|
|
| MRD / Regn No. |
: SCDC/00141 |
Date |
: 18/07/2026 |
| Patient Name |
: SARIKA CHOPDE |
Age & Gender |
: 25 Yrs. / Female |
| Contact No. |
: 9860092035 |
UHID |
: U 1107 C I |
| Ht / Wt / BMI |
: 154 / 33.8 / 14.25 |
BP S / BP D |
: 92 / 52 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (25/Jan/2011) | |
|
Subjective |
: |
NO 7 SUGAR CHECK,PRE DINNER HIGH,SUGARS UP DOWN |
|
Objective |
: |
TIMING DISTURBED,GIVEN UDAAN APP FOR DOSE ADJ |
|
Analysis |
: |
OPTIONS FOR PROTEIN AND SALAD,GIVEN MEAL PLAN AND SMBG PATTERN |
|
Plan |
: |
ASKED TO MONITOR AND WEEKLY FOLLOWUP ON HELPLINE |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
GLARGINE (INJ U100)
BASAGLAR |
|
20U |
BEDTIME
|
DAILY |
|
|
2 |
INSUGEN R |
|
7U-4U-4U |
BBF,BL,BD
|
DAILY |
|
|
3 |
INJECTION FAST ASPART (INJ U100)
FIASP
Medicine For GLUCOSE CONTROL |
SQ |
4U |
BEFORE EVENING SNACK
|
DAILY |
|
|
4 |
TAB.EUTHYROX 25 MCG |
|
01 |
EMPTY STOMACH
|
DAILY |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 19/Sep/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
|
