|
|
| MRD / Regn No. |
: THBC\23-24\05967 |
Date |
: 31/12/2024 |
| Patient Name |
: Dinesh Gadiya |
Age & Gender |
: 44 Yrs. / Male |
| Contact No. |
: 7303263074 |
UHID |
: |
| Ht / Wt / BMI |
: 180.34 / 77.5 / 23.83 |
BP S / BP D |
: 122 / 76 |
| Allergies |
: NONE |
Referred By |
: |
| |
|
| Problem
List |
: |
T2DM (31/Dec/2014) | HYPOTHYROIDISM (31/Dec/2014) | DYSLIPIDEMIA (31/Dec/2021) | |
|
Subjective |
: |
T2DM/ HYPOTHYROIDISM SINCE 2014,DYSLIPIDEMIA SINCE 2021,TAKING THY MEDS CORRECTLY,PERSONAL STRESS SINCE 1.5 YRS - SUGARS INCREASED,LAST NORMAL HBA1C 1.5 YRS AGO / LAST HBA1C 8.2% 6 MTHS AGO,WAS SUPPOSED TO TAKE 112 AND 125 A/D - TOOK 125/12.5 AD BY MISTAKE,FORXIGA - DID NOT TOLERATE |
|
Objective |
: |
29-DEC-2024 REPORTS,HB-13.8/ HBA1C-9%,FBS-86,ALT-24/ AST-24,CR-0.84,EGFR-111.64,URIC ACID-2.3/ CA-9.4,P-4.1,NA-142/ K-4.3/ CL-107,TC-146/ TG-88/ LDL-98.4/ HDL-30,VITB12-317/ VITD-32.5,T3-88.2/ T4-7.2/ TSH-21.1455 |
|
Plan |
: |
125 MCG DAILY X 30 DAYS AND THEN 112 / 125 A/D,FBS / ABF - W1 / FBS / AL - W2 / FBS / AD - W3,IF SUGARS STILL HIGH AFTER 30 DAYS - THEN INCREASE MEDS |
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|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
ZORYL MV2 |
ORAL |
1-0-1 |
BBF / BD
|
3 MNTHS |
|
|
2 |
FENOLIP 145 MG |
ORAL |
0-0-1 |
AD
|
3 MTHS |
|
|
3 |
VIBACT DS |
ORAL |
0-1-0 |
AL
|
3 MTHS |
|
|
4 |
TABLET VILDAGLIPTIN 50 MG
GALVUS 50 MG |
PO |
1-0-1 |
BBF / BD
|
4 MTHS |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: IF LOW SUGARS (<70 MG/DL),TAKE 1 TBSP(15GMS) GLUCOSE POWDER. CHECK AGAIN AFTER 15 MINS IF >100 CAN GIVE A PROTEIN MEAL |
| Next Visit |
: 31/Mar/2025 |
| Tests Suggested For Next Visit |
: FBS / PPBS / HBA1C / URINE FOR MICROALB:CREAT RATIO > 3 MTHS,EYE DOCTOR - RETINA TEST FOR DIABETIC RETINOPATHY |
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