Amir Khan
Age: 51 years old male
Doctor
Patient’s Data
Patient’s name: Amir Khan
Age: 51-years-old male
Past medical history
- Asthma
- Hypertension
- Type 2 Diabetes
Drug history/Repeat template
- Salbutamol PRN
- Ramipril 5mg OD
- Metformin 1g BD
- Pioglitazone 45mg OD
Recent consultation
Seen by Alice Gorman (Diabetic Nurse specialist access role) 3 Months ago
Hba1c-81, BMI – 37
Uncontrolled diabetes with Hba1c rising despite Pioglitazone and metformin at maximum dose
Plan: For Insulin injection, patient educated on Insulin, Libre device given for glucose monitoring. Review in 3 months’ time with repeat Hba1c. Advised to book with podiatrist for foot check.
Seen by Rose Armitage (Other health care professional access role) yesterday.
Bloods taken for diabetes check, BMI 37, BP 137/88
| Test | Result | Reference Range |
|---|---|---|
| Sodium (Na⁺) | 140 mmol/L | 135–145 mmol/L |
| Potassium (K⁺) | 4.3 mmol/L | 3.5–5.0 mmol/L |
| Urea | 5.1 mmol/L | 2.5–7.8 mmol/L |
| Creatinine | 80 µmol/L | 60–110 µmol/L |
| eGFR | >90 mL/min | >90 mL/min |
| HbA1c (Current) | 83 mmol/mol | <42 mmol/mol (normal) |
| HbA1c (3 months ago) | 81 mmol/mol | — |
Note: Patient was sent a text and advised to book appointment with GP to discuss blood test results.