|
|
| MRD / Regn No. |
: SCDC/00073 |
Date |
: 22/06/2026 |
| Patient Name |
: SHRUTI GORE |
Age & Gender |
: 14 Yrs. / Female |
| Contact No. |
: 9764618161 |
UHID |
: U 1893 B |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 1 DM (23/Oct/2021) | |
|
Subjective |
: |
NO BALANCED MEAL,NO CARB COUNTING,NO 7 SUGAR CHECK,EXPLAINED FIX MEAL PLAN,ALL PRE HIGH,SKIP APIDRA,HIGH CARB
|
|
Objective |
: |
ALL PRE SUGARS HIGH,EXPLAINED UDAAN APP,DOSE ADJ. |
|
Analysis |
: |
GIVEN MEAL PLAN AND SMBG PATTERN |
|
Plan |
: |
3+7 PATTERN AND BALANCED MEAL PLAN |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
22U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION GLULISINE (INJ U100)
APIDRA
Medicine For T1DM T2DM |
SQ |
6U-4U |
|
DAILY |
| EXPLAINED | |
|
3 |
LUPINSULIN R |
|
8U-8U |
|
|
|
|
4 |
EUTHYROX 50 MCG |
|
1-0-0 |
BEFORE BREAKFAST
|
|
|
|
| |
|
|
|
| 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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