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The Effect Of Antidiabetic Agent Glibenclamide And Meltformine On Lipids And Glycated Haemoglobin In Type 2 Diabetes Patient Attending Uith Ilorin
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APPENDIX I
QUESTIONAIRE TO ACCESS THE ANTHROPOLOGIC INDICES OF PATIENTS WITH TYPE TWO DIABETES MELLITUS ON ANTIDIABETIC DRUGS (METFORMIN AND GLIBENCLAMIDE) ATTENDING UITH ILORIN.
INTRODUCTION: I am a final year students of the Department of Medical Laboratory Science, School of Basic Medical Sciences, Kwara State University, Malete, Kwara State. This questionnaire is aimed at accessing the demographic indices of patients with type 2 Diabetes mellitus on metformin and diabinese in Ilorin metropolis, Kwara State. All information provided here will be treated with utmost confidentiality and be utilized for the purpose of this study.
Please kindly help complete the questionnaire, your name is not compulsory. Tick appropriate boxes and thanks for your anticipation.
Identification number
INSTRUCTION: please tick in the appropriate box
1 .Age .....................................................................Years
2. Occupational status…………………………………………………………….
3. State of Origin: ....................................................................................................
4. Marital status: Single Married
If married, how many number of children…………………………………
5. Level of formal Education: None Primary Secondary Tertiary
6. Do you Smoke: Yes No
If yes, name the cigarettes you smoke: ………………………………………………
7. Do you drink Alcohol? Yes No
8. Height...........................cm
9. Weight...........................kg
10. Do you have Diabetes mellitus? Yes No
11. Age when you are diagnosed of Diabetes mellitus................................years
12. Any family history of diabetes? Yes No
13. If yes, what is the relationship between you and the family member ...............................
14. How often do you test your blood sugar? ....................................
15. Are you on antidiabetes drugs? Yes No
16 Are you currently taking any of these diabetes pills? METFORMINDIABINESE
17. How long have you been taking the pills? ........................................
18. Do you have any other medical challenge(s)? Yes No
If yes, does it include any of the following? Hypertension ulcer Heart disease
Kidney disease others
19. How many times do you eat per day? 1 2 3 4 5
20. State the combination of food you eat at a time………………………………….....
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APPENDIX A -- [Total Page(s) 1]
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APPENDIX A -- [Total Page(s) 1]
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