Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 56yo Male
Vitals: BP 137/99 mmHg, BMI 28.0, Weight 82.1 kg, HR 90 bpm
Labs: Glucose 97.1 mg/dL, HbA1c 5.8 %, Total Cholesterol 275.0 mg/dL, HDL Cholesterol 37.9 mg/dL, Triglycerides 149.4 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 56 years (≥45 increases risk)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 37yo Male
Vitals: BP 106/85 mmHg, BMI 29.2, Weight 91.3 kg, HR 99 bpm
Labs: Total Cholesterol 149.2 mg/dL, HDL Cholesterol 61.2 mg/dL, Triglycerides 109.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.2 (overweight)

**Hypertension: MODERATE**
- BP 106/85 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 26yo Male
Vitals: BP 130/89 mmHg, BMI 23.7, Weight 79.3 kg, HR 76 bpm
Labs: Glucose 95.0 mg/dL, HbA1c 6.3 %, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/89 mmHg (elevated)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 51yo Male
Vitals: BP 139/91 mmHg, BMI 28.2, Weight 81.1 kg, HR 75 bpm
Labs: Glucose 79.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 181.5 mg/dL, HDL Cholesterol 44.0 mg/dL, Triglycerides 137.9 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 28.2 (overweight)
- Age 51 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 139/91 mmHg (Stage 1+ hypertension)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Confirm elevated BP on 2 separate occasions
4. Consider initiating antihypertensive therapy
5. Order baseline labs: renal function, electrolytes, lipid panel
6. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 43yo Female
Vitals: BP 140/90 mmHg, BMI 30.4, Weight 81.8 kg, HR 68 bpm
Labs: Total Cholesterol 182.1 mg/dL, HDL Cholesterol 55.2 mg/dL, Triglycerides 105.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)

**Hypertension: HIGH**
- BP 140/90 mmHg (Stage 1+ hypertension)
- BMI 30.4 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Confirm elevated BP on 2 separate occasions
4. Consider initiating antihypertensive therapy
5. Order baseline labs: renal function, electrolytes, lipid panel
6. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 72yo Female
Vitals: BP 102/59 mmHg, BMI 28.2, Weight 81.8 kg, HR 88 bpm
Labs: Glucose 110.0 mg/dL, Glucose (serum) 117.7 mg/dL, HbA1c 7.1 %, Total Cholesterol 214.6 mg/dL, HDL Cholesterol 52.2 mg/dL, Triglycerides 188.5 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Type 2 Diabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: LOW**
- Age 72 years (≥55 increases risk)

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 61yo Female
Vitals: BP 114/68 mmHg, BMI 27.9, Weight 64.4 kg, HR 83 bpm
Labs: Total Cholesterol 163.2 mg/dL, HDL Cholesterol 50.5 mg/dL, Triglycerides 140.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 61 years (≥45 increases risk)

**Hypertension: LOW**
- Age 61 years (≥55 increases risk)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 18yo Male
Vitals: BP 133/97 mmHg, BMI 26.3, Weight 89.8 kg, HR 72 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.3 (overweight)

**Hypertension: HIGH**
- BP 133/97 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 30yo Male
Vitals: BP 128/74 mmHg, BMI 27.5, Weight 88.1 kg, HR 99 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.5 (overweight)

**Hypertension: LOW**
- BP 128/74 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 39yo Male
Vitals: BP 120/104 mmHg, BMI 27.8, Weight 85.8 kg, HR 87 bpm
Labs: Glucose 83.3 mg/dL, HbA1c 5.9 %, Total Cholesterol 175.2 mg/dL, HDL Cholesterol 55.1 mg/dL, Triglycerides 101.5 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.8 (overweight)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 2yo Male
Vitals: BP 142/83 mmHg, BMI 24.9, Weight 18.5 kg, HR 89 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: HIGH**
- BP 142/83 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 74yo Male
Vitals: BP 102/78 mmHg, BMI 27.7, Weight 86.1 kg, HR 86 bpm
Labs: Glucose 79.9 mg/dL, Glucose (serum) 83.1 mg/dL, HbA1c 2.4 %, Total Cholesterol 206.4 mg/dL, HDL Cholesterol 29.3 mg/dL, Triglycerides 147.2 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes, Diabetic Retinopathy, Diabetic Neuropathy, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 44yo Male
Vitals: BP 133/72 mmHg, BMI 28.0, Weight 100.4 kg, HR 75 bpm
Labs: Glucose 87.2 mg/dL, HbA1c 5.9 %, Total Cholesterol 209.8 mg/dL, HDL Cholesterol 30.3 mg/dL, Triglycerides 101.3 mg/dL, Creatinine 1.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 133/72 mmHg (elevated)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 20yo Male
Vitals: BP 136/82 mmHg, BMI 19.4, Weight 56.6 kg, HR 81 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 136/82 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 36yo Male
Vitals: BP 147/77 mmHg, BMI 27.3, Weight 86.0 kg, HR 74 bpm
Labs: Total Cholesterol 196.9 mg/dL, HDL Cholesterol 55.8 mg/dL, Triglycerides 141.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.3 (overweight)

