{"id":28849,"date":"2022-06-22T09:59:22","date_gmt":"2022-06-22T07:59:22","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28849"},"modified":"2022-06-22T09:59:22","modified_gmt":"2022-06-22T07:59:22","slug":"clarke-score","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/clarke-score\/","title":{"rendered":"Clarke Score"},"content":{"rendered":"<p>The Clarke Score is used to check hypoglycemia perception in patients with diabetes mellitus. The \u00abSwiss Society of Endocrinology and Diabetology\u00bb recommends, among other things, the use of the Clarke Score to assess the risk of hypoglycemia regarding fitness to drive and driving ability in patients with diabetes mellitus.<\/p>\n    <div class=\"medical-calculator clarke\" id=\"medical-calculator-clarke\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-4 col-form-label\">\r\n                                            Choose the statement that describes you best.\r\n                                    <\/div>\r\n                <div class=\"col-sm-8\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"self-assessment\" id=\"medical-calculator-clarke-self-assessment-1\" value=\"1\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        I <u>always<\/u> have symptoms when my blood sugar is low.\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"self-assessment\" id=\"medical-calculator-clarke-self-assessment-2\" value=\"2\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        I <u>sometimes<\/u> have symptoms when my blood sugar is low. (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"self-assessment\" id=\"medical-calculator-clarke-self-assessment-3\" value=\"3\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        I <u>never<\/u> have symptoms when my blood sugar is low. (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Have you lost symptoms of hypoglycemia that used to occur when your blood sugar is low?\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"low-bs-less-symptoms\" id=\"medical-calculator-clarke-low-bs-less-symptoms-n\" value=\"N\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"low-bs-less-symptoms\" id=\"medical-calculator-clarke-low-bs-less-symptoms-y\" value=\"Y\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                            In the past 6 months, how often have you had severe low blood sugar episodes in which you were confused, disoriented, and unable to self-medicate but without becoming unconscious?\r\n                                    <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"severe-hypoglycaemia-6mon\" id=\"medical-calculator-clarke-severe-hypoglycaemia-6mon-1\" value=\"1\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        Never\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"severe-hypoglycaemia-6mon\" id=\"medical-calculator-clarke-severe-hypoglycaemia-6mon-2\" value=\"2\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        1\u20132\u00d7 (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"severe-hypoglycaemia-6mon\" id=\"medical-calculator-clarke-severe-hypoglycaemia-6mon-3\" value=\"3\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        Every 2nd month (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"severe-hypoglycaemia-6mon\" id=\"medical-calculator-clarke-severe-hypoglycaemia-6mon-4\" value=\"4\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                        Every month (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"severe-hypoglycaemia-6mon\" id=\"medical-calculator-clarke-severe-hypoglycaemia-6mon-5\" value=\"5\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                        More than once a month (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                            In the past year, how many severe low blood sugar episodes have you had in which you were unconscious, had seizures, or required a glucagon or glucose injection?\r\n                                    <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"severe-hypoglycaemia-12mon\" id=\"severe-hypoglycaemia-12mon-1\" value=\"1\" tabindex=\"11\" autocomplete=\"off\">\r\n                                                        None\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"severe-hypoglycaemia-12mon\" id=\"severe-hypoglycaemia-12mon-2\" value=\"2\" tabindex=\"12\" autocomplete=\"off\">\r\n                                                        Once or more (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                            In the last 4 weeks, how often have you had blood sugar levels below 3.9 mmol\/l (70 mg\/dl) <u>with<\/u> symptoms?\r\n                                    <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ps-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ps-4w-1\" value=\"1\" tabindex=\"13\" autocomplete=\"off\">\r\n                                                        Never\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ps-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ps-4w-2\" value=\"2\" tabindex=\"14\" autocomplete=\"off\">\r\n                                                        1\u20133\u00d7\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ps-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ps-4w-3\" value=\"3\" tabindex=\"15\" autocomplete=\"off\">\r\n                                                        1\u00d7 per week\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ps-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ps-4w-4\" value=\"4\" tabindex=\"16\" autocomplete=\"off\">\r\n                                                        2\u20133\u00d7 per week\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ps-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ps-4w-5\" value=\"5\" tabindex=\"17\" autocomplete=\"off\">\r\n                                                        4\u20135\u00d7 per week\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ps-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ps-4w-6\" value=\"6\" tabindex=\"18\" autocomplete=\"off\">\r\n                                                        Almost daily\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                            In the last 4 weeks, how often have you had blood sugar levels below 3.9 mmol\/l (70 mg\/dl) <u>without<\/u> symptoms?