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diabetis mellitus
1.
2. PATIENT DEMOGRAPHIC
DETAILS:
Name: XYZ DOA: 26/03/2013
Age : 62yr Unit : A (Med)
Sex : Female
Complaints on Admission:
C/O: Polyuria, Polydipsia, Polyphagia and
generalized tiredness, malaise and
constipation.
6. Objective:
• Lab data:
RBS : 489 mg% (180 to 210 mg%)
HbA1C: 14.0%(4.5-5.6%)
BP: 160/100 mm Hg(120/80)
Specific gravity: 1.045 (1.001-1.035)
Hb: 11.9 gm%
7. Assessment:
From the subjective and objective evidence it is confirmed
that the patient is suffering from HYPERTENSION /
UNCONTROLLED DM / PEROPHERAL NEUROPATHY
9. Assessment of previous therapy: NS
Assessment of current therapy
DRUGS DOSE ROUTE FREQ
UENC
Y
DAY-1 2 3 4
T.ENVAS 5Mg PO O.D + + + +
T.GANATON 50Mg PO B.I.D + + + +
T.METHYLCOBALAMINE 1500Mg PO T.I.D + + + +
INJ.H.INSULATARD 10 UNITS I.V B.I.D + + + +
SYP.CREMAFFIN 1TSP PO T.I.D + + + +
X-MET 500Mg PO H.S + + + +
INJ.H.ACTRAPID 8 UNITS I.V B.I.D + + + +
10. Progress Chart:
• Day 1: No fresh compliant, B.P: 120/80 mm Hg,
Hb: 11.7gm%
• Day 2 : No fresh compliant, B.P: 130/70 mm Hg,
• Day 3 : B.P: 120/80 mm Hg
13. Patient Counseling:
• Cut down on sugar and sugary foods. Use sugar free, low
sugar.
• Eat regular meals choose high fibre varieties of food: whole
meal bread, cereals.
• Try to cut down on fat particularly saturated fats.
• Try to eat at least five portion of fruits every day.
• Avoid fruits like Mango, Banana, Jack fruits.
• Exercise reduces cardiovascular mortality, improves functional
capacity, and thus is an important lifestyle modification.
• Alcohol and Smoking cessation.