**Hypertension: HIGH**
- BP 147/77 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 5yo Male
Vitals: BP 107/88 mmHg, BMI 16.7, Weight 19.3 kg, HR 74 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 107/88 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 31yo Male
Vitals: BP 143/77 mmHg, BMI 28.5, Weight 86.4 kg, HR 79 bpm
Labs: Total Cholesterol 203.4 mg/dL, HDL Cholesterol 59.0 mg/dL, Triglycerides 127.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.5 (overweight)

**Hypertension: HIGH**
- BP 143/77 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 25yo Female
Vitals: BP 135/88 mmHg, BMI 23.0, Weight 59.5 kg, HR 82 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 135/88 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 39yo Male
Vitals: BP 119/72 mmHg, BMI 28.0, Weight 75.6 kg, HR 60 bpm
Labs: Total Cholesterol 208.3 mg/dL, HDL Cholesterol 44.2 mg/dL, Triglycerides 100.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 65yo Female
Vitals: BP 118/77 mmHg, BMI 30.4, Weight 79.8 kg, HR 73 bpm
Labs: Glucose 64.1 mg/dL, HbA1c 6.1 %, Total Cholesterol 177.4 mg/dL, HDL Cholesterol 54.1 mg/dL, Triglycerides 119.7 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.4 (obese)
- Age 65 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 30.4 (obesity increases BP risk)
- Age 65 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 19yo Female
Vitals: BP 118/61 mmHg, BMI 22.7, Weight 73.3 kg, HR 91 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 53yo Female
Vitals: BP 132/73 mmHg, BMI 30.2, Weight 88.6 kg, HR 68 bpm
Labs: Glucose 90.0 mg/dL, HbA1c 5.9 %, Total Cholesterol 150.8 mg/dL, HDL Cholesterol 63.1 mg/dL, Triglycerides 141.6 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- Age 53 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 132/73 mmHg (elevated)
- BMI 30.2 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 59yo Female
Vitals: BP 133/77 mmHg, BMI 27.9, Weight 76.6 kg, HR 92 bpm
Labs: Glucose 87.1 mg/dL, HbA1c 5.5 %, Total Cholesterol 134.1 mg/dL, HDL Cholesterol 58.6 mg/dL, Triglycerides 146.9 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Retinopathy
Medications: 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 29yo Female
Vitals: BP 129/72 mmHg, BMI 28.5, Weight 77.9 kg, HR 84 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.5 (overweight)

**Hypertension: LOW**
- BP 129/72 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 59yo Male
Vitals: BP 107/70 mmHg, BMI 27.7, Weight 93.6 kg, HR 62 bpm
Labs: Glucose 93.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 181.1 mg/dL, HDL Cholesterol 50.7 mg/dL, Triglycerides 134.1 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.7 (overweight)
- Age 59 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 59 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 21yo Male
Vitals: BP 113/92 mmHg, BMI 23.0, Weight 73.8 kg, HR 86 bpm
Labs: Glucose 75.6 mg/dL, HbA1c 6.1 %, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- History of prediabetes

**Hypertension: HIGH**
- BP 113/92 mmHg (Stage 1+ hypertension)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Confirm elevated BP on 2 separate occasions
4. Consider initiating antihypertensive therapy
5. Order baseline labs: renal function, electrolytes, lipid panel
6. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 35yo Male
Vitals: BP 108/73 mmHg, BMI 28.6, Weight 87.2 kg, HR 93 bpm
Labs: Glucose 74.9 mg/dL, HbA1c 6.4 %, Total Cholesterol 156.7 mg/dL, HDL Cholesterol 35.5 mg/dL, Triglycerides 147.8 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 28.6 (overweight)
- History of prediabetes

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 21yo Female
Vitals: BP 102/82 mmHg, BMI 21.5, Weight 55.5 kg, HR 74 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 102/82 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 39yo Female
Vitals: BP 118/88 mmHg, BMI 29.6, Weight 73.4 kg, HR 96 bpm
Labs: Total Cholesterol 284.3 mg/dL, HDL Cholesterol 51.8 mg/dL, Triglycerides 100.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.6 (overweight)

**Hypertension: MODERATE**
- BP 118/88 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 43yo Female
Vitals: BP 111/76 mmHg, BMI 30.2, Weight 78.4 kg, HR 67 bpm
Labs: Total Cholesterol 173.7 mg/dL, HDL Cholesterol 57.2 mg/dL, Triglycerides 146.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)

**Hypertension: MODERATE**
- BMI 30.2 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 19yo Male
Vitals: BP 100/80 mmHg, BMI 19.5, Weight 62.5 kg, HR 91 bpm
Labs: Glucose 91.8 mg/dL, HbA1c 6.3 %, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- History of prediabetes

