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| MRD / Regn No. |
: SCDC/00221 |
Date |
: 05/06/2026 |
| Patient Name |
: SHITAL SAKHARAM MULE |
Age & Gender |
: 21 Yrs. / Female |
| Contact No. |
: 8956087111 |
UHID |
: U 1627 R |
| Ht / Wt / BMI |
: 151 / 48 / 21.05 |
BP S / BP D |
: 106 / 68 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (29/Jun/2019) | |
|
Subjective |
: |
FLUCTUATING BSL,NO HYPO RECHECK,FREQUENTLY EATING,BSL VERY UP DOWN,DIET NOT BALANCE,TIME NOT FIXED
|
|
Objective |
: |
7 SUGAR NOT DONE,DIET OK,BSL UP DOWN,DOING GOOD |
|
Analysis |
: |
GIVEN FRESH MEAL PLAN AND PROTEIN OPTIONS |
|
Plan |
: |
SELF MOTIVATION |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
LUPINSULIN R |
|
12U-8U |
|
|
|
|
2 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
20U |
BEDTIME
|
DAILY |
|
|
3 |
INJECTION FAST ASPART (INJ U100)
FIASP
Medicine For GLUCOSE CONTROL |
SQ |
4U-4U |
BEFORE EVENING SNACK
|
DAILY |
|
|
| |
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|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 07/Aug/2026 |
| 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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