Personal History of Type 1 and Type 2 Diabetes
Protocol Id
140501
Version #
1
Description of
Protocol
These interviewer-administered questions from the Multi-Ethnic Study of
Arthrosclerosis (MESA) ascertain whether an individual has ever been told by
a doctor or health care professional that they have diabetes.
Specific
Instructions
The following was taken from a stem question that captures more than just
personal history of diabetes. The Diabetes Working group recommends
removing "one of the following" from the initial question so that the question
is " Has your doctor or health care professional told you that you had:"
The Diabetes Working Group refers users to the Female Protocol of the
Reproductive History measure for more questions on pregnancy history
related to gestational diabetes.
Protocol Text
Has your doctor or health care professional told you that you had one of the
following:
1. Diabetes (sugar in blood)
1
[]
Yes
0
[]
No
9
[]
Don’t Know
IF YES:
a.Are you taking medicine for this?
1
[]
Yes
0
[]
No
9
[]
Don’t Know
If Yes to a
[ ] Insulin
[ ] Pills
IF YES:
b. At what age was this first treated?
|__|__|__|
9
[]
Don’t Know
c. Was insulin your first diabetes medicine?
1
[]
Yes
0
[]
No
9
[]
Don’t Know
d. For Women: did diabetes occur ONLY during Pregnancy?
1
[]
Yes
0
[]
No
9
[]
Don’t Know
Selection
Rationale
The Multi-Ethnic Study of Arthrosclerosis (MESA) protocol was vetted against
similar protocols and chosen because it captures age of diagnosis, whether
the respondent is taking medication for diabetes, and whether the diagnosis
was just during pregnancy (history of gestational diabetes mellitus, GDM).
Source
US Department of Health and Human Services. National Institutes of Health.
National Heart, Lung and Blood Institute. Multi-Ethnic Study of
Arthrosclerosis (MESA) 2001. Exam 1. Medical History. Question number 11
(question 1).
Language
English, Mandarin Chinese, Spanish
Participant
An individual aged 18 or older.
The protocol can also be administered to a child through an adult proxy.
Personnel and
Training
Required
The interviewer must be trained to conduct personal interviews with
individuals from the general population. The interviewer must be trained and
found to be competent (i.e., tested by an expert) at the completion of
personal interviews. The interviewer should be trained to prompt
respondents further if a "don’t know" response is provided.
Equipment Needs These questions can be administered in a computerized or non-computerized
format (i.e. pencil and paper instrument). Computer software is necessary to
develop computer-assisted instruments. The interviewer will require a laptop
computer/handheld computer to administer a computer-assisted
questionnaire.
Standards
Standard
Name
ID
Common Data Elements
(CDE)
Person Diabetes Personal
Medical History Assessment
Description Text
3070673 CDE Browser
Logical Observation
Identifiers Names and
Codes (LOINC)
Pers hx type 1-2 diabetes proto 62797-6 LOINC
General
References
None
Protocol Type
Interviewer-administered questionnaire
Source
Derived Variables None
Requirements
Requirement Category
Required
Average time of greater than 15 minutes in an unaffected individual
No
Average time of greater than 15 minutes in an unaffected
individual
Major equipment
No
This measure requires a specialized measurement device that
may not be readily available in every setting where genome wide
association studies are being conducted. Examples of specialized
equipment are DEXA, Echocardiography, and Spirometry
Specialized requirements for biospecimen collection
No
This protocol requires that blood, urine, etc. be collected from
the study participants.
Specialized training
This measure requires staff training in the protocol methodology
and/or in the conduct of the data analysis.
No