MRD / Regn No. : 20260000404 Date : 10/06/2026
Patient Name : Gopala Krishnan Ramaratnam Age & Gender : 60 Yrs. / Male
Contact No. : 9940031511 UHID :
Ht / Wt / BMI : 171 / 82 / 28.04 BP S / BP D : 130 / 90
Allergies : NKA Referred By :
   
Problem List : TYPE 2 DM (14/May/2006) | ATHEROSCLEROTIC CARDIOVASCULAR DISEASE (14/May/2016) |
Subjective : DM FOR 20 YEARS,PCI 10 YEARS
Objective : NONE
Analysis : TYPE 2 DM,ATHEROSCLEROTIC CARDIOVASCULAR DISEASE,ANEMIA,VITAMIN D DEFICIENCY,BORDERLINE TMT,MILD TSH ELEVATION,DR CHANGES IN FUNDUS WITH MODERATE INCREASE IN VCDR,A2G3 DKD
Plan : INCREASE INSULIN TO 28-0-22 UNITS,SEE ME IN 1 MONTH  
Salient Investigations : STOOL OCCULT BLOOD: NEGATIVE | FASTING PLASMA GLUCOSE (FPG): 193 mg/dL | POST PRANDIAL GLUCOSE (2HPP): 246 mg/dL | IRON: 62.1 mcg/dL | TIBC: 375 mcg/dL | VITAMIN B12: >2000 pg/mL | FERRITIN: 64.5
S# Generic (Trade) Name Route Dosage Usage Duration
1 INJECTION SEMAGLUTIDE 1 MG
OZEMPIC
Medicine For OBESITY DIABETES 		SQ ONCE A WEEK AS DIRECTED NO RELATION TO FOOD
 TILL NEXT VISIT
MAY CAUSE NAUSEA VOMITING
2 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
3 TABLET THYROXINE 75 MCG
THYRONORM 75 MCG
Medicine For HYPOTHYROIDISM 		PO 1-0-0 EMPTY STOMACH
 TILL NEXT VISIT
MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR BREAKFAST MUST BE TAKEN ONLY AFTER 30 MINUTES. OTHER DRUGS CAN INTERFERE WITH THE ABSORPTION OF THYROXINE
4 INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For DIABETES 		SQ 28-0-22 UNITS BEFORE FOOD
 TILL NEXT VISIT
MAY CAUSE HYPOGLYCEMIA
5 CAPSULE CHOLECALCIFEROL 2000 IU
D RISE
Medicine For VITAMIN D 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
6 TABLET FERROUS ASCORBATE /FOLIC ACID 100 MG/1.5 MG
OROFER XT
Medicine For ANEMIA 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
MAY CAUSE STOMACH UPSET AND CONSTIPATION
7 SINOCARE ICAN
       
Refill : 0 / Substitution:    
Education :
Next Visit : 10/Jul/2026
Tests Suggested For Next Visit : FBS 2HPP SMBG
   
   

Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu / 48748 HPRID: 71-0638-2075-7542

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