Patient demographics |
1 Age |
2 Gender |
3 Education |
4 Marriage Status |
5 Work Status |
Patient clinical characteristics |
6 Duration of type II diabetes |
7 Body mass index (BMI)* |
8 Hemoglobin A1c (HbA1c)* |
9 Low-density lipoprotein (LDL)* |
10 High-density lipoprotein (HDL)* |
11 Urine microalbumin to serum creatinine ratio* |
12 Systolic blood pressure* |
13 Number of days blood sugar was tested in the past week* |
14 Daily units basal or intermediate insulin* |
15 Daily units short-acting (regular) insulin* |
Patient medication history |
16 Metformin use † |
17 Use of a sulfonurea † |
18 Use of a glitazone † |
19 Use of another oral antidiabetic drug † |
20 Use of an ACE inhibitor ‡ |
21 Use of an ARB ‡ |
22 Use of a thiazide ‡ |
23 Use of a beta blocker ‡ |
History of comorbidities§ |
24 Hypertension |
25 Cardiovascular diseasea |
26 Diabetes complicationsb |
27 Hypoglycemia |
Patient self-care/healthy behavior measures at the baseline visit € |
28 Insulin-specific Adherence Questionnaire summary score |
29 Current Fasting Practices |
30 Current smoking use (any smoking during past 7 days) |
31 Current Alcohol Use |
32 Number of days on which patient exercised during the last 7 days |
33 Insurance to pay for drugs |
Patient health care resource utilization in the 6 months prior to the baseline visit € |
34 Number of hospitalizations due to diabetes, including MI and ESRD |
35 Number of diabetes-related visits to physician who treats patient’s diabetes |
36 Number of visits to an auxiliary diabetes provider |
Physician-Related Variables∫ |
37 Age |
38 Gender |
39 Practice affiliation (Academic versus non-academic) |
40 Practice location (Urban versus rural) |
41 Practice time dedicated to diabetes (patients/month) |
42 Practice size |
43 Practice type (primary care/internal medicine versus diabetologist/endocrinologist) |
44 Prescribing choices and preferences Score |
Potentially Modifiable Variables |
45 Patient Relationship with Health Care Provider € |
46 Physician’s target HbA1c level for this patient £ |
47 Experience with Insulin Treatment Questionnaire Score € |
48 Diabetes Self Care Activities Survey Score € |
49 Diabetes Knowledge Test Score € |
50 Diabetes Distress Scale Score € |