Diabetes

Certainly, I've added more sentences that can be selected to add more detail to the SOAPnote template for a patient with poorly controlled diabetes:

```markdown
**#Patient with Poorly Controlled Diabetes**

**Patient Information**
- **Name:** [text name="patient_name" default="John Doe"]
- **Age:** [text name="patient_age" default="55"]
- **Gender:** [radio value="Male|Female|Other"]
- **Medical Record Number:** [text name="mrn" default="12345"]

**Diabetes Control Status**
- **Select the patient's diabetes control status:**
  - [select value="Well Controlled|Moderately Controlled|Poorly Controlled"]

**History of Present Illness (HPI)**
- The patient, [text name="patient_name"], a [text name="patient_age"]-year-old [radio value="male|female"] with a medical record number [text name="mrn"], presents with poorly controlled diabetes.
- The patient reports a recent increase in thirst, frequent urination, and unintentional weight loss over the past [text name="duration_symptoms"] weeks.
- Despite adhering to the prescribed diabetes regimen, the patient continues to experience elevated fasting blood glucose levels consistently exceeding [text name="fasting_glucose_target"] mg/dL.
- The patient denies any recent medication changes, noncompliance with medications, or known allergies to diabetes medications.
- There is no history of diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS).

**Assessment and Plan**
- **Clinical Impression:**
  - This is a [radio value="new|established"] patient with poorly controlled diabetes.
  - HbA1c: [text name="hba1c" default="10.5"]%, indicating poor control.
  - Urinalysis reveals glycosuria and ketonuria.
  - No evidence of diabetic retinopathy on fundoscopy.
  - Ankle-brachial index (ABI) is within normal limits, ruling out peripheral arterial disease.
  - [select value="Additionally, the patient complains of|Furthermore, there are complaints of|In addition, the patient reports"] diabetic neuropathy with [select value="symptoms of numbness and tingling in the feet.|sensory deficits in both lower extremities.|loss of proprioception and balance issues."]

- **Plan:**
  - Initiation of insulin therapy with [text name="insulin_type" default="glargine"] at a starting dose of [text name="insulin_dosage" default="20"] units subcutaneously qhs, titrated to achieve target glucose levels.
  - Prescription of metformin [text name="metformin_dosage" default="1000"] mg orally daily.
  - Implementation of a carbohydrate-controlled diet (carbohydrate intake <[text name="carb_intake" default="45"] g/day) and a regular exercise regimen (at least [text name="exercise_duration" default="30"] minutes/day).
  - Monitor blood glucose levels regularly (before meals, at bedtime, and occasionally postprandially).
  - Provide comprehensive diabetic education, including self-monitoring of blood glucose (SMBG) techniques.
  - Schedule a follow-up visit in [text name="follow_up_weeks" default="4"] weeks to assess glycemic control, adjust insulin dosing, and reinforce lifestyle modifications.
  - [select value="Considering the patient's comorbidities,|Given the patient's history,|Considering the patient's lifestyle,"] initiate [select value="statin therapy with|antiplatelet therapy using|angiotensin-converting enzyme (ACE) inhibitor therapy with"] [text name="additional_medication" default="atorvastatin"] [select value="20 mg|80 mg|40 mg"] [text name="additional_dosage"] once daily.
- **Orders:**
  - [textarea name="orders"]

**Provider Signature:** [text name="provider_signature" default="Dr. Jane Smith"]

Please customize this template with patient-specific information and details as needed. You can select the sentences that are most relevant to the patient's case to provide additional detail.
Certainly, I've added more sentences that can be selected to add more detail to the SOAPnote template for a patient with poorly controlled diabetes:

```markdown
**#Patient with Poorly Controlled Diabetes**

**Patient Information**
- **Name:**
- **Age:**
- **Gender:**
- **Medical Record Number:**

**Diabetes Control Status**
- **Select the patient's diabetes control status:**
-

**History of Present Illness (HPI)**
- The patient, , a -year-old with a medical record number , presents with poorly controlled diabetes.
- The patient reports a recent increase in thirst, frequent urination, and unintentional weight loss over the past weeks.
- Despite adhering to the prescribed diabetes regimen, the patient continues to experience elevated fasting blood glucose levels consistently exceeding mg/dL.
- The patient denies any recent medication changes, noncompliance with medications, or known allergies to diabetes medications.
- There is no history of diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS).

**Assessment and Plan**
- **Clinical Impression:**
- This is a patient with poorly controlled diabetes.
- HbA1c: %, indicating poor control.
- Urinalysis reveals glycosuria and ketonuria.
- No evidence of diabetic retinopathy on fundoscopy.
- Ankle-brachial index (ABI) is within normal limits, ruling out peripheral arterial disease.
- diabetic neuropathy with

- **Plan:**
- Initiation of insulin therapy with at a starting dose of units subcutaneously qhs, titrated to achieve target glucose levels.
- Prescription of metformin mg orally daily.
- Implementation of a carbohydrate-controlled diet (carbohydrate intake < g/day) and a regular exercise regimen (at least minutes/day).
- Monitor blood glucose levels regularly (before meals, at bedtime, and occasionally postprandially).
- Provide comprehensive diabetic education, including self-monitoring of blood glucose (SMBG) techniques.
- Schedule a follow-up visit in weeks to assess glycemic control, adjust insulin dosing, and reinforce lifestyle modifications.
- initiate once daily.
- **Orders:**
-


**Provider Signature:**

Please customize this template with patient-specific information and details as needed. You can select the sentences that are most relevant to the patient's case to provide additional detail.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.32, 28 form elements, 326 boilerplate words, 18 text boxes, 1 text areas, 3 radio buttons, 6 drop downs, 28 total clicks
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