{"id":383,"date":"2019-02-06T22:32:12","date_gmt":"2019-02-06T22:32:12","guid":{"rendered":"http:\/\/khoo.com.au\/?page_id=383"},"modified":"2019-02-06T22:34:37","modified_gmt":"2019-02-06T22:34:37","slug":"yalda-yalda","status":"publish","type":"page","link":"https:\/\/khoo.com.au\/index.php\/yalda-yalda\/","title":{"rendered":"Yalda Yalda"},"content":{"rendered":"
\n

Health Summary<\/h2>\n
\n\n

Active Problems:
\ndiabetes – good control
\nIschaemic Heart Disease – post CABG
\nhigh cholesterol – chol under control
\nAsthma – stable
\nCarotid Stenosis – stable <70% left int carotid
\nCervical Spondylosis – on off – neck and arm pain
\nAnaemia – Scopes and capsule endos normal, renal cause
\nlumbo-sacral spondylosis – L4\/5 canal stenosis
\nPeripheral vascular disease – severe
\nStrokes – right internal capsule 2006
\nrenal impairment – severe
\nrotator cuff tears – right shoulder
\nGallstones –
\nvertigo – dizziness settled on stemetil
\nDental problems – caries
\nLow Vitamin D –<\/p>\n

Relevant Past History
\nColonoscopy – 2010 normal Dr Edwards
\nCABG – 2007
\nCarotid endarterectomy – stable
\nGastroscopy – 2010 normal Dr Edwards<\/p>\n

Relevant Family History
\ndiabetes – brother
\nIschaemic Heart Disease – brother<\/p>\n

Social
\nEx-Smoker –
\nalcohol – social –<\/p>\n\n<\/div>

Test Results<\/h2>\n
\n\n

Latest Results Available:
\nDate of blood test: 27\/08\/2018
\n*Fasting blood sugar: 11.1 mmol\/L
\n*Total Cholesterol: 6.4 mmol\/L
\n*Triglycerides: 2.1 mmol\/L
\n*Good Cholesterol (HDL) : 1.9 mmol\/L
\n*Bad Cholesterol (LDL): 3.5 mmol\/L
\n*Average sugar (HbA1c): 6.1% (4\/02\/2019)<\/p>\n

Kidney tests:
\neGFR: 44 (27\/08\/2018)
\nUrine Albumin Creatinine Ratio (uACR): (12\/11\/2014)<\/p>\n\n<\/div>

Diabetes Summary<\/h2>\n
\n\n

Diabetes Type: Type 2 Oral
\nDuration: 11 years<\/p>\n

Medications:
\nDiabetes Medication: Diabex XR 500mg bd
\nLipid Medications: Vytorin, Lipidil
\nBP Lowering Medications: Olmetec
\nBlood thinners (anti-platelet therapy): Iscover<\/p>\n

Management Issues:
\nSelf Monitored Blood Glucose (SMBG)? Not regularly
\nSmoking Status: Ex-Smoker
\nOther health problems: dizzibess
\nHypoglycaemia? : None so far
\nCV Risk?: High
\nAny carer involved? : Nil
\nWho is the coordinating physician?: GP<\/p>\n

Complications Thus Far:
\n*Eye Damage (Retinopathy)? – None so far
\n*Kidney Damage (Nephropathy)? – Already present
\n*Nerve Damage (Neuropathy)? – Already present
\n*Heart Damage (Coronary Artery Disease)? – Already present
\n*Heart Failure? – None so far
\n*Strokes (Cerebrovascular Disease)? – Already present
\n*High Risk Foot? – Normal Risk Foot<\/p>\n\n<\/div>

HbA1c<\/h2>\n
\n\n

Please note HbA1c not reliable in patients with renal disease<\/p>\n\n\n\n\n\n\n\n\n\n\n\n
Last 5 A1c<\/strong><\/td>\n<\/tr>\n
FileNo<\/strong><\/td>\nA1cDate<\/strong><\/td>\nA1c<\/strong><\/td>\n<\/tr>\n<\/thead>\n
310181<\/td>\n4\/02\/2019<\/td>\n6.1<\/td>\n<\/tr>\n
310181<\/td>\n27\/08\/2018<\/td>\n6.3<\/td>\n<\/tr>\n
310181<\/td>\n26\/04\/2018<\/td>\n5.4<\/td>\n<\/tr>\n
310181<\/td>\n17\/11\/2017<\/td>\n6.1<\/td>\n<\/tr>\n
310181<\/td>\n25\/05\/2017<\/td>\n5.7<\/td>\n<\/tr>\n
310181<\/td>\n3\/02\/2017<\/td>\n5.3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<\/div>

Medication list<\/h2>\n
\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Aranesp 40mcg\/0.4mL Syringe<\/td>\n1 Syringe Fortnightly<\/td>\n<\/tr>\n
Coloxyl with Senna 50mg;11.27mg Tablet<\/td>\n2 Tablets Twice a week<\/td>\n<\/tr>\n
Ferinject 500mg\/10mL Injection<\/td>\n1 Injection<\/td>\n<\/tr>\n
Iscover 75mg Tablet<\/td>\n1 Tablet Daily<\/td>\n<\/tr>\n
Lipidil 145mg Tablet<\/td>\n1 Tablet Before bed<\/td>\n<\/tr>\n
Movicol 13.125g per sachet Sachet<\/td>\n1 Sachet In the evening<\/td>\n<\/tr>\n
Nexium 40mg Tablet<\/td>\n1 Tablet Twice a day<\/td>\n<\/tr>\n
Nitrolingual Pumpspray<\/u> 400mcg\/dose Spray<\/td>\n2 Spraies<\/u> p.r.n.<\/u><\/td>\n<\/tr>\n
Osteomol<\/u> 665 Paracetamol 665mg Tablet<\/td>\n2 Tablets Three times a day<\/td>\n<\/tr>\n
Prednisone 5mg Tablet<\/td>\n2 Tablets In the morning<\/td>\n<\/tr>\n
Resonium-A Powder<\/td>\n1 Dose In the morning<\/td>\n<\/tr>\n
Seebri<\/u> Breezhaler<\/u> 50mcg Powder for Inhalation<\/td>\n1 Dose Daily<\/td>\n<\/tr>\n
Sucralfate 1g Tablet<\/td>\n1 Tablet Three times a day<\/td>\n<\/tr>\n
Symbicort 200\/6 200mcg;6mcg\/dose Turbuhaler<\/td>\n1 Inhalation Twice a day<\/td>\n<\/tr>\n
Ventolin CFC<\/u>-Free 100mcg\/dose Inhaler<\/td>\n1 Inhalation Three times a day p.r.n.<\/u><\/td>\n<\/tr>\n
Zantac 300mg Tablet<\/td>\n1 Tablet Before bed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<\/div>

Instructions<\/h2>\n
\n\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

Active Problems: diabetes – good control Ischaemic Heart Disease – post CABG high cholesterol – chol under control Asthma – stable Carotid Stenosis – stable <70% left int carotid Cervical Spondylosis – on off – neck and arm pain Anaemia – Scopes and capsule endos normal, renal cause lumbo-sacral spondylosisContinue Reading<\/a><\/span><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["entry","author-chee1404","post-383","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages\/383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/comments?post=383"}],"version-history":[{"count":4,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages\/383\/revisions"}],"predecessor-version":[{"id":387,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages\/383\/revisions\/387"}],"wp:attachment":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/media?parent=383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}