|
|
| MRD / Regn No. |
: SCDC/00486 |
Date |
: 03/07/2026 |
| Patient Name |
: SWARALI SANTOSH VAIRALKAR |
Age & Gender |
: 12 Yrs. / Female |
| Contact No. |
: 9356140850 |
UHID |
: U 1707 B C |
| Ht / Wt / BMI |
: 145 / 36.15 / 17.19 |
BP S / BP D |
: 102 / 62 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (02/Sep/2021) | |
|
Subjective |
: |
SAME DOSE,ALL SUGAR ABOVE THE RANGE,PROTIN INTAKE LESS,MOTIVATED TO DO BETTER,NO 7 SUGAR CHECK,GIVEN SMALL TIPS
|
|
Objective |
: |
3+7 SMBG PATTERN,PROTIN LOW,1ST WARNING,2ND WARNING |
|
Analysis |
: |
SMBG NOT AS PER PATTERN |
|
Plan |
: |
3+7 SMBG PATTERN,BALANCE MEAL PLAN |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION ASPART (INJ U100)
NOVORAPID (INJ)
Medicine For DIABETES |
SQ |
7U-8U-8U-7U |
BEFORE EVERY MEAL
|
DAILY |
| INSULIN MAY CAUSE HYPOGLYCEMIA | |
|
2 |
INJECTION DEGLUDEC (INJ U100)
TRESIBA
Medicine For DIABETES |
SQ |
18U |
BEDTIME
|
DAILY |
| MAY CAUSE HYPOGLYCEMIA | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 05/Sep/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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