A 41 Y/F (G4P4L4) K/c/o T2DM Vit Hypertension since 4 Yrs, On Regular Treatment for Diabetes (Teneligliptin + Metformin, Glimipiride + Met, Voglibose). Sugars excellent control, Yesterday's Blood sugars were FBS 92 N PPBS were 119, Regarding Hypertension (On Cilnidipine + Telma, Indapamide) excellent control 128/ 84 mmHg. Yesterday she came for Follow-up consultation of Diabetes and Hypertension and Showed me her Report of USG of Gravid Uterus which was done just a day before on 3/8/16, S/ O 16 weeks pregnancy (Patient also Got to know abt her pregnancy now only yday on 03/08/16 that she is 16 weeks pregnant when she's been suggested for USG gravid uterus by her Family physician for Missed periods for 3-4 Months).

Now I stopped her Oral Anti-Diabetics As well as Her medicines for Hypertension. I Put her on premix Insulin (30/70)H. Mixtard and asked her for 3 Times HGT Monitoring for 3…