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| MRD / Regn No. |
: THBC\23-24\03347 |
Date |
: 22/07/2026 |
| Patient Name |
: Divya Kotak |
Age & Gender |
: 71 Yrs. / Female |
| Contact No. |
: 9322080800 |
UHID |
: |
| Ht / Wt / BMI |
: 146 / 54.30 / 25.47 |
BP S / BP D |
: 130 / 68 |
| Allergies |
: NONE |
Referred By |
: |
| |
|
| Problem
List |
: |
T2DM (26/Mar/2004) | |
|
Subjective |
: |
T2DM / PRIMARY HYPOTHYROIDISM X 20 YRS,RECENT FBS - 97-98,PHYSICALLY VERY ACTIVE ,LOT OF VARIATION
|
|
Objective |
: |
01-JUL-2026 REPORTS,HBA1C-11.3%,TSH-2.25,AL- 372/FBS- 191 |
|
Plan |
: |
CGM SENSOR - 6TH / 7TH AUGUST,HEALTH CHECK UP IN APOLLO BEFORE 10TH AUGUST, 2026 |
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|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
THYRONORM 75 MCG |
ORAL |
1-0-0 |
BBF
|
3 MTHS |
|
|
2 |
INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG |
SQ |
8-0-8 |
15-20 MINS BBF/BD
|
3 MTHS |
|
|
3 |
DRISE 60,000 |
ORAL |
ONCE A MNTH |
ANYTIME
|
3 MTHS |
|
|
4 |
ME-12 OD |
ORAL |
0-0-1-0 |
AL
|
3 MTHS |
|
|
5 |
GLIZID TOTAL P 15MG |
ORAL |
1-0-0 |
BBF
|
3 MTHS |
|
|
6 |
GLIZID M OD 60 MG |
ORAL |
0-0-1 |
BD
|
3 MTHS |
|
|
7 |
MITOCAL CCM |
ORAL |
0-1-0 |
AL
|
3 MTHS |
|
|
8 |
ECOSPRIN AV 75+10 |
ORAL |
0-0-1 |
AD
|
3 MTHS |
|
|
9 |
PRUVICT 1 MG |
ORAL |
0-0-1 |
AS NEEDED FOR CONSTIPATION
|
10 DAYS |
|
|
10 |
TABLET RANITIDINE 150 MG
RANTAC 150 MG |
ORAL |
1-0-1 |
BEFORE BREAKFAST / BEFORE DINNER
|
10 DAYS |
|
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| |
|
|
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| Refill :
0 / Substitution: |
|
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| 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 |
: |
| Tests Suggested For Next Visit |
: |
| |
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| |
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Dr Tejal Lathia
M.D, D.M (Endocrinology)
Maharashtra /
2003/05/2166
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