DA Form 4221. Diabetic Record

The DA Form 4221, also known as the Diabetic Record, is a form used by the U.S. Army to document and track the medical information of individuals with diabetes. The form consists of several sections that capture important details related to the individual's diabetes management. These sections typically include personal information, medical history, medication details, blood glucose monitoring records, and any complications or incidents related to diabetes.

When filling out the DA Form 4221, is crucial to provide accurate and up-to-date information. Healthcare providers and medical personnel involved in the care of the individual rely on this form to understand the patient's diabetic condition, monitor their progress, and make informed decisions regarding treatment plans and adjustments.

An example application of the DA Form 4221 would be for Army service member who has been diagnosed with diabetes. This form would be used document their medical history, track their blood glucose levels, record any medication changes, and note any significant events complications related to their diabetes. helps ensure that the individual receives appropriate medical care and allows healthcare providers to assess the effectiveness of the treatment plan.

There are no direct analogues or alternative forms specifically designated for diabetic records within the Department of the Army. However, other medical forms such as the DD Form 2766 (Adult Preventive and Chronic Careowsheet) may contain relevant information related to diabetes management.