04-01-2025
This is an Online E Log Book to discuss our patient's de-identified health data shared after taking her signed informed consent. Here we discuss our patient's problems through series of inputs fromavailable global online community experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.
Caretaker -
05-01-2025
Caretaker -
Caretaker - Good evening sir. The above medicines are taken by the patient.
Morning one and night one.
PPM 1 - Stop this tablet Strocit plus.
Is she not taking the Ecosprin AV tablet shown in the discharge summary @PA?
PA - Will ask her.
PPM 1 - Yes, also her IP number so that I can collect the editable discharge summary fro our EMR.
PA - Okay doctor.
Caretaker - Good morning sir. These are the food plates consumed by the patient.
Morning raagi java, afternoon rice with dal and rasam, evening millet gatka (bajra)
Caretaker - The patient's current condition is stable and the urine bag is being replaced every 10 days.
PPM 1 - 👍
Caretaker - Patient with the caretaker.
PPM 1 - Congratulations to the caretaker and patient for such a good outcome 👏👏👏
PPM 1 - The above tablets Strocit Plus can be stopped. 👆
PPM 1 - 👆This can continue but please share her fasting and two hour post meal blood glucose values on any convenient day.
Caretaker - Sure sir.
Any replacement for this medicine sir?
PPM 1 - Not necessary.
Caretaker - Okay sir.
Sir, Should we continue taking the Ecosprin tablet?
PPM 1 - Yes ecosprin AV 75/10 to continue once daily.
Caretaker - K thank you sir.
Caretaker - Post meal Blood sugar 192mg/dl.
Corresponding Urine Sugar is 0.5%
PPM 1 - What diabetes tablet was taken before that?
Caretaker - Metformin 500mg Glyciphage
10-01-2025
PPM 1 - Is she only on one tablet once a day?
Caretaker - 2 tablets. Morning 1 and night 1.
PPM 1 - We also need to know her fasting, and two hours after breakfast, lunch and dinner once a week.
Caretaker - We will do our best, sir. There is a patient in the village, but there isn’t even an RMP available here. The RMP has to come from another village, so fasting blood sugar levels cannot be obtained. However, we will send the post-meal levels. We will try our best, sir.
PA - I guess you can buy a glucometer.
Caretaker - Ok mam.. Next week onwards we will send the readings mam.
PPM 1 - 👍
Yes if you have a glucometer and BP instrument you don't need the RMP.
Every home can have one RMP aided by this minimum tech.
Caretaker - Okay, sir, we will send the glucometer reading through a photo.
23-01-2025
Caretaker - Good evening sir. Post meal sugar level is 133mg/dl.
PPM 1 - 👍
06-02-2025
Caretaker - Post lunch sugar level is 188mg/dl
PPM 1 - 👍
22-02-2025
PA - Good afternoon sir.
Today post meal blood sugar level is 162mg/dl
PPM 1 - 👍
Two hours post meal?
PA - Yes sir.
[08-03-2025 14:15] PA: Good afternoon sir/mam
[08-03-2025 14:15] PA: Yesterday two hours post meal reports.
[08-03-2025 14:48] PA: K sir
[08-04-2025 09:42] PA: Good morning Sir/mam
[08-04-2025 09:43] PA: Yesterday 2hours post meal report, 229mg/dl
[08-04-2025 10:06] PPM 1: What was the meal? What medication was given before that?
[08-04-2025 10:10] PA: Dal and rice. GLYCIPHAGE. Metformin 500mg
[08-04-2025 10:13] PA: Above one was given sir.
[08-04-2025 10:32] PA: Glyciphage Metformin 500 tablets
[08-04-2025 10:45] PA: Yes mam
[08-04-2025 14:37] PPM 1: She's only on metformin for her diabetes?
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