                                                                                                            Vijay Diabetes, Thyroid & Endocrine Clinic
Dr. S. Vijaya Bhaskar Reddy
                                                                                                                              Together We Can
MD (Medicine), DM (Endocrinology)
Tamil Nadu Medical Council Reg. No. 63076                                                                 12, First Cross, Saradambal Nagar,
 Senior Consultant Diabetologist & Endocrinologist                                                        Puducherry - 605 005.
Specialist in Diabetes, Thyroid & Hormonal Disorders                                                      Call : 88709 24755
Email: svbreddy1976@gmail.com                                                                             9 am - 12 noon, 4 pm - 7 pm



    Patient Name : S.SUGUNA                                                            Weight       : 54 Kg                                        Date: 12-05-2023

     HR No                     35292
                                                                                       Height       : 154 Cm
     Age                      58 years                                                                    22.77                      ..
                                                                                       BM
      Sex                   : Female                                                   BP            : 126/74 mmHg


     Diagnosis                           Type 2 Diabetes mellitus - 5 years
                                       Fair glycemic control on OHAs
                                       No hypos
                                       Poor appetite
                                       Dyslipidemia
                                       Depression, Insomnia
                                       Neuropathy
                                       Numbness of hands
                                       Rt foot pain
                                       Left hip pain

   Investigation                       : FBS 103 PPBS 148 HbA1c 7.6% Hb 10.6


    Rx
   1. Diet                         : Diabetic diet - 1,800 Kcal/day, 3 meals, 3 snacks
                                     Take meals on time
                                     Take midmorning snack
                                     Avoid sweets, sugars, oily foods, fried foods, juices, cool drinks
   2. Physical activity : As tolerated
    3. Medicines


                                                                                                                  Morn       After                                        No. of
    S.No                                                Medicine                                                                          Night          Remarks
                                                                                                                   ing       noon                                          Days

               Tablet AMARYL 2 mg (Reduce by 1/2 tablet if low sugars                                                                                   30 mins
         1                                                                                                           1          -              1                         Till review
               occurs)                                                                                                                                  before food

                                                                                                                                                         30 mins
         2     Tablet VILDAPRIDE 50 mg (Vildagliptin)                                                                1                         1                         Till review
                                                                                                                                 -                      before food

         3    Tablet ROCROS 10                                                                                      -           -              1         After food      Till review


         4    Tablet NEXITO FORTE                                                                                   -           -              1         After food      Till review


      5       Capsule PEVESCA PLUS                                                                                  -           -              1         After food      Till review



 4. Other advice                 : Hypoglycemic precautions advised
                                  Avoid Metformin as loss of appetitie
                                  Foot care advice given
 5. Next review                  : 3 months
 i. Test needed                  : FBS, PPBS, HbA1c, CBC                                                                                   Dr. S. Vijaya Bhaskar Reddy


                                                                                                           Dr.S. Vijaya Bhaskar Reddy
                                                                                                                           MD, DM (Endocrinology)
                                                                                                                            TNMC Reg. No. 63076
                                                                                                                               Managing Director
                                                                                                                  Consultant in Diabetes & Endocrinology
                                                                                                                Vijay Diabetes, Thyroid & Endocrine Clinic
                                                                                                             12, 1st Cross, Saradambal Nagar, Puducherry-5.

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