TABLE 1.

Hypoglycemia Risk Reduction Sample Report

NameAge (years)A1C Result (%)A1C DateDiabetes MedicationSigLong Sig
VA Boston Healthcare System
Dr. Smith
Mr. A765.01/7/15Glyburide 2.5-mg tablet2.5 QDTake one tablet by mouth every day for diabetes
Mr. B816.01/1/15Glipizide 5-mg tablet2.5 BIDTake one-half tablet by mouth twice a day for diabetes
Metformin HCl 500 mg tablet500 QDTake one tablet by mouth every day for diabetes