**Hypertension: MODERATE**
- BP 100/80 mmHg (elevated)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 32yo Female
Vitals: BP 131/80 mmHg, BMI 29.9, Weight 82.9 kg, HR 63 bpm
Labs: Glucose 72.5 mg/dL, HbA1c 6.3 %, Total Cholesterol 297.0 mg/dL, HDL Cholesterol 64.1 mg/dL, Triglycerides 144.2 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 29.9 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 131/80 mmHg (elevated)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 53yo Male
Vitals: BP 94/72 mmHg, BMI 27.2, Weight 83.9 kg, HR 87 bpm
Labs: Total Cholesterol 164.8 mg/dL, HDL Cholesterol 49.2 mg/dL, Triglycerides 144.1 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.2 (overweight)
- Age 53 years (≥45 increases risk)

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 55yo Female
Vitals: BP 134/78 mmHg, BMI 27.2, Weight 75.8 kg, HR 78 bpm
Labs: Total Cholesterol 184.2 mg/dL, HDL Cholesterol 57.5 mg/dL, Triglycerides 124.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.2 (overweight)
- Age 55 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 134/78 mmHg (elevated)
- Age 55 years (≥55 increases risk)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 24yo Female
Vitals: BP 101/70 mmHg, BMI 24.9, Weight 70.2 kg, HR 65 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 43yo Female
Vitals: BP 103/69 mmHg, BMI 30.3, Weight 85.5 kg, HR 89 bpm
Labs: Total Cholesterol 182.7 mg/dL, HDL Cholesterol 48.6 mg/dL, Triglycerides 119.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.3 (obese)

**Hypertension: MODERATE**
- BMI 30.3 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 18yo Female
Vitals: BP 135/71 mmHg, BMI 22.6, Weight 54.9 kg, HR 81 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 135/71 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 30yo Female
Vitals: BP 146/83 mmHg, BMI 29.9, Weight 87.7 kg, HR 66 bpm
Labs: Total Cholesterol 213.6 mg/dL, HDL Cholesterol 52.5 mg/dL, Triglycerides 149.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.9 (overweight)

**Hypertension: HIGH**
- BP 146/83 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 43yo Female
Vitals: BP 130/86 mmHg, BMI 26.3, Weight 64.4 kg, HR 74 bpm
Labs: Glucose 65.6 mg/dL, Glucose (serum) 88.4 mg/dL, HbA1c 6.3 %, Total Cholesterol 128.9 mg/dL, HDL Cholesterol 55.6 mg/dL, Triglycerides 123.3 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes
Medications: rosuvastatin calcium 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 26.3 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/86 mmHg (elevated)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 14yo Male
Vitals: BP 124/95 mmHg, BMI 18.7, Weight 54.5 kg, HR 72 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: HIGH**
- BP 124/95 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 24yo Female
Vitals: BP 98/79 mmHg, BMI 21.1, Weight 56.8 kg, HR 65 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 27yo Male
Vitals: BP 128/75 mmHg, BMI 27.3, Weight 82.0 kg, HR 68 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.3 (overweight)

**Hypertension: LOW**
- BP 128/75 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 70yo Male
Vitals: BP 89/51 mmHg, BMI 34.2, Weight 111.8 kg, HR 80 bpm
Labs: Glucose 98.9 mg/dL, Total Cholesterol 132.5 mg/dL, HDL Cholesterol 57.9 mg/dL, Triglycerides 118.8 mg/dL, Creatinine 3.0 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 34.2 (obese)
- Age 70 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 34.2 (obesity increases BP risk)
- Age 70 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 31yo Male
Vitals: BP 103/72 mmHg, BMI 26.7, Weight 86.1 kg, HR 81 bpm
Labs: Total Cholesterol 198.3 mg/dL, HDL Cholesterol 61.3 mg/dL, Triglycerides 115.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.7 (overweight)

