|
|
| MRD / Regn No. |
: SCDC/00066 |
Date |
: 20/06/2026 |
| Patient Name |
: SUMAIRA KAYYUM PATHAN |
Age & Gender |
: 16 Yrs. / Female |
| Contact No. |
: 7499549420 |
UHID |
: U 1083 B |
| Ht / Wt / BMI |
: 156 / 54 / 22.19 |
BP S / BP D |
: 128 / 78 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 1 DM (22/Oct/2019) | |
|
Subjective |
: |
ALL SUGAR ABOVE THE RANGE,DISTRUB DUE TO FAMILY PROBLEEMS,SAME FEEDBACK,ALL BSL ABOVE 400,NO SELF CARE
|
|
Objective |
: |
GIVEN PRISCRTPTIVE MEAL PLAN FOR DOSE ADJUSTMENT,GIVEN FIX MEAL PLAN |
|
Analysis |
: |
3+7 PATTERN AND BALANCED MEAL |
|
Plan |
: |
WA POST WEEKLY |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
GLARGINE (INJ U100)
BASAGLAR |
|
24U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION GLULISINE (INJ U100)
APIDRA
Medicine For T1DM T2DM |
SQ |
8U |
|
DAILY |
| EXPLAINED | |
|
3 |
LUPINSULIN R |
|
10U-10U-10U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: EXPLAINED,BALANCED MEAL |
| Next Visit |
: 22/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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