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|
| MRD / Regn No. |
: 20260000511 |
Date |
: 06/06/2026 |
| Patient Name |
: Lakkammal Bhaskaran |
Age & Gender |
: 47 Yrs. / Female |
| Contact No. |
: 8754514530 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 2 DM (06/Jun/2016) | NAFLD (06/Jun/2026) | |
|
Subjective |
: |
DM FOR 10 YEARS
|
|
Objective |
: |
NONE |
|
Analysis |
: |
MILD TSH ELEVATION,TYPE 2 DM |
|
Plan |
: |
START LT4 50 MCG,ADD SGLT2I GLP1RA,ADD ARB,SEE ME IN 1 MONTH,S2F0 NAFLD |
|
| Salient Investigations |
: |
LIVER CAP: 257 dB/M | LIVER ELASTICITY: 4.2 kPA | LIVER METAVIR SCORE: F0 | LIVER STEATOSIS SCORE: S1 |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
TABLET THYROXINE 50 MCG
THYRONORM 50 MCG
Medicine For LOW THYROID |
PO |
1-0-0 |
EMPTY STOMACH
|
TILL NEXT VISIT |
| MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B... | |
|
2 |
INJECTION DEGLUDEC (INJ U100)
TRESIBA
Medicine For DIABETES |
SQ |
0-0-12 UNITS |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE HYPOGLYCEMIA | |
|
3 |
INJECTION GLUCOMETER
ACCUCHEK GUIDE
Medicine For DIAGNOSTIC PURPOSE ONLY |
SQ |
|
|
|
|
|
4 |
INJECTION SEMAGLUTIDE
SEMALIX 0.25 MG
Medicine For DIABETES OBESITY MASLD CAD |
SQ |
ONCE A WEEK |
AS DIRECTED NO RELATION TO FOOD
|
TILL NEXT VISIT |
| MAY CAUSE NAUSEA VOMITING OR EYE DISTURBANCE | |
|
5 |
TELMISARTAN 40 MG
TELMA 40 MG |
|
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
|
|
6 |
SGLT2I EMPAGLIFLOZIN 10 MG
JARDIANCE
Medicine For DIABETES OBESITY HEART AND KIDNEY PROTECTION |
PO |
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE GENITOURINARY INFECTIONS | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: AVOID CONJEE SWEETS CHOCOLATES AND SIMPLE SUGARS OF ANY KIND,AVOID OR REDUCE RESTAURANT FOOD,AVOID PROCESSED FOOD,EXERCISE 150 MINUTES PER WEEK,REDUCE CARBOHYDRATE BY 20%,REDUCE SEDENTARY TIME |
| Next Visit |
: 06/Jun/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP SMBG,ARTERIAL DOPPLER OF BOTH LOWER EXTREMITIES |
| |
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| |
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Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu /
48748 HPRID: 71-0638-2075-7542
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