Diabetes Clinic Review Summary - Sharwood

Full review documented in Diabetes Outpatient Powerform Summary: Amelia Sharwood, 12 Attended with mother. Diagnosis history: - T1DM for 5 years; diagnosed age 7 - Coeliac disease: Resolved - Thyroid disease: Nil Anthropometry: - Height: 152 cm - Weight: 50 kg - Blood pressure: 110/70 mmHg Current management: - Multiple daily injections (MDI) with Novorapid and Levemir - Total daily dose: 30 units; 0.6 units/kg/day - Basal insulin: 12 units (40%) - HbA1c: 7.2 % - Time in range: 65 % - Glucose monitoring method: Flash glucose monitoring - Other relevant medications or interventions: Vitamin D supplementation Progress: Amelia has shown good progress in managing her diabetes over the past three months. Her HbA1c has improved slightly, and she is now spending more time in range. She reports feeling more confident in managing her insulin doses and carbohydrate counting. There have been no recent episodes of severe hypoglycaemia or diabetic ketoacidosis. She is attending school regularly and participating in sports. Pump disconnection plan: - Levemir 12 units BD - Novorapid 1 unit : 10 g - Insulin sensitivity factor (ISF): 50 Plan: 1. Continue current insulin regimen. 2. Review HbA1c in 3 months. 3. Continue with flash glucose monitoring. 4. Reinforce carbohydrate counting and insulin dose adjustment skills. 5. Refer to dietitian for further education on healthy eating. 6. Schedule follow-up appointment in 3 months. "Heidi Medical AI Scribe used with patient/guardian consent during the consultation to assist in the preparation of this record. This record/document has been reviewed and finalised by the author."