MRD / Regn No. : 20180000997 Date : 15/07/2026
Patient Name : Jayalakshmi Karunakaran Age & Gender : 73 Yrs. / Female
Contact No. : 9840207264 UHID :
Ht / Wt / BMI : 148 / 60.6 / 27.67 BP S / BP D : 168 / 77
Allergies : NKA Referred By :
   
Problem List : CAD (01/Jan/2006) | TYPE 2 DM (01/Jan/2010) | A3G3A DKD (07/Dec/2021) | HYPERTENSION (15/Mar/2010) | LOSS OF PROTECTIVE SENSATION (26/Jul/2023) | A2G2 DKD (26/Jul/2023) |
Subjective : LOST TO FOLLOW UP
Objective : NAD
Analysis : A3G3 DKD,MILD TSH ELEVATION,T2DM IMPROVED CONTROL,HYPERTENSION,LOSS OF PROTECTIVE SENSATION,A2G2 DKD
Plan : GET BASELINE TESTING  
S# Generic (Trade) Name Route Dosage Usage Duration
1 INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For GLUCOSE CONTROL 		SQ 28-0-20 UNITS BEFORE FOOD
 TILL NEXT VISIT
MAY CAUSE HYPOGLYCEMIA
2 SITAGLIPTIN 50 MG METFORMIN 500 MG FDC
JANUMET 50/500
Medicine For GLUCOSE CONTROL 		PO 1-0-1 BEFORE FOOD
 TILL NEXT VISIT
METFORMIN MAY CAUSE GI UPSET OR DIARRHEA
3 RAMIPRIL + HCTZ 10 / 12.5 MG
CARDACE H 10 MG
Medicine For HYPERTENSION KIDNEY PROTECTION 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
TAKE AT BEDTIME. REPORT TO DOCTOR IF YOU HAVE DRY COUGH
4 ROSUVASTATIN 10 MG
CRESTOR 10 MG
Medicine For CHOLESTEROL 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
MAY
5 MULTIVITAMIN
RICONIA
Medicine For VITAMIN 		PO 0-0-1 AFTER FOOD
 TILL NEXT VISIT
MAY CAUSE YELLOW DISCOLORATION OF URINE
6 DAPAGLIFLOZIN 10 MG
UDAPA
Medicine For DIABETES KIDNEY AND HEART PROTECTION 		PO 1-0-0 BEFORE FOOD
 TILL NEXT VISIT
MAY CAUSE GENITOURINARY INFECTION. INFORM IF THERE IS DYSURIA OR GENITAL ITCHING
       
Refill : 0 / Substitution:    
Education :
Next Visit : 17/Jul/2026
Tests Suggested For Next Visit : ANNUAL MONITORING FBS 2HPP HBA1C CBC LFT BUN CR URINE MICROALBUMIN NT PROBNP LIPID PROFILE FUNDUS PHOTOGRAPH ANKLE BRACHIAL INDEX
   
   

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

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