|
|
| MRD / Regn No. |
: SCDC/00374 |
Date |
: 19/06/2026 |
| Patient Name |
: KADAMBARI DONGRE |
Age & Gender |
: 14 Yrs. / Female |
| Contact No. |
: 9527274783 |
UHID |
: U 1903 B |
| Ht / Wt / BMI |
: 164 / 60 / 22.31 |
BP S / BP D |
: 102 / 72 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (04/Jan/2023) | |
|
Subjective |
: |
3+7 CHECKINGPATTERN,BSL UP DOWN,DOING BETTER THAN BEFORE,TAKE CORRECTION DOSE AS SUGAR GOES HIGH,MORE FIBERS
|
|
Objective |
: |
DIET BALANCED,DOING WELL |
|
Analysis |
: |
3+7 SMBG PATTERN |
|
Plan |
: |
GIVEN GRID FOR DOSE ADJUSTMENT |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
26U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION FAST ASPART (INJ U100)
FIASP
Medicine For GLUCOSE CONTROL |
SQ |
8U-6U |
BEFORE EVENING SNACK,BL
|
DAILY |
|
|
3 |
LUPINSULIN R |
|
6U-10U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 21/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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