Diabetes Mellitus

1. Have you noticed recent weight gain, especially around the stomach area?

Yes No

2. Do you feel the urgency to urinate?

Yes No

3. Do you feel increased pangs of hunger?

Yes No

4. Do you experience increased thirst?

Yes No

5. Do you feel constantly tired?

Yes No

6. Do you experience blurred vision?

Yes No

7. Have you noticed slow healing of wounds?

Yes No