|
|
| MRD / Regn No. |
: SCDC/00079 |
Date |
: 14/07/2026 |
| Patient Name |
: SAIF IRFAN SHAIKH |
Age & Gender |
: 6 Yrs. / Male |
| Contact No. |
: 9765507790 |
UHID |
: U 1705 B |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (25/Sep/2021) | |
|
Subjective |
: |
TIME NOT FIXED,BSL UP DOWN,DOING BETTER THAN BEFORE,ALL SUGARS ABOVE 300
|
|
Objective |
: |
NO BALANCED DIET,BSL UP DOWN,ALL SUGAR LEVELS ABOVE 200 |
|
Analysis |
: |
ASKED TO CALL ON HELPLINE FOR DOSE ADJUSTMENT,AT LEAST 2 HRS GAP BETWEEN TWO MEALS |
|
Plan |
: |
GIVEN FRESH MEAL PLAN AND SMBG PATTERN |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
GLARGINE (INJ U100)
BASAGLAR |
|
11U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION GLULISINE (INJ U100)
APIDRA
Medicine For T1DM T2DM |
SQ |
2U-2U-1U-2U |
|
DAILY |
| EXPLAINED | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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