Seeking my way

This is an online E-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's consent. Here we discuss our individual patient's problems through a series of inputs from the available global online community of experts with the aim to solve those patients' clinical problems with the collective current best evidence-based input.  Visit the link below for initial case history: https://171mkfarhanelogcases.blogspot.com/2023/10/43f-patient-came-to-opd-with-co.html 05 November 2024 PaJR PHR Moderator: Reviewing her in OPD now Participant: Presenting complaints? PaJR PHR Moderator: Her EMR summary for your updated case report 👇 Age/Gender : 45 Years/Female Discharge Type: Relieved Admission Date: 21/10/2024 01:32 PM Diagnosis ACUTE PULMONARY PEDEMA SECONDARY TO CKD WITH DIABETIC NEPHROPATHY HEART FAILURE WITH PRESERVED EJECTION FRACTION(EF56%) WITH ANEMIA OF CHRONIC DISEASE K/C/O DM2 SINCE 15 YRS K/C/O HTN SINCE 10 YRS K/C/O HYPOTHYRO

  PATIENT DATA LOG OF NOVEMBER - 2024 01/11/24 Patient Advocate: 1.11.24 7.30am blood sugar 38 7.30am 1.5 teaspoon sugar  7.40am nuts  8.00am milk PaJR PHR Moderator: Stop all insulin Please share her blood sugars hourly Contact your nearest primary health centre to facilitate this hourly monitoring PaJR PHR Moderator: Any symptoms? What were the hypoglycemia symptoms that has ever been noticed by the parents in this child and what were her symptoms today? Getting admitted in a health centre facility will also enable verifying each glucometer blood sugar value with a corresponding blood sugar serum value for standard laboratory assessment Patient Advocate: Ok Sir No Sir PaJR PHR Moderator: Let me clarify the first line "asking to stop all insulin"  It's just a current advice and shall be changed and supplemented by afternoon or even earlier today, looking at her hourly blood sugar values if when the parent advocates share it here Patient Advocate: 9.45am blood 155 9.45am