|
|
| MRD / Regn No. |
: THBC\23-24\05689 |
Date |
: 02/07/2026 |
| Patient Name |
: Sheela Ambole |
Age & Gender |
: 58 Yrs. / Female |
| Contact No. |
: 7058236351 |
UHID |
: |
| Ht / Wt / BMI |
: 155 / 88 / 36.63 |
BP S / BP D |
: 156 / 69 |
| Allergies |
: NONE |
Referred By |
: |
| |
|
| Problem
List |
: |
T2DM (07/Nov/2009) | HYPOTHYROIDISM (07/Nov/2019) | DYSLIPIDEMIA (07/Nov/2019) | HTN (07/Nov/2017) | |
|
Subjective |
: |
T2DM SINCE 2009,HYPOTHYROIDISM SINCE 2019,DYSLIPIDEMIA SINCE 2019,HTN SINCE 2017,HAIR LOSS + / TINGLING LEFT UPPER LIMB
|
|
Objective |
: |
JUN 26- HBA1C- 9.6/TC- 108/TG- 153/LDL- 39/HDL- 38,CREAT-0.71,FBS- 184/PP- 330,FT4- 1.36/TSH- 2.240,HB-12.2 |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION HUMAN LISPRO + LISPRO PROTAMINE (INJ U100) 50/50
HUMALOG MIX 50/50 |
SQ |
25-X-25 |
BBF / BD
|
3 MTHS |
|
|
2 |
RECLIDE XR FORTE 60/1000 |
ORAL |
1-0-1 |
BBF/ BD
|
3 MTHS |
|
|
3 |
TELMISARATAN 40 MG
TAZLOC 40 MG |
ORAL |
1-0-1 |
ABF / AD
|
3 MTHS |
|
|
4 |
TABLET ATORVASTATIN 10MG
TONACT 10 MG |
ORAL |
0-0-1 |
AD
|
3 MTHS |
|
|
5 |
THYROX 100 |
ORAL |
1-0-0 |
BBF / 2 TABS EVERY SUNDAY
|
3 MTHS |
|
|
6 |
PREGEB M 75 |
ORAL |
1-0-0 |
BBF
|
3 MONTHS |
|
|
7 |
DRISE 60,000 UNITS |
ORAL |
ONCE EVERY 15 DAYS |
ANYTIME OF DAY
|
3 MTHS |
|
|
8 |
JANUMET 50/500 |
ORAL |
1-0-1 |
ABF / AD
|
3 MTHS |
|
|
9 |
TABLET RABEPRAZOLE
NEXPRO RD |
ORAL |
1-0-0 |
BBF / SOS
|
3 MTHS |
|
|
10 |
BIZFER |
ORAL |
0-1-0 |
BEFORE LUNCH
|
3 MTHS |
|
|
11 |
TABLET EMPAGLIFLOZIN
JARDIANCE 25 MG |
ORAL |
1-0-0 |
ABF
|
3 MTHS |
|
|
12 |
CANDID DUSTING POWDER |
LOCAL APPLICATION |
DAILY |
|
|
|
|
13 |
CLOTRIMAZOLE OINTMENT 1% |
LOCAL APPLICATION |
DAILY |
|
|
|
|
14 |
CANDID VAGINAL PESSARY |
VAGINAL |
0-0-0-1 |
BEDTIME
|
6 NIGHTS |
|
|
15 |
INJ SEMANEXT 0.25 MG |
SC |
ONCE EVERY WEEK |
ANYTIME OF DAY
|
4 WEEKS |
|
|
16 |
INJ SEMANEXT 0.5 MG |
SC |
1/WEEK |
ANYTIME OF DAY
|
4 WEEKS |
|
|
17 |
INJ SEMANEXT 1 MG |
SC |
1/WEEK |
ANYTIME OF DAY
|
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 |
: 02/Oct/2026 |
| Tests Suggested For Next Visit |
: AFTER 3 MTHS - FBS / PPBS / HBA1C,RETINA TEST FOR DIABETIC RETINOPATHY / C:D RATIO AS SWITCHING TO SEMAGLUTIDE |
| |
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Dr Tejal Lathia
M.D, D.M (Endocrinology)
Maharashtra /
2003/05/2166
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