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Explain what doctor said in this

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"Diabetes Mellitus"[MeSH Terms] AND "Patient Care Management"[MeSH Terms]

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American Diabetes Association Standards of Care 2026 diabetes routine follow up monitoring blood pressure kidney tests

The note is difficult to read, so please do not change or start any medicine based only on this interpretation. Ask the clinic or pharmacist to confirm the drug names and doses.
What I can make out:
  • Patient appears to be around 50 years old.
  • Diabetes mellitus (DM) for about 15 years is written.
  • The doctor has listed diabetes medicines, but the handwriting is not fully clear. They may include:
    • Something like Glycomet / Glizid 7.5 - dose unclear
    • Amaryl M - appears to be 1-0-1, meaning one tablet morning and one tablet evening, but this must be confirmed.
  • Symptoms mentioned seem to include:
    • Sedentary lifestyle
    • Pain in the lower back
    • Fatigue
    • Possibly “no ...” for another symptom, but I cannot read the rest reliably.
Examination findings
  • Weight: 75.5 kg
  • Pulse: 86/min, likely regular
  • BP: 100/60 mmHg
  • No edema: no visible swelling from fluid retention, usually in the feet/legs.
  • One line seems to refer to checking the calves / peripheral circulation, but it is not readable enough to be certain.
Tests / plan
  • The last part may mention an ultrasound (USG) and a result or instruction related to it, but the exact words are unclear.
  • There may also be a note about blood sugar control, but I cannot safely determine whether it says controlled or uncontrolled.
In plain language, this looks like a routine diabetes follow-up: the doctor recorded longstanding diabetes, current diabetes tablets, back pain/fatigue, weight, pulse, blood pressure, and absence of leg swelling. Diabetes follow-up commonly includes blood-pressure and kidney-risk monitoring, as reflected in current ADA diabetes standards.
For an accurate medication explanation, send a close, sharply focused photo of the top medicine lines and the bottom plan/test lines, taken straight from above in good daylight.
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