Caregiver Contribution CC-SCODI – English

CC-SCODI (English)

Authored By

Davide Ausili, RN, MSc, PhD

Assistant Professor

Università degliStudi di Milano –Bicocca,

Via Cadore 48, Monza –Italy

Phone: +390264488032

Email: davide.ausili@unimib.it

Dr. Barbara Riegel, PhD, RN, FAHA, FAAN

Professor

University of Pennsylvania, School of Nursing
Claire M. Fagin Hall, 418 Curie Boulevard
Philadelphia, PA 19104-4217
briegel@nursing.upenn.edu
215-898-9927 Phone
240-282-7707 eFax
Co-Director, International Center for Self-Care Research www.selfcareresearch.org

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normal'>style='font-size:14.0pt;line-height:115%;mso-ansi-language:EN-GB'>CaregiverContribution to Self-Care of Diabetes Inventory <bstyle='mso-bidi-font-weight:normal'>line-height:115%;mso-ansi-language:EN-GB'>(CC-SCODI)normal'><o:p></o:p>style='font-size:14.0pt;mso-bidi-font-size:10.0pt;line-height:115%;mso-ansi-language:EN-GB'>Please think about what you did in the last month.<o:p></o:p>style='mso-ansi-language:EN-GB'><o:p> </o:p>style='mso-ansi-language:EN-GB'>SECTION A<o:p></o:p>justify'>line-height:115%;mso-ansi-language:EN-GB'>Below are listed some behaviors thata person with diabetes could perform to maintain health and wellness. How oftendo you recommend the followingthings to the person you care for? (Or, how often do you normal'>do these activities because the person you care for is not able todo them?).<o:p></o:p>justify'><o:p> </o:p><spanlang=EN-GB style='mso-ansi-language:EN-GB'> <spanstyle='mso-ansi-language:EN-US'>(circle mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-US'>one<spanstyle='mso-ansi-language:EN-US'> number)<o:p></o:p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=0 style='width:564.55pt;margin-left:-38.55pt;border-collapse:collapse; border:none;mso-border-alt:solid #4F81BD 1.0pt;mso-yfti-tbllook:160; mso-padding-alt:0in 5.4pt 0in 5.4pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:14.0pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:solid #4F81BD 1.0pt;border-bottom:none;border-right:none; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:14.0pt'> normal'><o:p> </o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:14.0pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=52 style='width:38.7pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:14.0pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white;mso-bidi-font-weight:bold'>NEVER<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:14.0pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=72 style='width:53.75pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:14.0pt'> normal'> color:white'><o:p> </o:p> </td> <td width=32 style='width:23.7pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:14.0pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=58 style='width:43.8pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:none;border-right:solid #4F81BD 1.0pt;background:#4F81BD; padding:0in 5.4pt 0in 5.4pt;height:14.0pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white;mso-bidi-font-weight:bold'>ALWAYS<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:1;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>1.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Maintain an active life-style (example: walking, going out, doing activities)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:2;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>2.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Perform physical exercise for 2 hours and 30 minutes each week? (example: swimming, going to the gym, cycling, walking)<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:3;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>3.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal;tab-stops:72.75pt'> style='font-size:10.5pt;mso-ansi-language:EN-GB'>Eat a balanced diet of carbohydrates (pasta, rice, sugars, bread), proteins (meat, fish, legumes), fruits and vegetables?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:4;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>4.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Avoid eating salt and fats (example: cheese, cured meats, sweets, red meat)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:5;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>5.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Limit alcohol intake (no more than 1 glass of wine/day for women and 2 glasses/day for men)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:6;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>6.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> EN-US'>Try to avoid getting sick (example: wash your hands, get recommended vaccinations)? EN-GB'><o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:7;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>7.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Avoid cigarettes and tobacco smoke?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:8;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>8.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Take care of your feet (wash and dry the skin, apply moisture, use correct socks)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:9;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-ansi-language:EN-GB;mso-bidi-font-weight:bold'>9.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Maintain good oral hygiene (brush your teeth at least twice/day, use mouthwash, use dental floss)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:10;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>10.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Keep appointments with your health care provider?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:11;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>11.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Have your health check-ups on time? (example: blood tests, urine tests, ultrasounds, eye exams)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:12;mso-yfti-lastrow:yes;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>12.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;border-bottom: solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> normal'>Many people have problems taking all their prescribed medicines. <o:p></o:p> justify;line-height:normal'> mso-ansi-language:EN-GB'>Do you take all your medicines as prescribed (please also consider insulin if your doctor prescribed it for you)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=72 style='width:53.75pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=32 style='width:23.7pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=58 style='width:43.8pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr></table><o:p> </o:p><o:p> </o:p>style='mso-ansi-language:EN-GB'>SECTION B<o:p></o:p>justify'>line-height:115%;mso-ansi-language:EN-GB'>Below are some behaviors that aperson with diabetes could practice to monitor their diabetes. How often do yourecommend the following things tothe person you care for? (Or, how often do you normal'>do these activities because the person you care for is not able todo them?).