|
|
| MRD / Regn No. |
: SCDC/00103 |
Date |
: 12/06/2026 |
| Patient Name |
: BHAGYASHREE SHIRSAT |
Age & Gender |
: 19 Yrs. / Female |
| Contact No. |
: 7030877073 |
UHID |
: U 1288 C B |
| Ht / Wt / BMI |
: 151 / 47.2 / 20.70 |
BP S / BP D |
: 108 / 68 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (25/Sep/2015) | |
|
Subjective |
: |
NO HYPO MANAGEMENT,NO FIXED MEAL TIME,DIET NOT BALANCED,POST LOW,FASTING UP DOWN,PRE HIGH,DIET OK |
|
Objective |
: |
DIET -PROTEIN AND FIBRE LESS,LESS PROTIN INTAKE,PRE HIGH POST LOW |
|
Analysis |
: |
ASKED TO CALL ON HELPLINE FOR DOSE ADJUSTMENT |
|
Plan |
: |
EXPLAINED DIET AND MONITORING PATTERN,USING GRID FOR DOSE ADJUSTMENT |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION ASPART (INJ U100)
NOVORAPID (INJ)
Medicine For DIABETES |
SQ |
7U-7U-3U-7U |
BEFORE EVERY MEAL
|
DAILY |
| INSULIN MAY CAUSE HYPOGLYCEMIA | |
|
2 |
INJECTION DEGLUDEC (INJ U100)
TRESIBA
Medicine For DIABETES |
SQ |
20U |
BEDTIME
|
DAILY |
| MAY CAUSE HYPOGLYCEMIA | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: DOSE ADJUSTMENT |
| Next Visit |
: 16/Jul/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
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