MRD / Regn No. : THBC\23-24\07688 Date : 03/07/2026
Patient Name : Shamal Kalyan Gaikwad Age & Gender : 28 Yrs. / Female
Contact No. : 8767577575 UHID :
Ht / Wt / BMI : BP S / BP D :
Allergies : NONE Referred By :
   
Subjective : DIABETES AT AGE 22,FATHER - DM / DECEASED,MOTHER - DM / FOOT ULCER,BROTHER - NON DIABETIC CKD ON DIALYSIS,SEVISTA X 3 MTHS - NO AMENORRHEA SINCE FEB 2026,CGM - POST LUNCH / POST DINNER SPIKES INSPITE OF MEAL SEQUENCING / PROTEIN / FIBRE,LOW ENERGY / LEG PAINS - ADVISED SHELCAL CT
Objective : APRIL 26- C PEPTIDE- 2.54,VIT D- 40.9/VIT B12- 316,TC- 246/TG- 203/LDL- 153/HDL- 46,ALT- 14.3/AST- 18.1,CREAT- 0.51,TSH- 1.2,HBA1C-6,HB- 12.5,FBS- 100.3
Plan : HAVE CONSIDERED GLP1 ANALOGS - RIGHT NOW NOT MENTALLY READY,COST IS A CONSTRAINT  
S# Generic (Trade) Name Route Dosage Usage Duration
1 ISTAVEL EMPA 100/25 MG ORAL 1-0-0 BBF
4 MTHS
2 TAYO 60,00 UNITS ORAL 1/ 15 DAYS ANYTIME
 4 MTHS
3 TABLET VOGLIBOSE 0.3MG
VOLIX 0.3 MG 		ORAL 0-1-1 WITH LUNCH / DINNER
 4 MTHS
4 TRIGLIMISAVE 1 ORAL 0-0-1 BEFORE DINNER
 4 MTHS
       
Refill : 0 / Substitution:    
Education : TAKE 1 TBSP(15GMS) GLUCOSE POWDER. CHECK AGAIN AFTER 15 MINS IF >100 CAN GIVE A PROTEIN MEAL
Next Visit : 05/Sep/2026
Tests Suggested For Next Visit : FBS / PPBS / HBA1C > 4 MTHS
   
   

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

Disclaimer: This is an ONLINE consultation. The patient has not been physically examined. The prescription or advice is based on the patient's description of the problem which is given above and also explained over video consultation.
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