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Helen Tigist Marino is a 25-year-old woman with a history of allergic rhinitis managed on daily loratadine. Recent visits include a routine health maintenance encounter and rhinitis follow-up, but recent labs show marked obesity and a very high glucose reading not reflected in her problem list.
Drives care
- Allergic rhinitis, on loratadine
- Class III obesity (BMI 39.7)
- Markedly elevated glucose (209.4 mg/dL) of unclear etiology
- Possible undiagnosed diabetes/metabolic disorder
Watch
- Glucose 209.4 mg/dL - confirm with repeat/HbA1c, no diabetes diagnosis on problem list
- BMI 39.7 kg/m2 - no obesity diagnosis or weight management plan documented
- No recent follow-up visit addressing these abnormal metabolic findings
Active problems
| Condition | Status | Onset |
|---|---|---|
| Allergic rhinitis (disorder) | active | Sep 28, 2015 |
Active medications
| Medication | Dosage | Since |
|---|---|---|
| Loratadine 10 MG Oral Tablet | daily | Oct 10, 2025 |
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| No known allergies recorded. | ||
Recent results
| Test | Value | When |
|---|---|---|
| Body mass index | 36.5 kg/m2 | Apr 17, 2025 |
| Body mass index abnormal | 39.7 kg/m2 | Mar 26, 2025 |
| Heart rate | 94.6 /min | Sep 7, 2024 |
| Hemoglobin A1c | 6.4 % | May 13, 2024 |
| Creatinine | 0.8 mg/dL | Apr 21, 2024 |
| Hemoglobin A1c | 7.2 % | Mar 28, 2024 |
| Glucose abnormal | 209.4 mg/dL | Mar 17, 2024 |
| TSH | 1.7 mIU/L | Jan 27, 2024 |
| Creatinine | 0.8 mg/dL | Apr 20, 2023 |
| Creatinine | 1.1 mg/dL | Mar 20, 2023 |
| Heart rate | 98.9 /min | Mar 13, 2023 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| No unrestricted documents. | |||
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| CLM-G0148308 | UnitedHealthcare | Mar 3, 2025 | paid | $39.53 | $29.42 | Lines |
| CLM-G0148306 | UnitedHealthcare | Aug 9, 2024 | denied | $408.20 | $0.00 | Lines |
| CLM-G0148307 | UnitedHealthcare | Mar 21, 2024 | paid | $503.11 | $301.61 | Lines |
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