<o:p></o:p>justify'><o:p> </o:p><spanlang=EN-GB style='mso-ansi-language:EN-GB'> <spanstyle='mso-ansi-language:EN-US'>(circle mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-US'>one<spanstyle='font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-US'> number)<spanlang=EN-GB style='mso-ansi-language:EN-GB'><o:p></o:p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=0 style='width:565.25pt;margin-left:-39.25pt;border-collapse:collapse; border:none;mso-border-alt:solid #4F81BD 1.0pt;mso-yfti-tbllook:160; mso-padding-alt:0in 5.4pt 0in 5.4pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:13.85pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:solid #4F81BD 1.0pt;border-bottom:none;border-right:none; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:13.85pt'> normal'><o:p> </o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:13.85pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=52 style='width:38.7pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:13.85pt'> normal'> color:white;mso-bidi-font-weight:bold'>NEVER<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:13.85pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=79 style='width:58.95pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:13.85pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=25 style='width:18.5pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:13.85pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=59 style='width:44.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:none;border-right:solid #4F81BD 1.0pt;background:#4F81BD; padding:0in 5.4pt 0in 5.4pt;height:13.85pt'> normal'> color:white;mso-bidi-font-weight:bold'>ALWAYS<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:1;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>13.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Monitor blood sugar regularly?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=79 style='width:58.95pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=25 style='width:18.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=59 style='width:44.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:2;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>14.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Monitor weight?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=79 style='width:58.95pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=25 style='width:18.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=59 style='width:44.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:3;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>15.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Monitor blood pressure?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=79 style='width:58.95pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=25 style='width:18.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=59 style='width:44.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:4;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>16.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Keep a record of blood sugars in a diary or notebook?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=79 style='width:58.95pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=25 style='width:18.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=59 style='width:44.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:5;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>17.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Monitor the condition of feet daily to see if there are wounds, redness or blisters?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=79 style='width:58.95pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=25 style='width:18.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=59 style='width:44.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:6;mso-yfti-lastrow:yes;height:33.55pt'> <td width=36 valign=top style='width:26.75pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>18.<o:p></o:p> </td> <td width=452 valign=top style='width:339.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:33.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Pay attention to symptoms of high blood sugar (thirst, frequent urination) and low blood sugar (weakness, perspiration, anxiety)?<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=52 style='width:38.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=79 style='width:58.95pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=25 style='width:18.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=59 style='width:44.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:33.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr></table><o:p> </o:p><spanlang=IT><o:p> </o:p><spanlang=EN-GB style='font-size:14.0pt;mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-GB'>The last time the person you care for had symptoms:<o:p></o:p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=0 style='width:568.45pt;margin-left:-38.55pt;border-collapse:collapse; border:none;mso-border-alt:solid #4F81BD 1.0pt;mso-yfti-tbllook:160; mso-padding-alt:0in 5.4pt 0in 5.4pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:12.9pt'> <td width=32 valign=top style='width:24.15pt;border-top:solid #4F81BD 1.0pt; border-left:solid #4F81BD 1.0pt;border-bottom:none;border-right:none; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> normal'><o:p> </o:p> </td> <td width=300 valign=top style='width:225.35pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=71 style='width:53.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white;mso-ansi-language:EN-GB;mso-bidi-font-weight: bold'>I DIDN’T RECOGNIZE SYMPTOMS<o:p></o:p> </td> <td width=71 style='width:53.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white;mso-ansi-language:EN-GB;mso-bidi-font-weight: bold'>NOT QUICKLY<o:p></o:p> </td> <td width=71 style='width:53.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> text-align:center;line-height:normal'> 8.0pt;mso-bidi-font-size:11.0pt;color:white;mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=71 style='width:53.