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|
| MRD / Regn No. |
: THBC\23-24\07803 |
Date |
: 08/07/2026 |
| Patient Name |
: Richa Gautam |
Age & Gender |
: 42 Yrs. / Female |
| Contact No. |
: 9920914731 |
UHID |
: |
| Ht / Wt / BMI |
: 153 / 51.65 / 22.06 |
BP S / BP D |
: 102 / 76 |
| Allergies |
: NONE |
Referred By |
: |
| |
|
| Problem
List |
: |
T2DM (21/Aug/2025) | HYPOTHYROIDISM (21/Aug/2015) | |
|
Subjective |
: |
NEWLY DETECTED T2DM,F/H- DM- MOTHER,HYPOTHYROIDISM SINCE 2015,EXERCISES 2/WEEK,FOOD IS MORE OR LESS MANAGED,CANTEEEN FOOD SPIKED SUGARS,PERIODS REGULAR,MENTALLY BETTER |
|
Objective |
: |
04-JUL-2026 REPORTS,HB-12.5/ HBA1C-9.2%,FBS-142,ALT-14/ AST-16,CR-0.53,NA-138/ K-5.34/ CL-101.3,TC-188/ TG-152/ LDL-91/ HDL-67,FT3-2.16/ FT4-1.49/ TSH-1.97,VITB12-425.9/ VITD-21.54,JUL-2026 SMBG,BBF-105-142/ BL-271/ AL-155-259/ AD-127-270 |
|
Plan |
: |
TRESIBA PLEASE INCREASE BY 1 UNIT TILL FBS STABLE BETWEEN 100-120,POSTMEAL 140-180,TAKE EXTRA INSULIN WITH WHITE RICE (+2-4 UNITS),CAN TAKE CORRECTION DOSE 1-3 UNITS IF POST MEAL > 250 MG/DL,IF LOW SUGAR ON SENSOR - PLEASE CROSS CHECK BY GLUCOMETER |
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|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
ELTROXIN 75 MCG |
ORAL |
1-0-0 |
BBF
|
2 MTHS |
|
|
2 |
TABLET GLIMEPIRIDE (1MG) AND METFORMIN (500MG)
GLIMISAVE M1 |
ORAL |
0-0-1 |
BEFORE DINNER
|
2 MTHS |
|
|
3 |
EMPANORM L 25 MG |
ORAL |
0-1-0 |
BEFORE LUNCH
|
2 MTHS |
|
|
4 |
INJ TRESIBA |
SC |
0-0-0-12 |
DAILY BEDTIME
|
2 MTHS |
|
|
5 |
INJ FIASP |
SC |
0-11-12 |
BBF 15 MINS
|
2 MTHS |
|
|
6 |
TABLET CHOLECALCIFEROL
DRISE 60,000 |
ORAL |
ONCE IN A WEEK |
ANYTIME OF DAY
|
2 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 |
: 08/Sep/2026 |
| Tests Suggested For Next Visit |
: TRY TO DOCUMENT 3-4 SUGAR VALUES A WEEK,HBA1C / TSH / URINE FOR ALBUMIN:CREAT RATIO > 2 MTHS |
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