Diabetes and Vision Station Flashcards

1
Q

Name

A

Alex

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2
Q

Age (2)

A
  • 31

- DOB: 4/12/1990

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3
Q

Medical situation (4)

A
  • Poorly controlled Type 1 Diabetes
  • On insulin to control sugar levels
  • No other medication
  • Hospital diabetes team worried about my sugar levels being high and want to me with me in a few weeks to discuss this
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4
Q

Last week consultation (4):

A
  • Ophthalmologist told me my vision is not good enough to drive, even with glasses.
  • It is unlikely to get better.
  • My vision at 6m = average vision at 12m
  • Binocular visual field refers to my peripheral vision with both eyes open
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5
Q

Where do I live:

A

Just outside of Bristol

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6
Q

How often do you drive? (4)

A
  • Every day for school run
  • Weekly grocery shop
  • Sober driver for nights out with partner
  • Never encountered any problems
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7
Q

Concerns (3):

A
  • About what the ophthalmologist said
  • What the results of my vision tests actually mean
  • How they compare to what they should be
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8
Q

Recent treatment (3):

A
  • Recently had laser treatment for diabetic eye disease
  • Laser treatment has not improved my vision
  • Don’t understand why I needed the laser vision in the first place
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9
Q

What sort of insulin (2)?

A
  • Novorapid with each meal

- Long-lasting insulin twice a day

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10
Q

High blood pressure?

A

No

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11
Q

How do you monitor blood sugars, and what are they at (4)?

A
  • Check them every time I give myself insulin.
  • Results often 10-16
  • I like to run them on the high side because I’m worried about having a hypo (I had several hypos when younger and lost consciousness)
  • Haven’t had a hypo in at least two years
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12
Q

What is your HbA1c? (2)

A
  • Think it was 90 something when last checked.

- Doctor told me this was not good.

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13
Q

Mental health?

A

Good, never had any mental health problems.

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14
Q

Who I live with and where?

A
  • Live with partner in a rural area
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15
Q

Work (2)

A
  • University HR Administrator

- Work from home

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16
Q

Children? (2)

A
  • Six year old daughter

- Take her to school every weekday morning and pick her up in the afternoon

17
Q

Smoke? (2)

A
  • Stopped ten years ago

- Used to smoke 10/day

18
Q

Drugs / Alcohol

A
  • Don’t drink alcohol

- Don’t use illicit drugs

19
Q

Vision? (3)

A
  • Noticed that vision in both eyes has become gradually worse over the last few years
  • Didn’t think it was that bad
  • I was a little concerned, but not overly as it’s been gradual
20
Q

Students input on my eye test: (3)

A
  • I believe the ophthalmologists talk about not driving was a recommendation for me to consider.
  • I thought this was just a consultation to talk about the vision tests in more detail.
  • Surprised when the students explains I MUST stop driving and MUST inform the DVLA
21
Q

Questions/reactions to student: (8)

A
  • Be surprised but not angry
  • What if I decline to stop driving / contact the DVLA?
  • My life would be impossible without driving
  • Need to drop/off pick up my daughter
  • Weekly grocery shop
  • Being sober driver for when my partner and I go out in the evenings
  • No train station nearby
  • Don’t know anything about local buses
22
Q

Plan to be agreed with student (6)

A
  • Eventually agree to stop driving
  • Accept reasonable suggestions for dealing with this, eg
  • a friend who drives helping with school run
  • online shopping and delivery
  • partner drink less on nights out or get a taxi
  • local bus services and taxis