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Paloma Friedman is a 60-year-old woman with type 2 diabetes, asthma, migraine, and chronic low back pain managed on metformin, fluticasone, sumatriptan, and as-needed naproxen. Her recent labs show persistently elevated creatinine and an elevated glucose reading, suggesting possible renal and glycemic concerns. She continues routine follow-up for her diabetes and migraine care.
Drives care
- Type 2 diabetes mellitus - monitor glycemic control
- Chronic low back pain on scheduled NSAID (naproxen)
- Migraine managed with sumatriptan
- Asthma maintenance therapy
Watch
- Creatinine persistently elevated at 1.5 mg/dL across multiple dates - assess renal function
- Glucose 194 mg/dL - check recent HbA1c/glycemic control
- Naproxen use with elevated creatinine - reassess NSAID safety in renal impairment
Active problems
| Condition | Status | Onset |
|---|---|---|
| Chronic low back pain (finding) | active | Jul 14, 2026 |
| Migraine (disorder) | active | Mar 14, 2020 |
| Asthma (disorder) | active | Feb 19, 2012 |
| Type 2 diabetes mellitus (disorder) | active | May 11, 2010 |
Active medications
| Medication | Dosage | Since |
|---|---|---|
| Sumatriptan 50 MG Oral Tablet | as needed | Nov 2, 2025 |
| Metformin hydrochloride 500 MG | 500 mg twice daily | Sep 29, 2025 |
| Fluticasone 110 mcg inhaler | 2 puffs twice daily | Mar 27, 2024 |
| Naproxen 500 MG Oral Tablet | twice daily as needed | Nov 22, 2021 |
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| No known allergies recorded. | ||
Recent results
| Test | Value | When |
|---|---|---|
| Creatinine abnormal | 1.5 mg/dL | Dec 18, 2025 |
| Total cholesterol | 217.8 mg/dL | Dec 2, 2025 |
| LDL cholesterol | 137.2 mg/dL | Aug 19, 2025 |
| Body mass index | 37.8 kg/m2 | May 23, 2025 |
| Creatinine | 1.4 mg/dL | May 4, 2025 |
| Glucose abnormal | 194.1 mg/dL | Nov 20, 2024 |
| Glucose | 161.7 mg/dL | Sep 26, 2024 |
| TSH | 3.2 mIU/L | May 29, 2024 |
| Creatinine abnormal | 1.5 mg/dL | Apr 29, 2024 |
| Creatinine abnormal | 1.5 mg/dL | Nov 15, 2023 |
| Total cholesterol | 183 mg/dL | Oct 19, 2023 |
| LDL cholesterol | 165.7 mg/dL | Dec 24, 2022 |
| Diastolic blood pressure | 86.3 mmHg | Oct 23, 2022 |
| TSH | 3 mIU/L | Oct 17, 2022 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| No unrestricted documents. | |||
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| CLM-G0100015 | Medicaid | Nov 5, 2025 | paid | $155.98 | $122.90 | Lines |