|
|
| MRD / Regn No. |
: 20200000501 |
Date |
: 17/06/2026 |
| Patient Name |
: Anantharaj Perumal |
Age & Gender |
: 74 Yrs. / Male |
| Contact No. |
: 9840382116 |
UHID |
: |
| Ht / Wt / BMI |
: 163 / 71.8 / 27.02 |
BP S / BP D |
: 134 / 82 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 2 DM (18/Jan/2001) | DYSLIPIDEMIA (01/Apr/2020) | LOSS OF PROTECTIVE SENSATION (29/Apr/2024) | ATHEROSCLEROTIC CARDIOVASCULAR DISEASE (01/Jun/2024) | HEART FAILURE STAGE A (01/Jul/2023) | |
|
Subjective |
: |
NO NEW COMPLAINTS,HYPOGLYCEMIA TWO DAYS PRIOR |
|
Objective |
: |
NONE |
|
Analysis |
: |
LOSS OF PROTECTIIVE SENSATION,TMT INDUCIBLE ISCHEMIA POSITIVE,HEART FAILURE STAGE A,TYPE 2 DM STABLE,ATHEROSCLEROTIC CARDIOVASCULAR DISEASE,VITAMIN B12 DEFICIENCY,MILD TSH ELEVATION |
|
Plan |
: |
CONTINUE CURRENT MEDICATIONS,SEE ME IN 2 MONTHS WITH TESTING,DECREASE INSULIN TO 12-0-6 UNITS |
|
| Salient Investigations |
: |
FASTING PLASMA GLUCOSE (FPG): 105 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 7.3 % | POST PRANDIAL GLUCOSE (2HPP): 108 mg/dL | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
TABLET ROSUVASTATIN 20 MG
ROSEDAY
Medicine For CHOLESTEROL |
PO |
0-0-1 |
AT BEDTIME
|
|
| MAY CAUSE FATIGUE AND MUSCLE PAIN | |
|
2 |
INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For DIABETES |
SQ |
12-0-6 UNITS |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE HYPOGLYCEMIA | |
|
3 |
INJECTION METHYCOBALAMIN 1 MG (INJECTION)
RENERVE PLUS 1 MG (INJECTION)
Medicine For VITAMIN B12 DEFICIENCY |
IM |
EVERY 3 MONTHS |
TO BE ADMINISTERED BY A HCP ONLY
|
THREE MONTH |
| TO BE ADMINISTERED BY A MEDICAL PRACTITIONER OR NURSE ONLY | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: CHECK GLUCOSE FOUR TIMES A WEEK INCEASE INSULIN BY 2 UNITS IF CBG > 120 REDUCE BY 2 UNITS IF < 90 |
| Next Visit |
: 16/Aug/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP SMBG HBA1C |
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