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 7yo Female
Vitals: BP 103/68 mmHg, BMI 19.3, Weight 27.7 kg, HR 80 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 52yo Male
Vitals: BP 117/87 mmHg, BMI 28.0, Weight 81.1 kg, HR 94 bpm
Labs: Glucose 97.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 318.4 mg/dL, HDL Cholesterol 34.2 mg/dL, Triglycerides 123.9 mg/dL, Creatinine 3.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 52 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 117/87 mmHg (elevated)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 20yo Female
Vitals: BP 104/59 mmHg, BMI 22.0, Weight 63.5 kg, HR 74 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 84yo Female
Vitals: BP 121/92 mmHg, BMI 30.3, Weight 75.2 kg, HR 68 bpm
Labs: Glucose 97.9 mg/dL, Glucose (serum) 97.9 mg/dL, HbA1c 3.1 %, Total Cholesterol 295.9 mg/dL, HDL Cholesterol 36.8 mg/dL, Triglycerides 118.2 mg/dL, Creatinine 2.3 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes, Diabetic Kidney Disease, Diabetic Retinopathy
Medications: pravastatin sodium 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 66yo Female
Vitals: BP 90/69 mmHg, BMI 27.3, Weight 72.4 kg, HR 95 bpm
Labs: Glucose 85.9 mg/dL, HbA1c 6.3 %, Total Cholesterol 194.8 mg/dL, HDL Cholesterol 67.4 mg/dL, Triglycerides 179.7 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.3 (overweight)
- Age 66 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 66 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 65yo Female
Vitals: BP 141/113 mmHg, BMI 27.8, Weight 61.1 kg, HR 83 bpm
Labs: Total Cholesterol 154.5 mg/dL, HDL Cholesterol 47.2 mg/dL, Triglycerides 104.0 mg/dL
Active conditions: Essential Hypertension
Medications: losartan potassium 25 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.8 (overweight)
- Age 65 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 78yo Male
Vitals: BP 107/78 mmHg, BMI 27.6, Weight 80.2 kg, HR 79 bpm
Labs: Glucose 83.8 mg/dL, Glucose (serum) 97.8 mg/dL, HbA1c 6.4 %, Total Cholesterol 158.7 mg/dL, HDL Cholesterol 51.2 mg/dL, Triglycerides 122.3 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, atorvastatin 80 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 27.6 (overweight)
- Age 78 years (≥45 increases risk)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 5yo Female
Vitals: BP 120/86 mmHg, BMI 16.1, Weight 20.0 kg, HR 99 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 120/86 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 34yo Female
Vitals: BP 131/91 mmHg, BMI 28.4, Weight 74.1 kg, HR 75 bpm
Labs: Glucose 106.3 mg/dL, HbA1c 7.1 %, Total Cholesterol 225.1 mg/dL, HDL Cholesterol 45.5 mg/dL, Triglycerides 183.6 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 66yo Female
Vitals: BP 124/76 mmHg, BMI 30.1, Weight 78.1 kg, HR 87 bpm
Labs: Total Cholesterol 194.8 mg/dL, HDL Cholesterol 55.1 mg/dL, Triglycerides 120.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 66 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 124/76 mmHg (slightly elevated)
- BMI 30.1 (obesity increases BP risk)
- Age 66 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 12yo Male
Vitals: BP 111/79 mmHg, BMI 15.3, Weight 33.8 kg, HR 74 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 33yo Female
Vitals: BP 135/87 mmHg, BMI 28.2, Weight 71.6 kg, HR 81 bpm
Labs: Total Cholesterol 154.2 mg/dL, HDL Cholesterol 50.1 mg/dL, Triglycerides 102.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)

**Hypertension: MODERATE**
- BP 135/87 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 9yo Female
Vitals: BP 126/81 mmHg, BMI 18.8, Weight 33.5 kg, HR 83 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 126/81 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 12yo Female
Vitals: BP 122/67 mmHg, BMI 22.5, Weight 53.1 kg, HR 73 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- BP 122/67 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 40yo Female
Vitals: BP 116/77 mmHg, BMI 31.5, Weight 74.5 kg, HR 76 bpm
Labs: Glucose 79.6 mg/dL, HbA1c 6.0 %, Total Cholesterol 207.6 mg/dL, HDL Cholesterol 54.6 mg/dL, Triglycerides 141.2 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 31.5 (obese)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 23yo Male
Vitals: BP 115/79 mmHg, BMI 26.7, Weight 80.0 kg, HR 77 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.7 (overweight)

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 81yo Female
Vitals: BP 105/76 mmHg, BMI 31.8, Weight 83.5 kg, HR 64 bpm
Labs: Glucose 65.2 mg/dL, Total Cholesterol 195.7 mg/dL, HDL Cholesterol 47.0 mg/dL, Triglycerides 188.7 mg/dL, Creatinine 3.3 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 31.8 (obese)
- Age 81 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 104yo Female
Vitals: BP 129/83 mmHg, BMI 28.2, Weight 81.4 kg, HR 68 bpm
Labs: Glucose 83.7 mg/dL, Glucose (serum) 83.7 mg/dL, HbA1c 3.1 %, Total Cholesterol 285.5 mg/dL, HDL Cholesterol 55.3 mg/dL, Triglycerides 137.7 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.2 (overweight)
- Age 104 years (≥45 increases risk)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 56yo Female
Vitals: BP 114/70 mmHg, BMI 20.7, Weight 52.4 kg, HR 90 bpm
Labs: Glucose 81.7 mg/dL, HbA1c 5.9 %, Total Cholesterol 164.9 mg/dL, HDL Cholesterol 53.6 mg/dL, Triglycerides 138.0 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- Age 56 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 56 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 36yo Male
Vitals: BP 89/84 mmHg, BMI 30.2, Weight 100.9 kg, HR 90 bpm
Labs: Total Cholesterol 162.8 mg/dL, HDL Cholesterol 42.8 mg/dL, Triglycerides 144.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)

