|
|
| MRD / Regn No. |
: SCDC/00390 |
Date |
: 10/07/2026 |
| Patient Name |
: NIZAM MAJID SAYYED |
Age & Gender |
: 11 Yrs. / Male |
| Contact No. |
: 9890461522 |
UHID |
: U 1739 B |
| Ht / Wt / BMI |
: 140 / 28.6 / 14.59 |
BP S / BP D |
: 104 / 64 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (07/Dec/2021) | |
|
Subjective |
: |
SUGAR FLUCTUATIONS,DIET NOT BALANCED,KETONS NOT CHECKED,CHECKING GOOD,FASTING HIGH,POST LOW,7 SUGAR CHECKED
|
|
Objective |
: |
3+7 CHECKING PATTERN,NOT BROUGHT ALL INSULIN DIARY AND DEVICESE |
|
Analysis |
: |
BASIC ROUTINE AND SMBG PATTERN |
|
Plan |
: |
INDUCTION PROG.,MOTIVATION AND HANDHOLDING |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
GLULISINE (INJ U100)
APIDRA |
SC |
3U |
BEFORE EVENING SNACK
|
DAILY |
| EXPLAINED | |
|
2 |
GLARGINE (INJ U100)
BASAGLAR |
|
10U |
BEDTIME
|
DAILY |
|
|
3 |
LUPINSULIN R |
|
4U-5U-3U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: BALANCED MEAL AND KETONES MANAGEMENT |
| Next Visit |
: 14/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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