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> text-align:center;line-height:normal'> 8.0pt;mso-bidi-font-size:11.0pt;color:white;mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=71 style='width:53.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> text-align:center;line-height:normal'> 8.0pt;mso-bidi-font-size:11.0pt;color:white;mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=71 style='width:53.2pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:none;border-right:solid #4F81BD 1.0pt;background:#4F81BD; padding:0in 5.4pt 0in 5.4pt;height:12.9pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white;mso-ansi-language:EN-GB;mso-bidi-font-weight: bold'>VERY QUICKLY<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:1;height:31.25pt'> <td width=32 valign=top style='width:24.15pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:31.25pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-ansi-language:EN-GB;mso-bidi-font-weight:bold'>19.<o:p></o:p> </td> <td width=300 valign=top style='width:225.35pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:31.25pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>How quickly did you recognize that he or she was having symptoms? <o:p></o:p> </td> <td width=71 style='width:53.15pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>0<o:p></o:p> </td> <td width=71 style='width:53.15pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>1<o:p></o:p> </td> <td width=71 style='width:53.15pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>2<o:p></o:p> </td> <td width=71 style='width:53.15pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>3<o:p></o:p> </td> <td width=71 style='width:53.15pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>4<o:p></o:p> </td> <td width=71 style='width:53.2pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:2;mso-yfti-lastrow:yes;height:31.25pt'> <td width=32 valign=top style='width:24.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-ansi-language:EN-GB;mso-bidi-font-weight:bold'>20. <o:p></o:p> </td> <td width=300 valign=top style='width:225.35pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>How quickly did you know that the symptoms were due to diabetes?<o:p></o:p> </td> <td width=71 style='width:53.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>0<o:p></o:p> </td> <td width=71 style='width:53.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>1<o:p></o:p> </td> <td width=71 style='width:53.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>2<o:p></o:p> </td> <td width=71 style='width:53.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>3<o:p></o:p> </td> <td width=71 style='width:53.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>4<o:p></o:p> </td> <td width=71 style='width:53.2pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:31.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>5<o:p></o:p> </td> </tr></table>style='mso-ansi-language:EN-GB'><o:p> </o:p>style='mso-ansi-language:EN-GB'><o:p> </o:p>style='mso-ansi-language:EN-GB'><o:p> </o:p>style='mso-ansi-language:EN-GB'><o:p> </o:p>style='mso-ansi-language:EN-GB'><o:p> </o:p>style='mso-ansi-language:EN-GB'>SECTION C<o:p></o:p>11.0pt;line-height:115%;mso-ansi-language:EN-GB'>Below are listed somebehaviors a person with diabetes could do to improve their blood sugar whenit’s too high or too low.line-height:115%;mso-ansi-language:EN-GB'>How often do you normal'>recommend the following things to the person you care for? (Or, howoften do you do these activitiesbecause the person you care for is not able to do them?).<spanstyle='mso-ansi-language:EN-US'> <spanlang=EN-GB style='font-size:14.0pt;mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-GB'><o:p></o:p><spanstyle='mso-ansi-language:EN-US'>(circle mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-US'>one<spanstyle='font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-US'> number)<spanlang=EN-GB style='mso-ansi-language:EN-GB'><o:p></o:p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=0 style='width:563.2pt;margin-left:-37.9pt;border-collapse:collapse;border:none; mso-border-alt:solid #4F81BD 1.0pt;mso-yfti-tbllook:160;mso-padding-alt:0in 5.4pt 0in 5.4pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:16.35pt'> <td width=40 valign=top style='width:30.3pt;border-top:solid #4F81BD 1.0pt; border-left:solid #4F81BD 1.0pt;border-bottom:none;border-right:none; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'> normal'><o:p> </o:p> </td> <td width=406 valign=top style='width:304.85pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=55 style='width:41.15pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white;mso-bidi-font-weight:bold'>NEVER<span style='mso-spacerun:yes'> <o:p></o:p> </td> <td width=72 style='width:.75in;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=64 style='width:48.1pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'> normal'> color:white'><o:p> </o:p> </td> <td width=56 style='width:41.9pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=57 style='width:42.9pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:none;border-right:solid #4F81BD 1.0pt;background:#4F81BD; padding:0in 5.4pt 0in 5.4pt;height:16.35pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white;mso-bidi-font-weight:bold'>ALWAYS<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:1;height:38.45pt'> <td width=40 valign=top style='width:30.3pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:38.45pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>21.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:38.45pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>To check blood sugar when the person you care for feels symptoms (such as thirst, frequent urination, weakness, perspiration, anxiety).<o:p></o:p> </td> <td width=55 style='width:41.15pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:2;height:38.45pt'> <td width=40 valign=top style='width:30.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>22.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>When the person you care for has abnormal blood sugar levels, to take notes about the events that could have caused it and actions he or she took.<o:p></o:p> </td> <td width=55 style='width:41.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:3;height:38.45pt'> <td width=40 valign=top style='width:30.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>23.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>When the person you care for has abnormal blood sugar levels, to ask a family member or friend for advice. style='font-size:10.5pt;mso-ansi-language:EN-GB'><o:p></o:p> </td> <td width=55 style='width:41.