MRD / Regn No. : THBC\23-24\08050 Date : 21/07/2026
Patient Name : Mathais Joseph Serrao Age & Gender : 76 Yrs. / Male
Contact No. : 9004242424 UHID :
Ht / Wt / BMI : 160 / 67.2 / 26.25 BP S / BP D : /
Allergies : NONE Referred By :
   
Subjective : T2DM/HTN/DYSLIPIDEMIA,NOT ABLE TO SIT AND STAND- PAIN
Objective : JUN 26- FBS-133/PP- 162,CREAT-1.0/K- 6.30/CL- 111/NA- 142,VIT B12- 1762/VIT D- 31.90,ACR- 233.13/HBA1C- 7.8,SMBG- FBS- 94- 156/BL- 116-216/BD- 122-188
Plan : NORMAL FBS 100-130 - IF FBS < 100 - NIGHT DOSE OF GLIZID M XR - TAKE 1/2 TAB - AND IF FBS > 130 - FULL TABLET,WOULD CONSIDER EVALUATION FOR BMD,BP TARGET 110-130 / 70-85 MM HG  
S# Generic (Trade) Name Route Dosage Usage Duration
1 GLIZID M XR 60/500 MG ORAL 1-0-1/2 BBF / BD
 4 MTHS
2 ATORVA F 10/160 ORAL 0-0-1 AD
 4 MTHS
3 INJECTION HUMAN INSULIN (40IU)
HUMAN ACTRAPID 40IU/ML 		SC 6-10-10 BEFORE MEALS
 4 MTHS
4 ECOSPRIN 75 MG ORAL 0-1-0 AL
 4 MTHS
5 EMPANORM 25 ORAL 1-0-0 BBF
 4 MTHS
6 TABLET TELMISARTAN 80MG
TELMA 80 MG
Medicine For FOR PROTEINURIA 		ORAL 1-0-0 ABF
 4 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 : 21/Nov/2026
Tests Suggested For Next Visit : DEXA SCAN FOR BMD - HIP / SPINE / WRIST,WILL SEE DR THORAT IN FOLLOW UP,INCREASING DOSE OF TELMA FROM 40 TO 80 FOR PROTEINURIA - CHECK BP AND INFORM LOW,AFTER 4 MTHS - FBS / PPBS / HBA1C,RETINA TEST FOR PENDING
   
   

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

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