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Glucose tolerance tests help to diagnose type 2 diabetes or impaired glucose tolerance - a condition that may lead to diabetes. Normal hemoglobin range – buzzle, Normal hemoglobin range the hemoglobin level is an important indicator of the health condition of a person.
Glycosylated hemoglobin test Рdefinition of glycosylated, Glycosylated hemoglobin test definition. FreeStyle and related brand marks are trademarks of Abbott Group of Companies in various jurisdictions. A EnlargeThe summary is integrated in that it includes data on one page from multiple (and now unnecessary) parts of a traditionally organized chart. More importantly, however, it is integrated in that the relationships between problems, medications and measured flowsheet parameter results are evident on a single page, and their changes (compensated or decompensated, improving or progressing) are readily apparent over time. This feature requires an understanding of the use of insulin and patients need advice from a health care professional before use. No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott Laboratories, except to identify the product or services of the company. The three panels on the left side of the page contain relatively static data that rarely change; the three panels on the right contain more dynamic data that change with each visit.
FreeStyle blood glucose meters assist in the monitoring of blood glucose (and ketone) levels for people diagnosed with diabetes mellitus.
The information provided is not intended to be used for medical diagnosis or treatment or as a substitute for professional medical advice. The integrated summary is a single concise page kept topmost on the left side of the chart, opposite the most recent progress note, readily available for quick review prior to evaluating the patient. This might span six weeks in a patient with severe hypertension whose medication is being aggressively titrated or six years in a healthy patient getting yearly mammograms. Finally, new medications or dosage changes and newly ordered lab or imaging tests are entered into the column for the next visit (again, with colons to indicate that results are pending).The clinical example on page 36 describes the case of a hypothetical middle-aged female patient with a fairly complicated set of problems and shows how the integrated summary would be completed over several visits.
The middle panel on the left is the problem list, where problems are organized by disease or organ system following some sensible order (see the box). When the right side becomes full, you can overlay a blank copy of the template, cutting off the three panels on the left and binding the new page to the chart. For example, as I conduct a new patient history, if the patient tells me about chronic hepatitis first, I may enter this problem about one third of the way down the list. For any problems that require the monitoring of clinical parameters over time, I enter those parameters directly across from (or near) their listed problem.
I also list the suggested reassessment frequency for a stable, compensated patient, where needed.


She gives a history of hypertension (HTN), familial risk for coronary artery disease (CAD) and smoking (all of which are added to the problem list), and her exam shows wheezing leading to a new diagnosis of chronic obstructive pulmonary disease (COPD). These responses are all easily correlated to (and hence integrated with) the medication dosages immediately above and the problem or disease listed to the left.Screening and prevention. The lower right panel of the integrated summary records interval screening exams and tests, their recommended frequencies and their results. The past medical history (PMH) section is filled in from her history, and the immunizations heading helps to remind me that (now that she has been diagnosed with COPD) she is a candidate for pneumococcal polysaccharide (PPS), which is given. I also document last menstrual period and lactation here to remind me of drug contraindications in patients who are at risk of conception or who are breast-feeding.Plan. At the very bottom of the lower right panel are a few lines to abbreviate the interventions done today, tests to follow up, next appointment interval and other plans. Integrating the problem and medication lists to the flow sheet, I choose the parameters of blood pressure (BP), basic metabolic panel (BMP) and heart rate as appropriate to monitor, and the new diagnosis of COPD suggests adding metered dose inhaler (MDI) frequency and peak flow. Often, this is sufficient to guide my next visit without even referring to my previous progress note.Making it your own. Integrated flowsheet values documenting bradycardia and restricted peak flow assist me in recognizing that atenolol is now contraindicated, for which I substitute hydroclorothiazide (HCTZ), and that albuterol is needed, as shown in the next column of the medication list. The use of an integrated summary considerably reduces the time needed to address problems at every stage of the assessment. For returning patients, I can quickly refresh my memory of their health status, review my prior plan and make a preliminary task list for today’s appointment, usually in less than a minute. The problem list is further expanded to show that the patient heeded my recommendation to quit smoking.
It takes only a few seconds during my interview to record today’s data into the flow sheet, write any medication adjustments into the medication list and record an abbreviated plan. The abbreviated plan section also shows that a one-time oral steroid burst (prednisone) was prescribed. Having a single page facilitates compulsively keeping my lists of problems, medications, lab results and screening tests due up-to-date.
Hormones are chemicals that are released into the bloodstream and work on various parts of the body.
For a few patients with complex problems, I must keep separate traditional (though organized) medication and problem lists when they exceed the space allotted on the integrated summary.When sending patients to consultants or the emergency room, or when giving records to patients who are moving away, I often copy just the integrated summary.
When dictating admission notes, I often do so from just this one page without the need to resolicit information from the patient or search through the chart.
It also records that the previously acceptable low-density lipoprotein (LDL) result of 130 in last month’s screening column is no longer adequate in light of DM and records the new entry of hyperlipidemia.


However, because the integrated summary is a concept, not a fixed layout, it can be customized to suit physicians’ documentation preferences.
It also shows that prophylactic aspirin has been recommended now that the patient has other CAD risk factors with DM. Requiring only a little practice, the integrated summary is a valuable tool that can help physicians improve the quality and efficiency of patient care. Flowsheet parameters of glucose, glycohemoglobin (HbA1c), urine dipsticks, ophthalmic and podiatric screens, as well as liver function tests (LFTs) to monitor statin therapy are added and ordered as indicated by the colons. The results of last month’s tests are recorded in the preceding column of the flow sheet after the colons, and the flowsheet parameters measured today are recorded in the current column. The integrated flow sheet shows the home glucometer readings are suboptimal in response to the glyburide dose recorded above, and an augmented twice-daily dose is recorded in the next column.
The problem list is expanded to annotate the results of major quantifying hospital tests including head computed tomography scan (CT), echocardiogram (ECHO) and adenosine thallium cardiac perfusion scan (AdThal).
I update her medication list to reflect that digoxin was started in the hospital for rate control, warfarin was substituted for aspirin for anticoagulation, and that metformin was added for her yet suboptimal glucometer readings. Her flow sheet is modified by adding new monitoring parameters for rhythm, digoxin level and International Normalized Ratio (INR). Hospital admission lab results are added to the preceding column, and colons mark the pending results of tests ordered today. A glucose tolerance test helps to distinguish between this normal pattern and the patterns seen in diabetes and impaired glucose tolerance.
The screening section shows a flexible sigmoidoscopy is scheduled, and the plan section documents a one-week follow-up.A EnlargePast medical history. The lower left panel of the integrated summary contains a summary of pertinent past medical history. Its organized structure allows drugs to be grouped vertically by organ system and horizontally by temporal order of initiation.
Grouping like agents (and leaving blanks above and below to add future agents for other systems) makes it easier to associate groups of drugs to a corresponding problem and choose when to titrate existing drugs or add a new agent.




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