  600 physicians
  35 medical and
   surgical specialties
  31 clinics, 1 hospital

  Minnesota & Western
   Wisconsin
  5500 Epic users
1.     blood pressure follow-up
2.     diabetes follow-up         LIPID
3.     URI/sinusitis/ST           HYPERTENSION
4.     back pain                  DIABETES MELLITUS
                                  GENERAL MEDICAL EXAM
5.     gastroenteritis
                                  DISORDER OF BACK
6.     urinary tract infection
                                  HYPOTHYROIDISM
7.     weight management          GENERAL SYMPTOMS
8.     headache                   ALLERGIC RHINITIS
9.     cholesterol management     ANXIETY
10.    depression follow-up
Thanks for the info.
It looks like you need more lantus before bed. I assume you did split the dose to 50
units am and 50 units in the Pm .
So Increase the bedtime dose to 55 units. Its Ok to check blood sugars every am
and increase the Pm lantus dose by 2 units, untill your fasting morning blood
sugars are less then 130! continue with 50 units, lantus in the am. Lets see what
this does before we adjust your novolog. E- maill me with more blood sugars in
1-2 weeks.
Thanks [physician]

         You asked me to send you my numbers after starting the
         Novolog on May 23rd. Here they are, I know there will have
         to be some adjustments made, let me know how much more
         Novolog to take.
         [patient]
         5/23/06 After Meal 9:00 PM 160
         5/24/06 Before Meal 5:30 AM 200 After Meal         7:00 PM 180
         5/25/06 Before Meal 6:00 AM 220 After Meal          7:30 PM 180
Specialty



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        M
U G M E Visits907
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  • 2.
      600 physicians  35 medical and surgical specialties   31 clinics, 1 hospital   Minnesota & Western Wisconsin   5500 Epic users
  • 6.
    1.  blood pressure follow-up 2.  diabetes follow-up LIPID 3.  URI/sinusitis/ST HYPERTENSION 4.  back pain DIABETES MELLITUS GENERAL MEDICAL EXAM 5.  gastroenteritis DISORDER OF BACK 6.  urinary tract infection HYPOTHYROIDISM 7.  weight management GENERAL SYMPTOMS 8.  headache ALLERGIC RHINITIS 9.  cholesterol management ANXIETY 10.  depression follow-up
  • 8.
    Thanks for theinfo. It looks like you need more lantus before bed. I assume you did split the dose to 50 units am and 50 units in the Pm . So Increase the bedtime dose to 55 units. Its Ok to check blood sugars every am and increase the Pm lantus dose by 2 units, untill your fasting morning blood sugars are less then 130! continue with 50 units, lantus in the am. Lets see what this does before we adjust your novolog. E- maill me with more blood sugars in 1-2 weeks. Thanks [physician] You asked me to send you my numbers after starting the Novolog on May 23rd. Here they are, I know there will have to be some adjustments made, let me know how much more Novolog to take. [patient] 5/23/06 After Meal 9:00 PM 160 5/24/06 Before Meal 5:30 AM 200 After Meal 7:00 PM 180 5/25/06 Before Meal 6:00 AM 220 After Meal 7:30 PM 180
  • 11.