MRD / Regn No. : THBC\23-24\09298 Date : 10/06/2026
Patient Name : Gordon Serrao Age & Gender : 47 Yrs. / Male
Contact No. : 9819939248 UHID :
Ht / Wt / BMI : 180 / 115 / 35.49 BP S / BP D : 130 / 90
Allergies : NONE Referred By :
   
Problem List : T2DM (10/Jun/2015) | DYSLIPIDEMA (10/Jun/2015) | HTN (10/Jun/2015) |
Subjective : T2DM/HTN/DYSLIPIDEMIA SINCE 2010,SAW ME LAST 2 YEARS AGO ,HBA1C WAS HIGH - 10% - 8% - THEN NOT CHECKED FOR 1 YEAR,PHYSICALLY VERY ACTIVE,FOAMY URINE - MICROALB - NEG
Objective : JUN 26- HBA1C-10.6,HB- 17.5,TC- 152/TG- 434.2/LDL- 86.2/HDL- 42,SGOT- 27.1/SGPT- 44.6,CREAT-0.77,FT3- 3.13/FT4- 1.26/TSH- 1.690,MA- 13.8/VIT B12- 387/VIT D- 32.90
Plan : USG ABDOMEN - TO RULE OUT GALL BLADDER STONES,RETINA TEST FOR DIABETIC RETINOPATHY,SERUM AMYLASE / LIPASE  
S# Generic (Trade) Name Route Dosage Usage Duration
1 TABLET VILDAGLIPTIN 50 MG
GALVUS 50 MG
Medicine For T2DM 		ORAL 1-0-1 BBF / BD
 3 MNTHS
2 GLUCRETA 10 MG ORAL 1-0-0 ABF
 3 MNTHS
3 DIAMICRON XR MEX 60/500 ORAL 1-0-1 BBF / BD
 3 MTHS
       
Refill : 0 / Substitution:    
Education : IF LOW SUGARS (<70 MG/DL),TAKE 1 TBSP(15GMS) GLUCOSE POWDER. CHECK AGAIN AFTER 15 MINS IF >100 CAN GIVE A PROTEIN MEAL.
Next Visit :
Tests Suggested For Next Visit : WILL START MOUNJARO AFTER COMING BACK FROM SEYCHELLES,MEANWHILE TO START DIAMICRON XR MEX TILL BACK
   
   

Dr Tejal Lathia
M.D, D.M (Endocrinology)
Maharashtra / 2003/05/2166

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