**Hypertension: MODERATE**
- BP 89/84 mmHg (elevated)
- BMI 30.2 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 49yo Male
Vitals: BP 136/81 mmHg, BMI 27.4, Weight 77.1 kg, HR 64 bpm
Labs: Total Cholesterol 197.4 mg/dL, HDL Cholesterol 52.0 mg/dL, Triglycerides 134.9 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.4 (overweight)
- Age 49 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 62yo Male
Vitals: BP 124/92 mmHg, BMI 27.4, Weight 78.8 kg, HR 68 bpm
Labs: Glucose 98.4 mg/dL, Glucose (serum) 98.4 mg/dL, HbA1c 3.8 %, Total Cholesterol 205.7 mg/dL, HDL Cholesterol 38.9 mg/dL, Triglycerides 166.8 mg/dL, Creatinine 2.5 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 10 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.4 (overweight)
- Age 62 years (≥45 increases risk)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 18yo Female
Vitals: BP 138/84 mmHg, BMI 21.6, Weight 55.6 kg, HR 99 bpm
Labs: Glucose 81.4 mg/dL, HbA1c 6.2 %, Creatinine 1.4 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- History of prediabetes

**Hypertension: MODERATE**
- BP 138/84 mmHg (elevated)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 5yo Female
Vitals: BP 137/72 mmHg, BMI 15.9, Weight 16.4 kg, HR 72 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 137/72 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 11yo Female
Vitals: BP 108/81 mmHg, BMI 19.1, Weight 41.4 kg, HR 77 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 108/81 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 23yo Male
Vitals: BP 98/86 mmHg, BMI 28.4, Weight 85.5 kg, HR 87 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.4 (overweight)

**Hypertension: MODERATE**
- BP 98/86 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 35yo Female
Vitals: BP 128/89 mmHg, BMI 29.6, Weight 94.0 kg, HR 96 bpm
Labs: Total Cholesterol 238.4 mg/dL, HDL Cholesterol 37.1 mg/dL, Triglycerides 122.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.6 (overweight)

**Hypertension: MODERATE**
- BP 128/89 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 4yo Female
Vitals: BP 117/75 mmHg, BMI 16.2, Weight 15.3 kg, HR 64 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 67yo Female
Vitals: BP 121/75 mmHg, BMI 28.2, Weight 77.7 kg, HR 70 bpm
Labs: Glucose (serum) 72.8 mg/dL, Total Cholesterol 330.0 mg/dL, HDL Cholesterol 56.8 mg/dL, Triglycerides 138.5 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)
- Age 67 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 101yo Female
Vitals: BP 120/68 mmHg, BMI 28.0, Weight 69.2 kg, HR 73 bpm
Labs: Glucose 66.1 mg/dL, HbA1c 5.9 %, Total Cholesterol 255.4 mg/dL, HDL Cholesterol 60.9 mg/dL, Triglycerides 146.5 mg/dL, Creatinine 0.4 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 101 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 120/68 mmHg (slightly elevated)
- Age 101 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 13yo Female
Vitals: BP 108/74 mmHg, BMI 22.4, Weight 68.4 kg, HR 81 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 56yo Male
Vitals: BP 123/93 mmHg, BMI 29.5, Weight 93.2 kg, HR 90 bpm
Labs: Glucose 69.3 mg/dL, HbA1c 6.3 %, Total Cholesterol 166.5 mg/dL, HDL Cholesterol 45.8 mg/dL, Triglycerides 137.7 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 29.5 (overweight)
- Age 56 years (≥45 increases risk)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 8yo Female
Vitals: BP 116/81 mmHg, BMI 27.9, Weight 45.3 kg, HR 76 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)

**Hypertension: MODERATE**
- BP 116/81 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 90yo Male
Vitals: BP 84/70 mmHg, BMI 28.1, Weight 97.2 kg, HR 74 bpm
Labs: Total Cholesterol 167.4 mg/dL, HDL Cholesterol 33.9 mg/dL, Triglycerides 149.7 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 90 years (≥45 increases risk)

**Hypertension: LOW**
- Age 90 years (≥55 increases risk)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 38yo Female
Vitals: BP 116/76 mmHg, BMI 33.1, Weight 93.0 kg, HR 80 bpm
Labs: Glucose 90.0 mg/dL, HbA1c 5.9 %, Total Cholesterol 202.5 mg/dL, HDL Cholesterol 48.2 mg/dL, Triglycerides 143.5 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 33.1 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 33.1 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 47yo Male
Vitals: BP 107/81 mmHg, BMI 40.1, Weight 121.7 kg, HR 70 bpm
Labs: Total Cholesterol 190.3 mg/dL, HDL Cholesterol 46.9 mg/dL, Triglycerides 141.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 40.1 (obese)
- Age 47 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 107/81 mmHg (elevated)
- BMI 40.1 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 71yo Female
Vitals: BP 116/72 mmHg, BMI 27.6, Weight 80.4 kg, HR 92 bpm
Labs: Glucose 121.2 mg/dL, Glucose (serum) 114.4 mg/dL, HbA1c 6.9 %, Total Cholesterol 257.8 mg/dL, HDL Cholesterol 40.3 mg/dL, Triglycerides 106.4 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy, Diabetic Retinopathy
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet, simvastatin 40 MG Oral Tablet, lisinopril 5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: LOW**
- Age 71 years (≥55 increases risk)

