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| MRD / Regn No. |
: SCDC/00962 |
Date |
: 03/06/2026 |
| Patient Name |
: SHIVANSH KAPASE |
Age & Gender |
: 6 Yrs. / Male |
| Contact No. |
: 9881233477 |
UHID |
: U 2089 |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NA |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (19/Feb/2024) | |
|
Subjective |
: |
NO CARBCOUNTING,NO BALANCE MEAL,NO 7 SUGAR DONE,HIGH CARB,ALL SUGARS ABOVE 200,GIVE INSULIN AFTER MEAL
|
|
Objective |
: |
SMBG 4+7 PATTERN,PRE HIGH,DIET NOT BALANCED |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION ASPART
HUMLOG JUNIOR
Medicine For DIABETES |
SUB CUTIONUS |
1U-1.5U |
|
|
|
|
2 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
6U |
BEDTIME
|
DAILY |
|
|
3 |
LUPINSULIN R |
|
3U-3U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: CARB COUNTING |
| Next Visit |
: |
| Tests Suggested For Next Visit |
: |
| |
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Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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