1. Identifying Elements JJ MR# 1234 Nov. 29, 2000 UAMS Endocrine Clinic Dr. Debra Simmons

2. Chief Complaint CC: Routine follow up for type 1 diabetes

3. History JJ is a 59 YO WF with type 1 diabetes for 22 years. She does not have any complaints or concerns today. She denies any significant changes since last visit. She uses an insulin pump since 1995 and has no problems with the sites She counts CHO and boluses 1 unit/15 gm CHO

4. Her current basal rates of humalog – Midnight to 2 am 1.1 units/hr – 2 am to 8 am 0.6 units/hr – 8 am to 2 pm 0.7 units/hr – 2 pm to 6 pm 0.7 units/hr – 6 pm to midnight 1.1 units/hr

5. SMBG records reviewed – Fasting 104-130 – Lunch 113-140 – Supper 92-140 – Bedtime 130-149 Admits to occasional hypoglycemia 2-3 am, eats bedtime snack to prevent HbA1c 8.4, prior 8.3

6. Complications – mild background diabetic retinopathy first noted 5/00 better last appt 10/00 – microalbuminuria 4/99 on zestril 2.5 mg Hyperlipidemia – LDL 141, 145 – started zocar 10 mg – LDL 96 on treatment – 11/00 TC 170 LDL 96 HDL 57, TG 87

7. Medications and Allergies Humalog as above zestril 2.5 mg/day zocar 10 mg/d Vit E, C, Calcium No known allergies

8. Physical Exam BP 103/61 P 80 WT 158.3 NAD feet without lesions

9. Brief Assessment/Plan Type 1 diabetes for 22 years complicated by mild background retinopathy and microalbuminuria – HbA1c good – LDL cholesterol good on zocar – BP good Doing well except need to add ASA Routine fu in 3 months