|
|
| MRD / Regn No. |
: SCDC/00489 |
Date |
: 27/06/2026 |
| Patient Name |
: IMRAN RAFIK SHAIKH |
Age & Gender |
: 18 Yrs. / Male |
| Contact No. |
: 9822976199 |
UHID |
: U 1696 B |
| Ht / Wt / BMI |
: 162 / 54.5 / 20.77 |
BP S / BP D |
: 124 / 66 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (25/Aug/2021) | |
|
Subjective |
: |
BSL ABOVE THE RANGE,GIVEN BALANCED MEAL PLAN,ALL SUGAR HIGH,PEN NEEDLE ATTACHED WITH PEN,RANDON CHECK,SAME FEEDBACK |
|
Objective |
: |
MEALS NOT FIXED,DIET NOT BALANCED,FASTING AND PRE MEAL HIGH,CARB HIGH PROTIN FIBER LOW |
|
Analysis |
: |
LOW PROTEIN |
|
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 |
18U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION FAST ASPART (INJ U100)
FIASP
Medicine For GLUCOSE CONTROL |
SQ |
6U |
BEFORE EVERY MEAL
|
DAILY |
|
|
3 |
LUPINSULIN R |
|
8U-8U-8U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 29/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
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| |
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