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REASON FOR VISIT: This patient is a young female with a known past medical history of diabetes mellitus type 2 and obesity. She is here to discuss an insulin pump. PAST MEDICAL HISTORY: Include: 1. Type II diabetes mellitus. 2. Borderline hypertension. 3. Hyperlipidemia. SOCIAL HISTORY: The patient lives with her Mother and sister. Her mother works long hours so patient is in charge of most meal preparations. FAMILY HISTORY: Positive for diabetes mellitus type 2 in both mother and her sister. MEDICATIONS: Currently include, 1. Humulin regular high dose sliding scale insulin. 2. Lantus 12 units every evening. ALLERGIES: KNDA. REVIEW OF SYSTEMS: The patient currently denies any pain, denies any headache or blurred vision. Denies chest pain or shortness of breath. She denies any nausea or vomiting. Otherwise, systems are negative. PHYSICAL EXAM: General: The patient is awake, alert, and oriented. She is in no apparent respiratory distress. Vital Signs: Temperature 97.6, blood pressure is 139/53, pulse 100, respirations 24. Cardiac: Regular rate and rhythm without audible murmurs, rubs or gallops. Lungs are clear to auscultation bilaterally. Abdomen: Obese. Abdomen is nontender to palpation. Bowel sounds are heard in all 4 quadrants. ASSESSMENT: This is a young female with an unfortunate history of obesity, DM II, borderline HTN, and hyperlipidemia. PLAN: 1. For her diabetes mellitus, we will continue the patient on her current regimen of Lantus 12 units at bedtime a

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