T2DM Plan

#T2DM 
- Glycemic Target 7 to 8%
--Recent A1C: [text name="variable_1" default="sample text"]
--Hypoglycemia [select name="variable_1" value="denies|endorses"]
- Obesity Managment 
--Last BMI: [text name="variable_1" default="sample text"]
--Interested in Treatment: will discuss further at future appointment 
- Pharmacologic Treatment 
--[select name="variable_1" value="Metformin 1g BID|Metformin SA 1g BID|Metformin 500mg BID"]
Last B12: (every 2-3 years) 
--Sulfonylureas: [select name="variable_1" value="none|glipizide 5mg po daily|glipizide 5mg BID|glipizide 10mg po daily|glipizide 10mg BID"]
--GLP-1 agonist or SGLT2 inhibitor: [text name="variable_1" default="sample text"]
--Insulin: [select name="variable_1" value="none|insulin lantus|insulin detemir"][text name="variable_1" default="sample text"]units subQ [text name="variable_1" default="sample text"]
- ASCVD risk managment 
--Statin: [select name="variable_1" value="none|atorvastatin|rosuvastatin|simvastatin C"][select name="variable_1" value="|20mg|40mg|60mg"]
#T2DM
- Glycemic Target 7 to 8%
--Recent A1C:
--Hypoglycemia
- Obesity Managment
--Last BMI:
--Interested in Treatment: will discuss further at future appointment
- Pharmacologic Treatment
--
Last B12: (every 2-3 years)
--Sulfonylureas:
--GLP-1 agonist or SGLT2 inhibitor:
--Insulin: units subQ
- ASCVD risk managment
--Statin:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.55, 11 form elements, 47 boilerplate words, 5 text boxes, 6 drop downs, 11 total clicks
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