MRD / Regn No. : 20160000487 Date : 22/06/2026
Patient Name : Susheela Deivasigamani Age & Gender : 75 Yrs. / Female
Contact No. : 9840058647 UHID :
Ht / Wt / BMI : 157 / 677 / 274.66 BP S / BP D : 143 / 77
Allergies : NKA Referred By :
   
Problem List : MILD TSH ELEVATION (24/Jan/2020) | TYPE 2 DM (01/Jan/2012) | OSTEOPENIA (16/Feb/2022) |
Subjective : SHOULDER ARTHRITIS BETTER WITH PHYSIOTHERAPY,INCREASED APD,FOAMY URINE
Objective : SMBG REVIEWED,GLUCOSES IMPROVED
Analysis : HYPOTHYROIDISM,INCREASED FIB4 / NAFLD SCORE,TYPE 2 DM IMPROVED CONTROL
Plan : CONTINUE CURRENT MEDICATIONS,SEE ME IN 2 MONTHS WITH TESTING  
S# Generic (Trade) Name Route Dosage Usage Duration
1 INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For GLUCOSE CONTROL 		SQ 32-0-20 UNITS BEFORE FOOD
 TILL NEXT VISIT
MAY CAUSE HYPOGLYCEMIA
2 MULTIVITAMIN
RICONIA
Medicine For MULTIVITAMIN 		PO 0-0-1 AFTER FOOD
 TILL NEXT VISIT
MAY CAUSE YELLOW DISCOLORATION OF URINE
3 ROSUVASTATIN 10 MG
CRESTOR 10 MG
Medicine For CHOLESTEROL 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
MAY
4 SITAGLIPTIN 100 MG
JANUVIA 100 MG
Medicine For GLUCOSE CONTROL 		PO 1-0-0 BEFORE FOOD
 TILL NEXT VISIT
5 SODIUM PICOSULFATE 10 MG
CREMLAX 10 MG
Medicine For CONSTIPATION 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
6 TELMISARTAN CTD 40 MG
ERITEL CH 40 MG
Medicine For HYPERTENSION KIDNEY PROTECTION 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
7 THYROXINE 75 MCG
THYRONORM 75 MCG
Medicine For LOW THYROID 		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
8 CHOLECALCIFEROL 2000 IU
D RISE 2000 IU
Medicine For VITAMIN D 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
TAKE AT BEDTIME
9 INJECTION VITAMIN B12 (INJECTION) ONE AMPOULE
ELDERVIT (PINK ONLY) ONE AMPOULE
Medicine For VITAMIN B12 		IM Q 3 MONTHS AS DIRECTED
 TILL NEXT VISIT
TO BE ADMINISTERED BY A MEDICAL PRACTITIONER OR NURSE
10 INJECTION ASPART
INSUQUICK
Medicine For DIABETES 		SQ 0-10-0 UNITS
MAY CAUSE LOW SUGARS
11 TABLET TRIMETHOPRIM SULPHAMETHOXAZOLE 160/800 MG
BACTRIM DS
Medicine For ANTIBIOTIC 		PO TWICE WEEKLY AFTER FOOD
 TILL NEXT VISIT
12 POWDER MEAL REPLACEMENT
ENSURE DIABETES CARE
Medicine For MEAL REPLACEMENT 		PO
13 INJECTION METHYCOBALAMIN 1 MG (INJECTION)
RENERVE PLUS 1 MG (INJECTION)
Medicine For VITAMIN B12 DEFICIENCY 		IM EVERY YEAR TO BE ADMINISTERED BY A HCP ONLY
 THREE MONTHS
TO BE ADMINISTERED BY A MEDICAL PRACTITIONER OR NURSE ONLY
       
Refill : 0 / Substitution:    
Education : 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 : 21/Aug/2026
Tests Suggested For Next Visit : ANNUAL TESTING: FBS 2HPP LIPID PROFILE LFT BUN CR URINE MICROALBUMIN CBC NT PROBNP HBA1C FUNDUS PHOTOGRAPH ANKLE BRACHIAL INDEX NEUROTOUCH
   
   

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

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