<span style="font-size:75"><span style="color:blue">They can live off the fat in there tails. Do you know what kind they are?</span></span><br><br> :shock:
I had the pleasure of reviewing ___ today. <br><br>ENDOCRINE PROBLEMS<br>1. Diabetes mellitus.<br>2. Overweight.<br>3. Still smoking.<br>4. Borderline hypertension.<br>5. Hyperlipidemia.<br><br>CURRENT TREATMENT<br>1. (___) (___) and (before dinner).<br>2. Prodiphane 24 units morning, 24 units with dinner.<br><br>___'s diabetic control is still not optimal. Her HBO1C reflects this at 8.6% once again. Her blood glucose monitoring is very, very poor. She is measuring only when she feels unwell. Her life has been extremely stressful, once again. This time not just related to mother-in-law issues, but she has also had issues with her children. One daughter has been diagnosed as being deaf, and has had to get a hearing aid. Her son had a terrible accident falling through a window. Hypos of course have been at a minimum. She has had no problems with her injections. Her white, she thinks, is stable. She tells me she is managing to adhere to her medication.<br><br>DIABETIC COMPLICATIONS: Her annual review is not til ___. Her creatinine is 81, her EG (___) is 73. She has not had her eye review; she had to cancel the appointment due to all the stresses as above. That assures she will make an appointment soon. (___). She has had no problems. Her LDL is much better at 1.74, previously being over 2. She says she has changed her fat intake and I guess the Lipitor is the other factor in this. Her triglycerides are 1.4, which is satisfactory. Her blood pressure, which she said she has not gone to you for any check ups for some time, was (___*s/l 155/170) today, and I have expressed my concern about this, and said that she either needs to get regular check-ups with you or buy a (home's figular) monitor. <br><br>Also, as an (aside) ___ is about to lose her healthcare card. She is going to go back to work soon, and she is going to try to work during school hours. Unfortunately, she is still smoking.<br><br>ASSESSMENT: ___ obviously needs better glucose control. This type of stresses I think it is time to increase her (___) and I have asked her to increase her morning prodiphane to 28 units, and then further, as much as we can push it until there may be 1 or 2 (___) hypos a week. She needs to get her blood pressure well controlled, and (a diabetic) we should aim for a blood pressure of less than 130/80. I have given her a referral for an eye specialist ___.<br><br>FOLLOWUP PLAN: I would like to see ___ for annual diabetic (control).<br><br><br>.....Don't ask... lol
"war cry" presas canarios, aryan molossus, and cao.
Pete Wentz (whatever), Vivica A. Fox (hot) and Cassadee (who?). <br><br><br>o.O<br><br>reina why is that like something I would have copied and pasted.
<span style="font-size:75"><span style="color:#ff00d2">Your ink message could not be delivered to all recipients.<br><br>xDD</span></span>
<br>OMG XD THAT WAS TO ME :O<br><br>Please enter your Library Card # and PIN.<br><br>I'm unsuccessfully trying to login to my public library site. >.> But idk how that got copied. o.o
Comments
10.10.10 10:10 pm
m y . p h o t o b u c k e t . a c c o u n t
<br>it's a good song. ^^<br>not too great of a banner though. >.>
love&&lifegaurds , mondy♥; .
Check out my new rescue program, soon to be up and ready!
Thanks for the lovely banner, Nickel
love&&lifegaurds , mondy♥; .
love&&lifegaurds , mondy♥; .
Check out my new rescue program, soon to be up and ready!
love&&lifegaurds , mondy♥; .
love&&lifegaurds , mondy♥; .