Diabetes UTD

Certainly, here are more sentences with interchangeable sections to vary the clinical picture and add more specificity 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 [select value="thirst and|appetite changes, frequent urination, and unintentional weight loss over the past|fatigue, polyuria, and unexplained weight loss for the last"] [text name="duration_symptoms"] weeks.
- Despite adhering to the prescribed diabetes regimen, the patient continues to experience [select value="elevated fasting blood glucose levels consistently exceeding|fluctuating blood glucose levels, with fasting glucose reaching"] [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 [select value="diabetic ketoacidosis (DKA)|hyperosmolar hyperglycemic state (HHS)|severe hypoglycemic episodes."] 

**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 [select value="glycosuria and ketonuria.|evidence of microalbuminuria."] 
  - [select value="Ophthalmic examination shows no|Fundoscopic examination reveals|Retinal examination demonstrates"] evidence of diabetic retinopathy.
  - [select value="Pulse is regular with no|Cardiovascular exam is unremarkable, without|There are no"] signs of 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"]

Feel free to mix and match these sentences to create different clinical scenarios and add specificity to the SOAPnote template.
Certainly, here are more sentences with interchangeable sections to vary the clinical picture and add more specificity 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 weeks.
- Despite adhering to the prescribed diabetes regimen, the patient continues to experience mg/dL.
- The patient denies any recent medication changes, noncompliance with medications, or known allergies to diabetes medications.
- There is no history of

**Assessment and Plan**
- **Clinical Impression:**
- This is a patient with poorly controlled diabetes.
- HbA1c: %, indicating poor control.
- Urinalysis reveals
- evidence of diabetic retinopathy.
- signs of 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:**

Feel free to mix and match these sentences to create different clinical scenarios and add specificity to the SOAPnote template.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.44, 34 form elements, 284 boilerplate words, 18 text boxes, 1 text areas, 3 radio buttons, 12 drop downs, 34 total clicks
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