Patient has diabetes {formmenu: Type I; default=Type II; name=diabetestype}. Patient has {formmenu: default=well-controlled; not well-controlled; moderately controlled; name=Controlled\ } blood sugars. Most recent HbA1C: {formtext: name=HbA1C};{formtoggle: name=Target; default=no} {formmenu: default=(target <6.5); (target <7.0); (target <7.5); (target <8.0); (target <8.5); (target <9.0); name=target}{endformtoggle}{formtoggle: name=Range; default=yes}Blood sugars are ranging {formmenu: default=between; around\ } {formtext: name=Acuchecks}.{endformtoggle} {formtoggle: name=Hypoglycemia; default=yes}{formtoggle: name=Adjust; default=no}{formmenu: default=Hypoglycemia noticed; Infrequent mild hypoglycemias; Infrequent severe hypoglycemias; Frequent mild hypoglycemias; Frequent severe hypoglycemias; name=hypoglycemias} {formtoggle: name=Range; default=yes}Low blood sugars are ranging {formmenu: default=between; around\ } {formtext}.{endformtoggle} {endformtoggle}{if: Adjust}{else}No hypoglycemia episodes. {endif}{endformtoggle} {formtoggle: name=Aware of hypoglycemia}patient is aware of hypoglycemia management{endformtoggle}