MRD / Regn No. : 20260000547 Date : 16/06/2026
Patient Name : Tushar Vitthalrao Ghugal Age & Gender : 51 Yrs. / Male
Contact No. : 9884184239 UHID :
Ht / Wt / BMI : 168 / 75 / 26.57 BP S / BP D : 120 / 70
Allergies : NKA Referred By :
   
Problem List : TYPE 2 DM (16/Jun/2011) |
Subjective : DM FOR 25 YEARS,RXED AS PANCREATITIS
Objective : NONE
Analysis : TYPE 2 DM,NO EVIDENCE OF PANCREATITIS
Plan : CHANGE TO DEG ASP 24-0-18 UNITS,SEE ME IN 1 MONTH  
Salient Investigations : AMYLASE: 46 | LIPASE: 40.4
S# Generic (Trade) Name Route Dosage Usage Duration
1 INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For DIABETES 		SQ 24-0-18 UNITS BEFORE FOOD
 TILL NEXT VISIT
MAY CAUSE HYPOGLYCEMIA
2 TABLET SITAGLIPTIN 100 MG DAPAGLIFLOZIN 10 MG FDC
UDAPA S
Medicine For DAPAGLIFLOZIN MAY CAUSE GENITO URINARY INFECTIONS INFORM IF THERE IS GENITAL ITCHING OR BURNING WHILE URINATION 		PO 1-0-0 BEFORE FOOD
 TILL NEXT VISIT
DAPAGLIFLOZIN MAY CAUSE GENITO URINARY INFECTIONS INFORM IF THERE IS GENITAL ITCHING OR BURNING WHILE URINATION
       
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,CHECK GLUCOSE ALTERNATING MORNING AND EVENING IF MORNING GLUCOSE IS MORE THAN 12O INCREASE NIGHT DOSE BY 2 UNITS IF EVENING GLUCOSE IS MORE THAN 120 INCREASE MORNING DOSE BY 2 UNITS
Next Visit : 16/Jul/2026
Tests Suggested For Next Visit : FBS 2HPP
   
   

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

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