Beijing Children's Hospital of Capital Medical University (for reference by insurance company)

Name: x   Gender: male  Age: 8 years and 7 months and 25 days old  Admission No.: 604321   Admission Date: February 12^th 2013                 

Discharge Date: March 4^th 2013

Discharge diagnosis	Leave prognosis	Discharge information
(1) I diabetes mellitus	Improvement
(2) Diabetic ketosis	Cure
(3) Mild dehydration	Cure
(4) Acute upper respiratory infection	Cure

                                                                         

Matters needing attention after discharge

1. Actively improve the way of life, low-salt diet, the daily calories shall be controlled at around 1600 kilocalorie considering both the growth and disease control needs. In addition, please do moderate exercise after eating. When the blood sugar is more than 15mmol/L, constrain exercise movement and test the urine acetone bodies.
2. At present, the diabetes mellitus requires lifelong treatment and I diabetes mellitus need lifelong insulin injections. Now, the proportion between the short-acting and the intermediate-acting of subcutaneous insulin injection (before breakfast) is 3IU:7IU; the proportion between the short-acting and the intermediate-acting of subcutaneous insulin injection (before dinner) is 1IU:2IU. The patient shall timely adjust the dosage according to the blood sugar information.
3. Strengthen the blood sugar monitoring. When the blood sugar is stable, the patient should test for 4 times. When the blood sugar fluctuates, the patient should test for 7 times. Pay attention to the symptoms of low blood sugar to avoid low blood sugar. If the blood sugar is lower than 4mmol/L, the patient can drink 200ml fruit juice; if the blood sugar is lower than 3mmol/L, the patient can drink10gglucose or sugared beverages. After 15 to 30 minutes, retest the blood sugar. If the blood sugar is lower than 2mmol/L or such symptoms as dizziness, palpitation, sweat and weakness, etc appear, the patient shall be immediately rescued and timely see a doctor. The blood sugar control target is 5 to 8 mmol/L before breakfast and 5 to 10 mmol/L two hours after meal and the glycosylated hemoglobin shall be lower than 7.5%.
4. Attend the diabetes mellitus outpatient service clinic after 2 weeks and retest such 4 items as glycosylated hemoglobin, fasting blood glucose, fasting C-Peptide, routine urine test and tg chohdlldl, etc.
5. Monitor the body weight, height, blood pressure and growth and development information.
6. Adhere to record diabetes diary everyday (insulin dosage, blood glycosuria test results, food intake and special event).
7. Adhere to diabetes mellitus outpatient service for follow-up clinic for a long term. When the patient's condition is changed, timely go to the endocrine outpatient for follow-up clinic.
8. Things that need to bring: the parent need to check:

1 Reexamination laboratory test report: glycosylated hemoglobin, fasting blood glucose, fasting C-Peptide, routine urine test, tg chohdlldl and thyroid function five-item tests.

2 Diabetes health education prescription/ Obesity health education prescription

3 A piece of diabetes diary header

4 Insulin

1. After discharge, the patient shall continue to take12gXiaoer Resuqing Granules orally for three days and three times each day. The patient shall periodically reexamine the blood routine + CRP.

*Have appointed to go to diabetes mellitus outpatient service for follow-up clinic 2 weeks later.

*Periodically go to the diabetes specialist outpatient service for reexamination.

                                                                           

Admission department: Genetic Metabolic Endocrine Center [the original Internal Medicine Department] Inpatient ward: Internal No.2 Ward 

Signature of doctor:

                                                                          

Notes: This certificate is valid after being stamped by the Admission Office.

 

(Official Certificate Stamp of the Admission Department ofBeijingChildren's Hospital)