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 102/74 mmHg, BMI 26.1, Weight 80.8 kg, HR 64 bpm
Labs: Glucose 94.3 mg/dL, HbA1c 6.0 %, Total Cholesterol 152.5 mg/dL, HDL Cholesterol 35.4 mg/dL, Triglycerides 109.9 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 26.1 (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: 31yo Male
Vitals: BP 131/79 mmHg, BMI 28.2, Weight 83.5 kg, HR 87 bpm
Labs: Total Cholesterol 181.5 mg/dL, HDL Cholesterol 49.0 mg/dL, Triglycerides 118.2 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/79 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: 67yo Male
Vitals: BP 125/81 mmHg, BMI 27.2, Weight 82.4 kg, HR 64 bpm
Labs: Glucose 93.6 mg/dL, HbA1c 5.3 %, Total Cholesterol 174.5 mg/dL, HDL Cholesterol 53.5 mg/dL, Triglycerides 133.1 mg/dL, Creatinine 2.8 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 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: 2yo Female
Vitals: BP 128/69 mmHg, Weight 12.7 kg, HR 97 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 128/69 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: 0yo Female
Vitals: BP 136/81 mmHg, Weight 7.1 kg, HR 64 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 136/81 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: 14yo Female
Vitals: BP 99/84 mmHg, BMI 26.7, Weight 72.6 kg, HR 65 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 99/84 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: 18yo Female
Vitals: BP 131/86 mmHg, BMI 20.1, Weight 44.0 kg, HR 68 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/86 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: 29yo Male
Vitals: BP 133/90 mmHg, BMI 25.3, Weight 73.3 kg, HR 76 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.3 (overweight)

**Hypertension: HIGH**
- BP 133/90 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: 52yo Female
Vitals: BP 119/75 mmHg, BMI 28.3, Weight 87.1 kg, HR 73 bpm
Labs: Total Cholesterol 166.6 mg/dL, HDL Cholesterol 45.6 mg/dL, Triglycerides 139.3 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.3 (overweight)
- Age 52 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: 73yo Female
Vitals: BP 102/58 mmHg, BMI 28.0, Weight 81.5 kg, HR 83 bpm
Labs: Glucose 81.3 mg/dL, HbA1c 6.1 %, Total Cholesterol 175.8 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 143.9 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 73 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 73 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: 26yo Male
Vitals: BP 143/83 mmHg, BMI 24.5, Weight 69.5 kg, HR 61 bpm
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

**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: 63yo Male
Vitals: BP 107/77 mmHg, BMI 27.9, Weight 82.5 kg, HR 89 bpm
Labs: Total Cholesterol 182.6 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 143.7 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 63 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: 13yo Female
Vitals: BP 133/81 mmHg, BMI 16.2, Weight 44.7 kg, HR 78 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 133/81 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: 30yo Female
Vitals: BP 149/80 mmHg, BMI 30.4, Weight 78.5 kg, HR 86 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 149/80 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: 53yo Female
Vitals: BP 131/77 mmHg, BMI 30.1, Weight 78.4 kg, HR 72 bpm
Labs: Total Cholesterol 151.7 mg/dL, HDL Cholesterol 61.3 mg/dL, Triglycerides 117.4 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/77 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: 47yo Female
Vitals: BP 114/97 mmHg, BMI 27.9, Weight 68.1 kg, HR 82 bpm
Labs: Total Cholesterol 273.5 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 108.7 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 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: 68yo Male
Vitals: BP 92/55 mmHg, BMI 27.2, Weight 78.6 kg, HR 79 bpm
Labs: Glucose 95.5 mg/dL, HbA1c 5.8 %, Total Cholesterol 194.3 mg/dL, HDL Cholesterol 65.2 mg/dL, Triglycerides 122.2 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 27.2 (overweight)
- Age 68 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: 29yo Male
Vitals: BP 130/62 mmHg, BMI 30.5, Weight 94.5 kg, HR 90 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.5 (obese)

