-29 15:41:16.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
C20273 | Insulin premix current use status | InsulinPremixCurrentUseStat | Status indicating whether the participant currently uses premix insulin | Status indicatingwhether the participant currently uses premix insulin | Premix | Not used | Not used | 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 | 2.00 | 2024-02-29 15:41:50.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20305 | Hospital admission not diabetes related past year total day count | HsptlAdmtNotDiabRelPstYrTtlDCt | The total duration, in days, of all of the participant's admissions to hospital for reasons not related to diabetes in the past 12 months | The total duration, in days, of all of the participant's admissions to hospital for reasons not related to diabetes in the past 12 months | # of days for all non-diabetes related admissions | 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 15:42:19.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 366 | day | ||||||||
C20250 | Family history diabetes medical condition indicator | FamHistDiabMediclConditnInd | Indicator of whether a close family member (mother, father, sibling, or grandparent only) of the participant has had a history of diabetes | Indicator of whether a close family member (mother, father, sibling, or grandparent only) of the participant has had a history of diabetes | Does the participant have any family members (mother, father, sibling, or grandparent only) with history of diabetes? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If YES, select the relation of the family member and approximate age of onset |
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 15:41:29.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
3165788 | |||||||
C20284 | 911 call diabetes past year count | 911CallDiabetesPastYearCt | The count of the times that the participant called 911 (or their local equivalent) for reasons related to their diabetes in the past 12 months | The count of the times that the participant called 911 (or their local equivalent) for reasons related to their diabetes in the past 12 months | How many times was 911 called? | Numeric Values |
Outside of the United States, evaluate the question with respect to the direct-dial emergency number(s) available to the participant |
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 15:42:06.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20262 | Hypoglycemia severe loss consciousness seizure past year indicator | HypglycmiaSevrLOCSeizrPstYrInd | The indicator of whether the participant has experienced severe hypoglycemia resulting in a loss of consciousness or seizure, in the past 12 months | The indicator of whether the participant has experienced severe hypoglycemia resulting in a loss of consciousness or seizure, in the past 12 months | In the past 12 months, has the participant experienced severe hypoglycemia that resulted in passing out, losing consciousness, or seizure? | No;Yes | No;Yes | Alphanumeric |
If YES, answer how many times. |
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 15:41:41.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20295 | Hospital admission past year indicator | HospitalAdmissionPastYearInd | The indicator of whether the participant was admitted to hospital in the past 12 months | The indicator of whether the participant was admitted to hospital in the past 12 months | In the last 12 months, has the participant had to be admitted to the hospital? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If YES, complete the questions on number of hospital admissions and days |
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 15:42:13.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C16159 | Family history relative age at onset value | FmlyHistRltveAgeOnsetVal | Age the participant's relative experienced the onset of the disease or disorder | Age the participant's relative experienced the onset of the disease or disorder | Age of onset | 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 | 3.10 | 2024-02-29 15:41:31.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
year | ||||||||||
C20274 | Insulin miss dose past two week count | InsulinMissDosePast2WeekCt | The count of insulin doses missed by the participant in the past two weeks | The count of insulin doses missed by the participant in the past two weeks | Number of missed injections or pump boluses in the past 2 weeks | 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 15:41:51.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20306 | Medical office visit diabetes past year count | MedicalOffVisitDiabtsPstYearCt | The 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 | The 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 | How many times has the participant seen a health care provider like a physician or nurse practitioner for an office visit for 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 15:42:20.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20251 | Family history kidney disease severe parent type | FamHistKidneyDisSeverParentTyp | The type of the participant's parent with a history of kidney disease that required dialysis or kidney transplant | The type of the participant's parent with a history of kidney disease that required dialysis or kidney transplant | Indicate whether the participant's mother or father has a history of the following: Kidney disease that required dialysis or kidney transplant | 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 15:41:33.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20285 | 911 call hypoglycemia past year count | 911CallHypoglycemiaPastYearCt | The count of the times that the participant called 911 (or their local equivalent) for hypoglycemia in the past 12 months | The count of the times that the participant called 911 (or their local equivalent) for hypoglycemia in the past 12 months | Number of times 911 was called for: Hypoglycemia (low blood sugars) | Numeric Values |
Outside of the United States, evaluate the question with respect to the direct-dial emergency number(s) available to the participant |
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 15:42:07.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20263 | Diabetic ketoacidosis emergency post diagnosis diabetes count | DKAEmrgncyPostDiagnosDiabetCt | The count of diabetic ketoacidosis (DKA) episodes requiring emergency or urgent treatment experienced by the participant in the time since their diagnosis of diabetes | The count of diabetic ketoacidosis (DKA) episodes requiring emergency or urgent treatment experienced by the participant in the time since their diagnosis of diabetes | If yes, # of events | 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 15:41:38.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20296 | Hospital admission past year count | HospitalAdmissionPastYearCt | The count of times the participant was admitted to hospital in the past 12 months | The count of times the participant was admitted to hospital in the past 12 months | How many times was the participant admitted to the Hospital? | Numeric Values |
If yes, complete the following |
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 15:42:14.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C18241 | Diagnosis age value unit of measure | DiagnosAgeValUOM | Unit of measure for age value of the participant when initially diagnosed with disease/disorder | Unit of measure for age value of the participant when initially diagnosed with disease/disorder | How old was the participant at diagnosis? | years;Months;Years | years;Months (under 21 years);Years (21 years and older) | Alphanumeric |
For participants younger than 21 years, indicate both years and months. For those 21 and older, indicate years only. |
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 | 2024-02-02 12:33:19.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C20275 | Insulin injection daily count | InsulinInjectiontDailyCt | The daily count of insulin injections used by the participant | The daily count of insulin injections used by the participant | If using injections, number of injections per day (average if not constant) | 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 15:41:51.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20307 | Medical office visit not diabetes related past year count | MedclOffVistNotDiabRelPastYrCt | The 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 | The 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 | How many times has the participant seen a health care provider like a physician or nurse practitioner for an office visit for other reasons? | 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 15:42:21.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C20252 | Family history heart problem parent type | FamHistHeartProblemParentTyp | The type of the participant's parent with a history of heart attacks, heart failure or other heart problems | The type of the participant's parent with a history of heart attacks, heart failure or other heart problems | Indicate whether the participant's mother or father has a history of the following: Heart attacks, heart failure or other heart problems | 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 15:41:33.0 | Diabetes-Related Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |