MRD / Regn No. : TL/20-21/00886 Date : 30/06/2026
Patient Name : Jalpa Shah Age & Gender : 50 Yrs. / Female
Contact No. : 9967488339 UHID :
Ht / Wt / BMI : 157.48 / 73.65 / 29.70 BP S / BP D : 112 / 71
Allergies : NONE Referred By :
   
Problem List : T2DM (08/Jan/2002) | HYPOTHYROIDISM (06/Jan/2004) |
Subjective : T2DM X 20 YRS,HYPOTHYROIDISM SINCE 2004,WT LOSS LIMITED / INCHES LOST / FEELS BETTER,EARLY DINNER / WHEAT TO JOWARI / STOPPED EXTRAS,SEVERE SCIATICA,SHIFTING FROM GLIPTOZA TO SEMAGLUTIDE
Objective : 29-JUN-2026 REPORTS,FBS-102.61,TC-151.7/ TG-147.2/ LDL-75.96/ HDL-46.3,ALT-102.90/ AST-36.10,CR-0.57,CL-100,T3-1.17/ T4-11.51/ TSH-0.549,VITB12-1883,VITD-58.10,HB-13.3/ HBA1C-8.30%
Plan : RETINA TEST FOR DIABETIC RETINOPATHY / C:D RATIO  
S# Generic (Trade) Name Route Dosage Usage Duration
1 THYRONORM 100 MCG ORAL 1-0-0 BBF
3 MTHS
2 DRISE 60,000 ORAL 1/15 DAYS ANYTIME OF DAY
3 MTHS
3 AMANZA M3 ORAL 1-0-1 BBF / BD
3 MTHS
4 INJECTION DEGLUDEC (100IU/ML)
TRESIBA
SQ 0-0-24 BEDTIME
3MTHS
5 NERVIHENZ ORAL 0-1-0 EVERY SUNDAY
3 MTHS
6 ROZUCOR 10 MG ORAL 0-0-1 AD
3 MTHS
7 INJ SUNDAE 0.25 SC 0.25 MG 1/WEEK
4 WEEKS
8 INJ SUNDAE 0.5 MG SC 0.5 MG 1/WEEK
4 WEEKS
9 INJ SUNDAE 1 MG SC 1 MG ONCE A WEEK
4 WEEKS
       
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 : 30/Oct/2026
Tests Suggested For Next Visit : AFTER 4 MTHS - FBS / PPBS / HBA1C / TSH
   
   

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

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