|
|
| MRD / Regn No. |
: SCDC/00127 |
Date |
: 17/07/2026 |
| Patient Name |
: GAURI DIVE |
Age & Gender |
: 18 Yrs. / Female |
| Contact No. |
: 8446375781 |
UHID |
: U 1130 B C |
| Ht / Wt / BMI |
: 158 / 41.5 / 16.62 |
BP S / BP D |
: 124 / 82 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (13/Mar/2020) | |
|
Subjective |
: |
LAST 15 DAYS NOT WELL,SUGARS UP DOWN,DO NOT COUNT CARB OF DAL
|
|
Objective |
: |
FIBER INTAKE IS LOW,DOING GOOD |
|
Analysis |
: |
ASKED TO CALL ON HELPLINE FOR DOSE ADJUSTMENT |
|
Plan |
: |
3+7 SMBG PATTERN |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION DEGLUDEC (INJ U100)
TRESIBA
Medicine For DIABETES |
SQ |
16U |
BEDTIME
|
DAILY |
| MAY CAUSE HYPOGLYCEMIA | |
|
2 |
INJECTION ASPART (INJ U100)
NOVORAPID (INJ)
Medicine For DIABETES |
SQ |
6U-6U-4U-6U |
BEFORE EVERY MEAL
|
DAILY |
| INSULIN MAY CAUSE HYPOGLYCEMIA | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: CARB COUNTING |
| Next Visit |
: 18/Sep/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
Powered By:  |