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| MRD / Regn No. |
: SCDC/00803 |
Date |
: 14/07/2026 |
| Patient Name |
: TANVI GUJAR |
Age & Gender |
: 10 Yrs. / Female |
| Contact No. |
: 8668745767 |
UHID |
: U 1954 R |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NO |
Referred By |
: |
| |
|
|
Subjective |
: |
BSL VERY UP DOWN,NO DOSE ADJUSTED,7 SUGAR NOT PROPERLY DONE,CAME AFTE 45 DAYS,LATE FOR STOCK,BSL UP DOWN |
|
Objective |
: |
3+7 SMBG PATTERN,USE CALCULATOR,EXPLAIN CARB COUNTING |
|
Analysis |
: |
3+7 PATTERN AND BALANCED MEAL |
|
Plan |
: |
ASK TO CALL AND WA READINGS FOR DOSE ADJ. |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
6U |
BEDTIME
|
DAILY |
|
|
2 |
INJECTION FAST ASPART (INJ U100)
FIASP
Medicine For GLUCOSE CONTROL |
SQ |
4U-3U-3U-4U |
BEFORE EVENING SNACK
|
DAILY |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: |
| Tests Suggested For Next Visit |
: |
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