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:38.45pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:4;height:36.55pt'> <td width=40 valign=top style='width:30.3pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:36.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>24.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:36.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>When the person you care for has symptoms and discovers that blood sugar is low, to eat or drink something with sugar to solve the problem.<o:p></o:p> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=55 style='width:41.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:36.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border:none;padding:0in 5.4pt 0in 5.4pt; height:36.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:36.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:36.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:36.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:5;height:26.85pt'> <td width=40 valign=top style='width:30.3pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:26.85pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>25.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:26.85pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>If the person you care for finds out that blood sugar is high, to adjust the diet to fix it.<o:p></o:p> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=55 style='width:41.15pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:26.85pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border:none;padding:0in 5.4pt 0in 5.4pt; height:26.85pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:26.85pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:26.85pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:26.85pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:6;height:25.55pt'> <td width=40 valign=top style='width:30.3pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:25.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>26.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:25.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>If the person you care for finds out that blood sugar is high, to adjust physical activity to fix it?<o:p></o:p> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=55 style='width:41.15pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:25.55pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:25.55pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:25.55pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:25.55pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:25.55pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:7;height:34.95pt'> <td width=40 valign=top style='width:30.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:34.95pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>27.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:34.95pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>After taking actions to adjust an abnormal blood sugar level, to re-check blood sugar to assess if the actions were effective.<o:p></o:p> </td> <td width=55 style='width:41.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:34.95pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:34.95pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:34.95pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:34.95pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:34.95pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:8;mso-yfti-lastrow:yes;height:27.25pt'> <td width=40 valign=top style='width:30.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:27.25pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>28.<o:p></o:p> </td> <td width=406 valign=top style='width:304.85pt;border:none;border-bottom: solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:27.25pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>If the person you care for finds out that blood sugar is very low or very high, to call your health care provider for advice.<o:p></o:p> </td> <td width=55 style='width:41.15pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:27.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>1<o:p></o:p> </td> <td width=72 style='width:.75in;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:27.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>2<o:p></o:p> </td> <td width=64 style='width:48.1pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:27.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>3<o:p></o:p> </td> <td width=56 style='width:41.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:27.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>4<o:p></o:p> </td> <td width=57 style='width:42.9pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:27.25pt'> text-align:center;line-height:normal'> mso-ansi-language:EN-GB'>5<o:p></o:p> </td> </tr></table><o:p> </o:p>Does theperson you care for take insulin?<o:p></o:p><![if !supportLists]><spanlang=IT style='font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol'> <![endif]>Yes<![if !supportLists]><spanlang=IT style='font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol'> <![endif]>No11.0pt;line-height:115%;mso-ansi-language:EN-GB'>If yes, please answer thefollowing question.<o:p></o:p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=0 style='width:564.6pt;margin-left:-37.9pt;border-collapse:collapse;border:none; mso-border-alt:solid #4F81BD 1.0pt;mso-yfti-tbllook:160;mso-padding-alt:0in 5.4pt 0in 5.4pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes; height:39.75pt'> <td width=40 valign=top style='width:30.35pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:39.75pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>29.<o:p></o:p> </td> <td width=408 valign=top style='width:305.65pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:39.75pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>If the person you care for finds out that blood sugar is too high or too low, to adjust the insulin dosage in the way your health care provider suggested.<o:p></o:p> </td> <td width=61 style='width:45.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:39.75pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=61 style='width:45.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:39.75pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=61 style='width:45.