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| MRD / Regn No. |
: 20230001143 |
Date |
: 02/07/2026 |
| Patient Name |
: Ramesh Kumar Binjaram |
Age & Gender |
: 39 Yrs. / Male |
| Contact No. |
: 9600919291 |
UHID |
: |
| Ht / Wt / BMI |
: 177 / 84.0 / 26.81 |
BP S / BP D |
: 118 / 84 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 1 DM (29/Nov/2023) | |
|
Subjective |
: |
FOLLOW UP VISIT,TAKING INSULIN REGULARLY,WEIGHT GAIN PRESENT,SATIETY PRESENT,CONSTIPATION,HAS STOPPED RYBELSUS,HAD HYPOGLYCEMIA
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Objective |
: |
HAD HYPOGLYCEMIA |
|
Analysis |
: |
VITAMIN D INSUFFICEINCY,TYPE 1 DM IMPROVING,OPTHALMOLOGY OPINION CDR NAD,HAS NOCTURNAL HYPOGLYCEMIA |
|
Plan |
: |
DECREASE INSULIN TO 26 UNITS,INCREASE SEMAGLUTIDE TO 1 MG,SEE ME IN 2 MONTHS |
|
| Salient Investigations |
: |
FASTING PLASMA GLUCOSE (FPG): 89 mg/dL | POST PRANDIAL GLUCOSE (2HPP): 49.00 mg/dL |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJ TRESIBA
DEGLUDEC |
|
0-0-26 UNITS |
AFTER BREAKFAST
|
TILL NEXT VISIT |
| MAY CAUSE HYPOGLYCEMIA | |
|
2 |
INJECTION FAST ASPART (INJ U100)
FIASP
Medicine For GLUCOSE CONTROL |
SQ |
12-16-8 UNITS |
IMMEDIATELY AFTER FOOD
|
TILL NEXT VISIT |
| MAY CAUSE HYPOGLYCEMIA | |
|
3 |
INJECTION SEMAGLUTIDE 1 MG
SEMALIX 1 MG
Medicine For DIABETES OBESITY |
SQ |
ONCE A WEEK |
AS DIRECTED NO RELATION TO MEALS
|
TILL NEXT VISIT |
| MAY CAUSE VOMITING NAUSEA OR DIARRHEA | |
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| |
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|
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| Refill :
0 / Substitution: |
|
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| Education |
: |
| Next Visit |
: 31/Aug/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP SMBG HBA1C |
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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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