|
|
| MRD / Regn No. |
: SCDC/00518 |
Date |
: 10/07/2026 |
| Patient Name |
: SWARAJ PRATAP WAKALE |
Age & Gender |
: 17 Yrs. / Male |
| Contact No. |
: 9923131922 |
UHID |
: U 1508 B |
| Ht / Wt / BMI |
: 179 / 72 / 22.47 |
BP S / BP D |
: 124 / 74 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (05/Apr/2020) | T1DM (05/Apr/2020) | |
|
Subjective |
: |
NO HYPO MANAGEMENT,NO SELF CARE,NO 7 SUGAR CHECKING,FASTING HIGH,DOING WELL,PROTIN FIBER LOW |
|
Objective |
: |
BSL UP DOWN,DIET NOT BALANCED,NO FIXED TIME |
|
Analysis |
: |
3+7 SMBG PATTERN,NO BALANCED MEAL |
|
Plan |
: |
GIVEN FRESH MEAL PLAN AND SMBG PATTERN,TARGET 80-180 |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION GLARGINE (INJ U100) BASAGLAR |
|
20U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION GLULISINE (INJ U100) APIDRA Medicine For T1DM T2DM |
SQ |
6U |
|
DAILY |
| EXPLAINED | |
|
3 |
LUPINSULIN R |
|
12U-12U-12U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: CARB COUNTING,EXPLAINED |
| Next Visit |
: 11/Sep/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
|