MRD / Regn No. : 20260000696 Date : 22/07/2026
Patient Name : Sima Latha Das Age & Gender : 59 Yrs. / Female
Contact No. : 9678917141 UHID :
Ht / Wt / BMI : BP S / BP D :
Allergies : NKA Referred By :
   
Problem List : TYPE 2 DM (22/Jul/2019) | HYPOTHYROIDISM (22/Jul/2019) |
Subjective : DM SINCE 7 YEARS,THYROID DYSFUNCTION
Objective : NONE
Analysis : TYPE 2 DM,HYPOTHYROIDISM
Plan : INCREASE LT4 TO 50 MCG,OPTHALMOLOGY OPINION,START INSULIN,ADD DPP4I SGLT2I,SEE ME IN 1 MONTH  
S# Generic (Trade) Name Route Dosage Usage Duration
1 INJECTION DEGLUDEC (INJ U100)
TRESIBA
Medicine For DIABETES 		SQ 0-0-10 UNITS AT BEDTIME
 TILL NEXT VISIT
MAY CAUSE HYPOGLYCEMIA
2 EMPAGLIFLOZIN 10 MG LINAGLIPTIN 5 MG
GLYXAMBI 10/5 		1-0-0 BEFORE FOOD
 TILL NEXT VISIT
EMPAGLIFLOZIN MAY CAUSE GENITOURINARY INFECTION KEEP GENITAL AREA CLEAN
3 TABLET THYROXINE 50 MCG
THYRONORM 50 MCG
Medicine For LOW THYROID 		PO 1-0-0 EMPTY STOMACH
 TILL NEXT VISIT
MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B...
       
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
Next Visit : 22/Jul/2026
Tests Suggested For Next Visit : FBS 2HPP SMBG
   
   

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

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