\r\n                                    <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ms-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ms-4w-1\" value=\"1\" tabindex=\"19\" autocomplete=\"off\">\r\n                                                        Never\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ms-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ms-4w-2\" value=\"2\" tabindex=\"20\" autocomplete=\"off\">\r\n                                                        1\u20133\u00d7\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ms-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ms-4w-3\" value=\"3\" tabindex=\"21\" autocomplete=\"off\">\r\n                                                        1\u00d7 per week\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ms-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ms-4w-4\" value=\"4\" tabindex=\"22\" autocomplete=\"off\">\r\n                                                        2\u20133\u00d7 per week\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ms-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ms-4w-5\" value=\"5\" tabindex=\"23\" autocomplete=\"off\">\r\n                                                        4\u20135\u00d7 per week\r\n                                                    <\/label>                        \r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-lt-3-9-mmol-ms-4w\" id=\"medical-calculator-clarke-bs-lt-3-9-mmol-ms-4w-6\" value=\"6\" tabindex=\"24\" autocomplete=\"off\">\r\n                                                        Almost daily\r\n                                                    <\/label>                        \r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\" id=\"medical-calculator-mna-calf-circumference-wrapper\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                            How far does your blood sugar have to drop for you to notice symptoms?\r\n                                    <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-val-perceive-symp\" id=\"medical-calculator-clarke-bs-val-perceive-symp-1\" value=\"1\" tabindex=\"25\" autocomplete=\"off\">\r\n                                                        3.3 \u2013 3.8 mmol\/l \/ 59 \u2013 68 mg\/dl\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-val-perceive-symp\" id=\"medical-calculator-clarke-bs-val-perceive-symp-2\" value=\"2\" tabindex=\"26\" autocomplete=\"off\">\r\n                                                        2.8 \u2013 3.2 mmol\/l \/ 50 \u2013 58 mg\/dl\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-val-perceive-symp\" id=\"medical-calculator-clarke-bs-val-perceive-symp-3\" value=\"3\" tabindex=\"27\" autocomplete=\"off\">\r\n                                                        2.2 \u2013 2.7 mmol\/l \/ 40 \u2013 49 mg\/dl (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bs-val-perceive-symp\" id=\"medical-calculator-clarke-bs-val-perceive-symp-4\" value=\"4\" tabindex=\"28\" autocomplete=\"off\">\r\n                                                        &lt; 2.2 mmol\/l \/ &lt; 40 mg\/dl (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\" id=\"medical-calculator-mna-calf-circumference-wrapper\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                            How reliably can you tell from your symptoms that your blood sugar is low?\r\n                                    <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"low-bs-recognize-symp\" id=\"medical-calculator-clarke-low-bs-recognize-symp-1\" value=\"1\" tabindex=\"29\" autocomplete=\"off\">\r\n                                                        Always\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"low-bs-recognize-symp\" id=\"medical-calculator-clarke-low-bs-recognize-symp-2\" value=\"2\" tabindex=\"30\" autocomplete=\"off\">\r\n                                                        Frequent\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"low-bs-recognize-symp\" id=\"medical-calculator-clarke-low-bs-recognize-symp-3\" value=\"3\" tabindex=\"31\" autocomplete=\"off\">\r\n                                                        Sometimes (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"low-bs-recognize-symp\" id=\"medical-calculator-clarke-low-bs-recognize-symp-4\" value=\"4\" tabindex=\"32\" autocomplete=\"off\">\r\n                                                        Rarely (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"low-bs-recognize-symp\" id=\"medical-calculator-clarke-low-bs-recognize-symp-5\" value=\"5\" tabindex=\"33\" autocomplete=\"off\">\r\n                                                        Never (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-clarke-result-text\" class=\"result-text\">\r\n                    <p><h5>\r\n                                                Clarke Score:\r\n                         <span id=\"medical-calculator-clarke-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-clarke-result-interpretation\"><\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            Interpretation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            Points\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Assessment\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            &le; 3\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Normal hypoglycemia perception\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            &ge; 4\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Reduced hypoglycemia perception\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"clarke-cite-note-1\">Lehmann R, Czock A, Egli M et al. (2017) Schweizerische Gesellschaft f\u00fcr Endokrinologie und Diabetologie. Richtlinien bez\u00fcglich Fahreignung und Fahrf\u00e4higkeit bei Diabetes mellitus. Abgerufen von https:\/\/www.sgedssed.ch<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_clarke_messages = {\r\n            'interpretation_lte_3' : 'Normal hypoglycemia perception',\r\n            'interpretation_gte_4' : 'Reduced hypoglycemia perception',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>The Clarke Score is used to check hypoglycemia perception in patients with diabetes mellitus. The \u00abSwiss Society of Endocrinology and Diabetology\u00bb recommends, among other things, the use of the Clarke Score to assess the risk of hypoglycemia regarding fitness to drive and driving ability in patients with diabetes mellitus.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":138,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28849","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28849","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28849"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28849\/revisions"}],"predecessor-version":[{"id":28850,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28849\/revisions\/28850"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}