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 81yo Male
Vitals: BP 105/82 mmHg, BMI 27.8, Weight 82.7 kg, HR 85 bpm
Labs: Glucose 88.8 mg/dL, Glucose (serum) 69.7 mg/dL, HbA1c 5.5 %, Total Cholesterol 206.3 mg/dL, HDL Cholesterol 78.7 mg/dL, Triglycerides 196.5 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.8 (overweight)
- Age 81 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 47yo Female
Vitals: BP 114/75 mmHg, BMI 29.6, Weight 79.4 kg, HR 79 bpm
Labs: Glucose 73.5 mg/dL, HbA1c 6.4 %, Total Cholesterol 169.8 mg/dL, HDL Cholesterol 57.2 mg/dL, Triglycerides 134.4 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 29.6 (overweight)
- Age 47 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 28yo Male
Vitals: BP 135/69 mmHg, BMI 26.4, Weight 84.5 kg, HR 85 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.4 (overweight)

**Hypertension: MODERATE**
- BP 135/69 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 64yo Female
Vitals: BP 115/67 mmHg, BMI 27.4, Weight 74.2 kg, HR 98 bpm
Labs: Glucose 90.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 222.2 mg/dL, HDL Cholesterol 60.9 mg/dL, Triglycerides 123.3 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.4 (overweight)
- Age 64 years (≥45 increases risk)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 6yo Female
Vitals: BP 139/90 mmHg, BMI 14.6, Weight 21.8 kg, HR 70 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: HIGH**
- BP 139/90 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 18yo Female
Vitals: BP 120/73 mmHg, BMI 27.7, Weight 71.4 kg, HR 86 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.7 (overweight)

**Hypertension: LOW**
- BP 120/73 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 65yo Female
Vitals: BP 128/71 mmHg, BMI 27.1, Weight 77.2 kg, HR 68 bpm
Labs: Glucose 69.1 mg/dL, HbA1c 6.3 %, Total Cholesterol 134.3 mg/dL, HDL Cholesterol 59.0 mg/dL, Triglycerides 122.9 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.1 (overweight)
- Age 65 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 128/71 mmHg (slightly elevated)
- Age 65 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 19yo Female
Vitals: BP 125/85 mmHg, BMI 28.8, Weight 73.9 kg, HR 80 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.8 (overweight)

**Hypertension: MODERATE**
- BP 125/85 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 37yo Male
Vitals: BP 114/74 mmHg, BMI 34.8, Weight 108.3 kg, HR 69 bpm
Labs: Total Cholesterol 152.0 mg/dL, HDL Cholesterol 61.6 mg/dL, Triglycerides 115.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 34.8 (obese)

**Hypertension: MODERATE**
- BMI 34.8 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 38yo Female
Vitals: BP 120/81 mmHg, BMI 22.7, Weight 63.2 kg, HR 77 bpm
Labs: Total Cholesterol 188.0 mg/dL, HDL Cholesterol 31.2 mg/dL, Triglycerides 118.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 120/81 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 51yo Male
Vitals: BP 132/91 mmHg, BMI 27.4, Weight 85.4 kg, HR 78 bpm
Labs: Total Cholesterol 145.7 mg/dL, HDL Cholesterol 27.1 mg/dL, Triglycerides 146.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.4 (overweight)
- Age 51 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 132/91 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 104yo Female
Vitals: BP 138/91 mmHg, BMI 27.3, Weight 69.4 kg, HR 90 bpm
Labs: Glucose (serum) 91.6 mg/dL, Total Cholesterol 228.5 mg/dL, HDL Cholesterol 48.6 mg/dL, Triglycerides 137.7 mg/dL
Active conditions: Diabetic Kidney Disease
Medications: bisoprolol fumarate 2.5 MG / hydrochlorothiazide 6.25 MG Oral Tablet, simvastatin 20 MG Oral Tablet, lisinopril 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.3 (overweight)
- Age 104 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 138/91 mmHg (Stage 1+ hypertension)
- Age 104 years (≥55 increases risk)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 30yo Male
Vitals: BP 84/67 mmHg, BMI 27.0, Weight 81.8 kg, HR 62 bpm
Labs: Glucose 88.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 280.6 mg/dL, HDL Cholesterol 49.3 mg/dL, Triglycerides 145.5 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.0 (overweight)
- History of prediabetes

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 59yo Male
Vitals: BP 140/112 mmHg, BMI 27.7, Weight 79.2 kg, HR 98 bpm
Labs: Glucose 98.7 mg/dL, Glucose (serum) 98.7 mg/dL, HbA1c 3.3 %, Total Cholesterol 139.3 mg/dL, HDL Cholesterol 57.9 mg/dL, Triglycerides 142.8 mg/dL, Creatinine 2.3 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 10 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.7 (overweight)
- Age 59 years (≥45 increases risk)
- History of prediabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 67yo Male
Vitals: BP 62/57 mmHg, BMI 27.8, Weight 80.8 kg, HR 90 bpm
Labs: Glucose 123.5 mg/dL, HbA1c 6.9 %, Total Cholesterol 222.4 mg/dL, HDL Cholesterol 46.0 mg/dL, Triglycerides 183.3 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Type 2 Diabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 31yo Female
Vitals: BP 87/59 mmHg, BMI 29.7, Weight 80.0 kg, HR 89 bpm
Labs: Glucose 72.6 mg/dL, HbA1c 6.3 %, Total Cholesterol 256.3 mg/dL, HDL Cholesterol 25.7 mg/dL, Triglycerides 101.2 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 29.7 (overweight)
- History of prediabetes

