DAR

Annual Diabetes Review: Patient Information: John Smith, DOB: 01/01/1960, Medical Record Number: 12345 Date of Review: 01 November 2024 Reason for Visit: Annual review of diabetes management. Medical History: Type 2 diabetes diagnosed 10 years ago. No other significant medical conditions. Medications: Metformin 1000mg twice daily, Lisinopril 10mg daily. Allergies: No known allergies. Lifestyle and Self-Management: Patient reports a balanced diet, exercises 3 times a week, non-smoker, drinks alcohol occasionally. Physical Examination: Weight: 80kg, Height: 1.75m, BMI: 26.1, Blood Pressure: 130/80 mmHg. Laboratory Results: HbA1c: 7.2%, Fasting Blood Glucose: 140 mg/dL, Lipid Profile: within normal limits, Kidney Function Tests: normal. Complications: No current diabetes-related complications. Foot Examination: Normal skin condition, no ulcers. Eye Examination: No signs of retinopathy. Management Plan: Continue current medications. Encourage patient to maintain current lifestyle. Review HbA1c in 3 months. Refer to dietician for dietary advice. Patient Education: Provided education on importance of regular blood glucose monitoring and healthy eating. Follow-Up: Review in 3 months. Next HbA1c in 3 months.