|
|
| MRD / Regn No. |
: SCDC/00242 |
Date |
: 11/07/2026 |
| Patient Name |
: VAIBHAVI NISARGE |
Age & Gender |
: 15 Yrs. / Female |
| Contact No. |
: 7020986056 |
UHID |
: U 1264 C B |
| Ht / Wt / BMI |
: 149 / 39.4 / 17.75 |
BP S / BP D |
: 96 / 68 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (11/Jan/2015) | |
|
Subjective |
: |
NO BALANCED MEAL,MC IRREGULAR,NO EXCERSISE,7 SUGAR DONE,FASTING , POST B HIGH,PRE UP DOWN,7 SUGAR CHECKED |
|
Objective |
: |
HELPLINE USE VER RARE,SAME DOSE |
|
Analysis |
: |
GIVEN FRESH MEAL PLAN AND SMBG PATTERN 3+7 |
|
Plan |
: |
SELF MOTIVATION,BALANCED MEAL PLAN |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION ASPART (INJ U100)
NOVORAPID (INJ)
Medicine For DIABETES |
SQ |
8U-6U-8U-6U-10U |
BEFORE EVERY MEAL
|
DAILY |
| INSULIN MAY CAUSE HYPOGLYCEMIA | |
|
2 |
INJECTION DEGLUDEC (INJ U100)
TRESIBA
Medicine For DIABETES |
SQ |
22U |
BEDTIME
|
DAILY |
| MAY CAUSE HYPOGLYCEMIA | |
|
3 |
TABLET THYROXINE 75 MCG
THYRONORM 75 MCG |
|
1 |
EMPTY STOMACH
|
DAILY |
| MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR BREAKFAST MUST BE TAKEN ONLY AFTER 30 MINUTES. OTHER DRUGS CAN INTERFERE WITH THE ABSORPTION OF THYROXINE | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: EXPLAINED BASIC CARE |
| Next Visit |
: 14/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
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| |
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