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 1yo Female
Vitals: BP 132/77 mmHg, Weight 9.9 kg, HR 62 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 132/77 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 5yo Female
Vitals: BP 102/77 mmHg, BMI 14.5, Weight 19.2 kg, HR 82 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 25yo Female
Vitals: BP 124/73 mmHg, BMI 24.6, Weight 70.9 kg, HR 88 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- BP 124/73 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 15yo Female
Vitals: BP 125/74 mmHg, BMI 19.1, Weight 41.3 kg, HR 64 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- BP 125/74 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 67yo Female
Vitals: BP 137/90 mmHg, BMI 27.9, Weight 73.9 kg, HR 67 bpm
Labs: Glucose 65.8 mg/dL, HbA1c 5.5 %, Total Cholesterol 164.9 mg/dL, HDL Cholesterol 57.6 mg/dL, Triglycerides 105.2 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes, Diabetic Neuropathy
Medications: 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 20yo Female
Vitals: BP 130/88 mmHg, BMI 31.5, Weight 69.2 kg, HR 62 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 31.5 (obese)

**Hypertension: MODERATE**
- BP 130/88 mmHg (elevated)
- BMI 31.5 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 53yo Male
Vitals: BP 102/70 mmHg, BMI 30.8, Weight 100.4 kg, HR 61 bpm
Labs: Total Cholesterol 185.9 mg/dL, HDL Cholesterol 49.8 mg/dL, Triglycerides 112.0 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.8 (obese)
- Age 53 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 30.8 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 27yo Female
Vitals: BP 113/84 mmHg, BMI 22.9, Weight 63.4 kg, HR 77 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 113/84 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 19yo Female
Vitals: BP 119/71 mmHg, BMI 20.7, Weight 56.9 kg, HR 87 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 24yo Female
Vitals: BP 149/96 mmHg, BMI 23.6, Weight 59.5 kg, HR 82 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: HIGH**
- BP 149/96 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 53yo Male
Vitals: BP 94/82 mmHg, BMI 30.1, Weight 83.2 kg, HR 95 bpm
Labs: Glucose (serum) 66.2 mg/dL, HbA1c 5.2 %, Total Cholesterol 142.2 mg/dL, HDL Cholesterol 57.6 mg/dL, Triglycerides 101.6 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 53 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 94/82 mmHg (elevated)
- BMI 30.1 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 60yo Male
Vitals: BP 111/63 mmHg, BMI 29.9, Weight 90.8 kg, HR 78 bpm
Labs: Glucose 98.7 mg/dL, Glucose (serum) 98.7 mg/dL, HbA1c 3.0 %, Total Cholesterol 137.2 mg/dL, HDL Cholesterol 24.1 mg/dL, Triglycerides 123.5 mg/dL, Creatinine 2.3 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 11yo Male
Vitals: BP 142/88 mmHg, BMI 17.3, Weight 34.9 kg, HR 79 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: HIGH**
- BP 142/88 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 69yo Male
Vitals: BP 119/88 mmHg, BMI 28.0, Weight 73.6 kg, HR 74 bpm
Labs: Glucose 69.4 mg/dL, HbA1c 6.2 %, Total Cholesterol 265.3 mg/dL, HDL Cholesterol 62.9 mg/dL, Triglycerides 143.0 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 69 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 119/88 mmHg (elevated)
- Age 69 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 30yo Male
Vitals: BP 99/88 mmHg, BMI 27.6, Weight 83.5 kg, HR 62 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (overweight)

**Hypertension: MODERATE**
- BP 99/88 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 47yo Male
Vitals: BP 135/72 mmHg, BMI 31.1, Weight 89.0 kg, HR 82 bpm
Labs: Glucose 87.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 155.5 mg/dL, HDL Cholesterol 28.0 mg/dL, Triglycerides 145.4 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 31.1 (obese)
- Age 47 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 135/72 mmHg (elevated)
- BMI 31.1 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 66yo Female
Vitals: BP 127/81 mmHg, BMI 33.3, Weight 93.3 kg, HR 79 bpm
Labs: Total Cholesterol 137.5 mg/dL, HDL Cholesterol 63.0 mg/dL, Triglycerides 138.8 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 33.3 (obese)
- Age 66 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 13yo Female
Vitals: BP 105/95 mmHg, BMI 19.6, Weight 47.1 kg, HR 73 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: HIGH**
- BP 105/95 mmHg (Stage 1+ hypertension)

## Recommendations
1. Confirm elevated BP on 2 separate occasions
2. Consider initiating antihypertensive therapy
3. Order baseline labs: renal function, electrolytes, lipid panel
4. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 40yo Female
Vitals: BP 109/70 mmHg, BMI 28.8, Weight 72.3 kg, HR 90 bpm
Labs: Glucose 70.3 mg/dL, HbA1c 6.1 %, Total Cholesterol 242.6 mg/dL, HDL Cholesterol 56.9 mg/dL, Triglycerides 136.3 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.8 (overweight)
- History of prediabetes

