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1. Pregnancy with any type of diabetes

Yes

2. Diabetes type

Type 1 diabetes or LADA

Type 2 diabetes or any other type of diabetes

3. Duration of diabetes (years)

20 years

10-20 years

< 10 years

4. Type of diabetes treatment (select all that are relevant)

Availability

Multiple daily premixed insulin injections

Once daily premixed insulin

Open loop insulin pump

Automated insulin delivery system

Standard basal insulin (NPH, Detemir or Glargine 100)

Ultra long-acting basal insulin (Glargine 300 or Degludec)

Short acting insulin

Glibenclamide or Glipizide

Modern sulfonylurea (Gliclazide, Gliclazide MR, Glimepiride) or Repaglinide

>=2 glucose-lowering medications excluding insulin or sulfonylurea

Nutrition modification only or monotherapy (excluding insulin or sulfonylurea)

5. Presence of hypoglycemia

Impaired hypoglycemia awareness

Severe hypoglycemia during last 4 weeks

Hypoglycemia more than once daily

6-7 episodes of hypoglycemia/week

3-5 episodes of hypoglycemia/week

1-2 episodes of hypoglycemia/week

Hypoglycemia <1 time per week

No hypoglycemia in last 4 weeks

6. Level of A1c

> 9% (>75 mmol/mol)

7.5-9% (58-75 mmol/mol)

< 7.5% (<58 mmol/mol)

7. Glucose monitoring

Not done

Suboptimally done

7.5-9% (58-75 mmol/mol)

Done as indicated

Any type of CGM

8. Hyperglycemic emergencies

DKA or HHS in the last month

DKA or HHS in last 2-3 months

DKA or HHS in last 4-6 months

No DKA or HHS in the last 6 months

9. Macrovascular complications

Unstable macrovascular disease

Stable macrovascular disease

No macrovascular disease

10a. Microvascular complications (nephropathy)

eGFR < 30 mL/min

eGFR 30-45 mL/min

eGFR 45-60 mL/min

eGFR > 60 mL/min

10b. Microvascular complications (neuropathy, foot complications, or retinopathy)

3 microvascular complications

2 microvascular complications

1 microvascular complication

0 microvascular complications

11. Cognitive function, frailty, and age

Impaired cognitive function

Advanced frailty

Mild to moderate frailty

Age > 70 years with no home support

Normal cognitive function and no frailty

12. Physical labor

High intensity

Moderate intensity

Normal cognitive function and no frailty

13.Fasting focused education

Yes

14. Fasting hours

>= 16 hours

< 16 hours

CHARITY NUMBER 1200493

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