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:39.75pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=61 style='width:45.7pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:39.75pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=61 style='width:45.75pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:39.75pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr></table><o:p> </o:p><o:p> </o:p>style='mso-ansi-language:EN-GB'>SECTION D<o:p></o:p>11.0pt;line-height:115%;mso-ansi-language:EN-GB'>People with diabetes have todevelop skills to take care of themselves and to maintain their health.<bstyle='mso-bidi-font-weight:normal'> In reference to the person you care for,in general, how confident are you that youcan:line-height:115%;mso-ansi-language:EN-US'><o:p></o:p><spanstyle='mso-ansi-language:EN-US'>(circle mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-US'>one<spanstyle='font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:115%;mso-ansi-language:EN-US'> number)<spanlang=EN-GB style='mso-ansi-language:EN-GB'><o:p></o:p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=0 style='width:565.7pt;margin-left:-37.9pt;border-collapse:collapse;border:none; mso-border-alt:solid #4F81BD 1.0pt;mso-yfti-tbllook:160;mso-padding-alt:0in 5.4pt 0in 5.4pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:12.55pt'> <td width=38 valign=top style='width:28.45pt;border-top:solid #4F81BD 1.0pt; border-left:solid #4F81BD 1.0pt;border-bottom:none;border-right:none; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.55pt'> normal'><o:p> </o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.55pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=80 style='width:60.3pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.55pt'> text-align:center;line-height:normal'><span lang=EN-GB style='font-size:8.0pt;mso-bidi-font-size:11.0pt;color:white; mso-ansi-language:EN-GB'>NOT CONFIDENT AT ALL<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.55pt'> text-align:center;line-height:normal'> 8.0pt;mso-bidi-font-size:11.0pt;color:white;mso-ansi-language:EN-GB'><o:p> </o:p> </td> <td width=78 style='width:58.5pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.55pt'> text-align:center;line-height:normal'><span lang=IT style='font-size:8.0pt;mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=78 style='width:58.5pt;border:none;border-top:solid #4F81BD 1.0pt; background:#4F81BD;padding:0in 5.4pt 0in 5.4pt;height:12.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'><o:p> </o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:none;border-right:solid #4F81BD 1.0pt;background:#4F81BD; padding:0in 5.4pt 0in 5.4pt;height:12.55pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;color:white'>EXTREMELY CONFIDENT<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:1;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>30.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Prevent high or low blood sugar levels and its symptoms.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:2;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>31.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Follow advice about nutrition and physical activity.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:3;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>32..<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Take medicines in the appropriate way (including insulin if prescribed).<o:p></o:p> </td> <td width=80 style='width:60.3pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:4;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>33.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Persist in following the treatment plan even when it’s difficult.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:5;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>34.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Monitor his/her blood sugar as often as the health care provider asked that it be done.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:6;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>35.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;border-bottom: solid #4F81BD 1.0pt;mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Understand if his/her blood sugar levels are good or not.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; mso-border-top-alt:solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:7;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>36.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Recognize the symptoms of low blood sugar.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:8;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>37.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Persist in monitoring his/her diabetes even when it’s difficult.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:9;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt;mso-bidi-font-weight:bold'>38.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border-top:solid #4F81BD 1.0pt; border-left:none;border-bottom:solid #4F81BD 1.0pt;border-right:none; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Take action to adjust his/her blood sugar and relieve his/her symptoms.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border-top:solid #4F81BD 1.0pt;border-left: none;border-bottom:solid #4F81BD 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:10;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt'>39.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Evaluate if your actions were effective to change his/her blood sugar and relieve his/her symptoms.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;padding:0in 5.4pt 0in 5.4pt; height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr> <tr style='mso-yfti-irow:11;mso-yfti-lastrow:yes;height:41.65pt'> <td width=38 valign=top style='width:28.45pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'> mso-bidi-font-size:11.0pt'>40.<o:p></o:p> </td> <td width=324 valign=top style='width:242.95pt;border:none;border-bottom: solid #4F81BD 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> justify;line-height:normal'> mso-ansi-language:EN-GB'>Persist in carrying out actions to improve his/her blood sugar even when it’s difficult.<o:p></o:p> </td> <td width=80 style='width:60.3pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'>1<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'>2<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'>3<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'>4<o:p></o:p> </td> <td width=78 style='width:58.5pt;border:none;border-bottom:solid #4F81BD 1.0pt; padding:0in 5.4pt 0in 5.4pt;height:41.65pt'> text-align:center;line-height:normal'>5<o:p></o:p> </td> </tr></table><spanlang=EN-GB style='mso-ansi-language:EN-GB'><o:p> </o:p><spanlang=EN-GB style='mso-ansi-language:EN-GB'>Thank you for completing this survey!<o:p></o:p>