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Describe it
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This is a handwritten medical prescription written in blue ink on white paper. The image is tilted sideways. Here is a full breakdown:
Diagnosis / Patient Info (Top)
- Dx: PM (Conculade / Uncontrolled?) - likely refers to poorly controlled diabetes
- HbA1C: 15.7 - a critically high glycated hemoglobin level (normal < 5.7%; diabetic target < 7%), indicating very poor long-term blood sugar control
- Is Labile - blood sugar is unstable/fluctuating
Medications Prescribed (Numbered 1-5)
| # | Drug | Dose / Details | Timing |
|---|---|---|---|
| 1 | T. Glycomet GP 1/2 (Metformin + Glipizide) | OD (once daily) | 10 AM |
| 2 | T. Istavel M [50/1000] (Sitagliptin + Metformin) | BD (twice daily) | Before 2 PM & before 8 PM |
| 3 | Inj. Lantus 14 U (Insulin Glargine, 14 units) | S/C (subcutaneous injection) | 10 PM |
| 4 | T. Glimisave M [2/500] (Glimepiride + Metformin) | OD, before breakfast | 7 AM |
| 5 | T. Dielo / Potassium | 1 TS TBS | - |
Summary
This is a Type 2 Diabetes Mellitus prescription with a very intensive, multi-drug regimen including:
- Two oral anti-diabetic combinations (Metformin-based)
- A DPP-4 inhibitor (Sitagliptin)
- Long-acting basal insulin (Lantus/Glargine) at night
- A possible potassium supplement (item 5), often prescribed alongside insulin therapy since insulin can lower serum potassium
The high HbA1C of 15.7% explains the aggressive treatment approach with multiple agents.
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