Dr Lisa Smith
10 February 2014
Re: Mrs Priya Sharma, aged 60
I am referring Mrs Priya Sharma, whose blood sugar levels have been uncontrolled, for further assessment and appropriate management.
Mrs Sharma has been treating for non-insulin dependent diabetes mellitus since 1994, for which she was commenced on metformin five hundred milligrams one tablet mane and Glipizide five milligrams two tablets mane.
On 20 December 2013, Mrs Sharma was presented with the complaint of unstable blood sugars, for which on six to eighteen. Therefore, pathology reports were performed including HbA1c.The HbA1c showed that ten percent which remained in minimal control. Hence, metformin dose had doubled since 12 January. After a fortnight, her blood sugar levels were improved.
On review of today, Mrs Sharma revealed that not only the fasting blood sugar but other sugar reports are also in a higher range such as above sixteen and seven to eight respectively.
Mrs Sharma has a positive family history of type two diabetes. Also she has had high blood pressure and hyperlipidemia, for which she currently takes candesartan four milligrams and atorvastatin twenty milligrams in the morning respectively. However, both responded well to the medications. Although she has no adhere to the any physical exercise, the body mass index has been managed along with a steady body weight,
Based on the above- mentioned circumstances, necessary investigations and treatment regime would be extremely beneficial to manage Mrs Sharma’s unstable blood sugar values.
If any additional information is required, please do not hesitate to contact me.