|
|
| MRD / Regn No. |
: SCDC/00413 |
Date |
: 09/07/2026 |
| Patient Name |
: Priyanka DADASAHEB JADHAV |
Age & Gender |
: 12 Yrs. / Female |
| Contact No. |
: 9552402084 |
UHID |
: U 1084 B |
| Ht / Wt / BMI |
: 146 / 41.2 / 19.33 |
BP S / BP D |
: 126 / 76 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (23/Sep/2019) | |
|
Subjective |
: |
ALL SUGARS HIGH,EATS WHEAT ROTI,NO HYPO MANAGED,CAME AFTER 2 MONTHS (SUSPENDED),WRONG INSULIN TECHNIC,EATS WHEAT,SEVEAR HYPOS NOT RECHECKED,100 IU INSULIN BY 40 IU
|
|
Objective |
: |
GIVEN SCALE FOR DOSE ADJUSTMENT |
|
Analysis |
: |
GIVEN FRESH MEAL PLAN AND SMBG PATTERN 3+7 |
|
Plan |
: |
ASKED TO CHECK AND INFORM ON HELPLINE FOR DOSE ADJUSTMENT |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
GLARGINE (INJ U100)
BASAGLAR |
|
12U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION GLULISINE (INJ U100)
APIDRA
Medicine For T1DM T2DM |
SQ |
6U-4U |
|
DAILY |
| EXPLAINED | |
|
3 |
LUPINSULIN R |
|
6U-6U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: EXPLAINED |
| Next Visit |
: 06/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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