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 64yo Male
Vitals: BP 134/91 mmHg, BMI 29.8, Weight 105.8 kg, HR 84 bpm
Labs: Glucose 89.6 mg/dL, HbA1c 5.9 %, Total Cholesterol 198.4 mg/dL, HDL Cholesterol 54.6 mg/dL, Triglycerides 149.8 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 2yo Male
Vitals: BP 123/78 mmHg, Weight 15.8 kg, HR 67 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- BP 123/78 mmHg (slightly elevated)

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 46yo Male
Vitals: BP 132/95 mmHg, BMI 31.3, Weight 90.9 kg, HR 82 bpm
Labs: Total Cholesterol 313.9 mg/dL, HDL Cholesterol 63.2 mg/dL, Triglycerides 120.7 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 31.3 (obese)
- Age 46 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 58yo Male
Vitals: BP 136/91 mmHg, BMI 28.3, Weight 82.5 kg, HR 98 bpm
Labs: Glucose 72.7 mg/dL, HbA1c 5.9 %, Total Cholesterol 276.2 mg/dL, HDL Cholesterol 57.3 mg/dL, Triglycerides 113.1 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.3 (overweight)
- Age 58 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 136/91 mmHg (Stage 1+ hypertension)
- Age 58 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Confirm elevated BP on 2 separate occasions
4. Consider initiating antihypertensive therapy
5. Order baseline labs: renal function, electrolytes, lipid panel
6. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 17yo Female
Vitals: BP 98/82 mmHg, BMI 19.7, Weight 51.5 kg, HR 97 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 98/82 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 61yo Female
Vitals: BP 110/72 mmHg, BMI 30.2, Weight 90.4 kg, HR 73 bpm
Labs: Glucose 97.2 mg/dL, Glucose (serum) 97.2 mg/dL, HbA1c 3.1 %, Total Cholesterol 201.9 mg/dL, HDL Cholesterol 56.6 mg/dL, Triglycerides 118.6 mg/dL, Creatinine 4.1 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Kidney Disease, Diabetic Neuropathy
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: DIAGNOSED**
- Patient has diagnosed Type 2 Diabetes

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 47yo Male
Vitals: BP 132/100 mmHg, BMI 27.9, Weight 89.7 kg, HR 75 bpm
Labs: Glucose 68.3 mg/dL, Total Cholesterol 202.9 mg/dL, HDL Cholesterol 52.6 mg/dL, Triglycerides 104.7 mg/dL, Creatinine 2.5 mg/dL
Active conditions: Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 47 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 69yo Male
Vitals: BP 150/105 mmHg, BMI 27.1, Weight 81.5 kg, HR 91 bpm
Labs: Glucose 65.0 mg/dL, Total Cholesterol 205.3 mg/dL, HDL Cholesterol 58.4 mg/dL, Triglycerides 116.1 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.1 (overweight)
- Age 69 years (≥45 increases risk)

**Hypertension: DIAGNOSED**
- Patient has diagnosed Hypertension

## Recommendations
1. Assess cardiovascular risk (Framingham or ASCVD score)


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 16yo Female
Vitals: BP 119/72 mmHg, BMI 18.2, Weight 44.1 kg, HR 76 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: LOW**
- No significant risk factors identified

## Recommendations
1. Continue healthy lifestyle habits
2. Annual wellness visit and screening


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 19yo Male
Vitals: BP 124/80 mmHg, BMI 19.0, Weight 53.0 kg, HR 74 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- No significant risk factors identified

**Hypertension: MODERATE**
- BP 124/80 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 37yo Male
Vitals: BP 100/86 mmHg, BMI 28.9, Weight 77.2 kg, HR 87 bpm
Labs: Total Cholesterol 184.8 mg/dL, HDL Cholesterol 28.4 mg/dL, Triglycerides 143.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.9 (overweight)

**Hypertension: MODERATE**
- BP 100/86 mmHg (elevated)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 72yo Female
Vitals: BP 127/84 mmHg, BMI 27.4, Weight 70.8 kg, HR 75 bpm
Labs: Glucose 89.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 173.1 mg/dL, HDL Cholesterol 54.9 mg/dL, Triglycerides 119.7 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.4 (overweight)
- Age 72 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 127/84 mmHg (elevated)
- Age 72 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


Instruction: Based on the following patient record, assess the risk of Type 2 diabetes and hypertension. Provide risk levels (LOW, MODERATE, HIGH, or DIAGNOSED) with supporting factors, and clinical recommendations.

Input:
Patient: 69yo Male
Vitals: BP 104/73 mmHg, BMI 27.5, Weight 70.4 kg, HR 65 bpm
Labs: Glucose 71.7 mg/dL, HbA1c 6.0 %, Total Cholesterol 187.9 mg/dL, HDL Cholesterol 52.3 mg/dL, Triglycerides 140.4 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 69 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 69 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months