SOAP note
Dictated directly into the active application.
Assessment: Type 2 diabetes mellitus without complication. A1c remains above goal at 7.9 despite adherence to the current regimen. Patient reports improved morning glucose readings and no hypoglycemic episodes. Continue metformin 1,000 mg twice daily and add a structured nutrition follow-up. Plan: repeat A1c in three months, reinforce activity goals, and review home readings at the next visit.
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