Checklist
| Extreme Thirst | YES | NO |
| Frequent Urination | YES | NO |
| Dry Skin | YES | NO |
| Slow healing cuts or sores | YES | NO |
| Hunger | YES | NO |
| Drowsiness | YES | NO |
| Nausea | YES | NO |
| Numbness or Tingling of the Hands or Feet | YES | NO |
| Unexplained Weight Loss | YES | NO |
| Extreme Thirst | YES | NO |
| Frequent Urination | YES | NO |
| Dry Skin | YES | NO |
| Slow healing cuts or sores | YES | NO |
| Hunger | YES | NO |
| Drowsiness | YES | NO |
| Nausea | YES | NO |
| Numbness or Tingling of the Hands or Feet | YES | NO |
| Unexplained Weight Loss | YES | NO |