**Hypertension: MODERATE**
- BP 130/62 mmHg (elevated)
- BMI 30.5 (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: 68yo Female
Vitals: BP 134/68 mmHg, BMI 29.0, Weight 72.8 kg, HR 79 bpm
Labs: Glucose 87.8 mg/dL, HbA1c 6.2 %, Total Cholesterol 189.6 mg/dL, HDL Cholesterol 55.0 mg/dL, Triglycerides 107.1 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.0 (overweight)
- Age 68 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: 82yo Female
Vitals: BP 109/65 mmHg, BMI 27.5, Weight 68.1 kg, HR 63 bpm
Labs: Glucose 94.6 mg/dL, HbA1c 6.2 %, Total Cholesterol 208.1 mg/dL, HDL Cholesterol 50.0 mg/dL, Triglycerides 113.4 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 82 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 82 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: 68yo Male
Vitals: BP 123/81 mmHg, BMI 27.7, Weight 77.0 kg, HR 92 bpm
Labs: Glucose 65.5 mg/dL, Glucose (serum) 65.5 mg/dL, HbA1c 3.3 %, Total Cholesterol 326.6 mg/dL, HDL Cholesterol 29.9 mg/dL, Triglycerides 114.1 mg/dL, Creatinine 1.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 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 68 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 Male
Vitals: BP 103/70 mmHg, BMI 14.7, Weight 15.5 kg, HR 84 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: 32yo Female
Vitals: BP 125/71 mmHg, BMI 30.3, Weight 86.4 kg, HR 74 bpm
Labs: Glucose 76.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 280.6 mg/dL, HDL Cholesterol 55.1 mg/dL, Triglycerides 116.0 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.3 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 125/71 mmHg (slightly elevated)
- 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: 21yo Female
Vitals: BP 114/82 mmHg, BMI 21.0, Weight 53.5 kg, HR 88 bpm
Labs: Glucose 91.7 mg/dL, HbA1c 6.0 %, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 114/82 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: 27yo Female
Vitals: BP 119/67 mmHg, BMI 28.5, Weight 62.7 kg, HR 78 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.5 (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: 68yo Male
Vitals: BP 129/66 mmHg, BMI 29.0, Weight 85.0 kg, HR 88 bpm
Labs: Glucose 67.4 mg/dL, HbA1c 6.2 %, Total Cholesterol 166.2 mg/dL, HDL Cholesterol 29.4 mg/dL, Triglycerides 132.9 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.0 (overweight)
- Age 68 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 129/66 mmHg (slightly elevated)
- Age 68 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: 66yo Female
Vitals: BP 116/72 mmHg, BMI 30.0, Weight 81.3 kg, HR 83 bpm
Labs: Glucose 95.7 mg/dL, Total Cholesterol 167.0 mg/dL, HDL Cholesterol 58.9 mg/dL, Triglycerides 104.3 mg/dL, Creatinine 2.6 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (obese)
- Age 66 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 30.0 (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: 28yo Female
Vitals: BP 118/81 mmHg, BMI 30.6, Weight 89.8 kg, HR 95 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.6 (obese)

**Hypertension: MODERATE**
- BP 118/81 mmHg (elevated)
- BMI 30.6 (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: 67yo Female
Vitals: BP 117/80 mmHg, BMI 28.1, Weight 77.6 kg, HR 90 bpm
Labs: Glucose 81.6 mg/dL, Glucose (serum) 72.7 mg/dL, HbA1c 2.5 %, Total Cholesterol 170.7 mg/dL, HDL Cholesterol 32.5 mg/dL, Triglycerides 141.7 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Type 2 Diabetes, Essential Hypertension, Diabetic Neuropathy, Diabetic Kidney Disease, Diabetic Retinopathy
Medications: bisoprolol fumarate 2.5 MG / hydrochlorothiazide 6.25 MG Oral Tablet, atorvastatin 10 MG Oral Tablet, losartan potassium 100 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 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: 32yo Male
Vitals: BP 136/83 mmHg, BMI 26.9, Weight 102.3 kg, HR 76 bpm
Labs: Total Cholesterol 161.6 mg/dL, HDL Cholesterol 50.7 mg/dL, Triglycerides 127.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.9 (overweight)

**Hypertension: MODERATE**
- BP 136/83 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: 40yo Female
Vitals: BP 112/76 mmHg, BMI 41.9, Weight 109.9 kg, HR 68 bpm
Labs: Glucose 66.2 mg/dL, HbA1c 6.1 %, Total Cholesterol 173.3 mg/dL, HDL Cholesterol 48.7 mg/dL, Triglycerides 119.7 mg/dL, Creatinine 1.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 41.9 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 41.9 (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 Female
Vitals: BP 121/76 mmHg, BMI 28.1, Weight 74.8 kg, HR 80 bpm
Labs: Total Cholesterol 158.6 mg/dL, HDL Cholesterol 54.7 mg/dL, Triglycerides 117.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 49 years (≥45 increases risk)

**Hypertension: LOW**
- BP 121/76 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: 32yo Female
Vitals: BP 131/76 mmHg, BMI 28.5, Weight 66.9 kg, HR 86 bpm
Labs: Total Cholesterol 302.0 mg/dL, HDL Cholesterol 48.0 mg/dL, Triglycerides 139.9 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/76 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: 13yo Female
Vitals: BP 105/73 mmHg, BMI 23.1, Weight 46.1 kg, HR 63 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: 69yo Male
Vitals: BP 108/60 mmHg, BMI 27.7, Weight 85.1 kg, HR 84 bpm
Labs: Glucose 70.9 mg/dL, HbA1c 6.3 %, Total Cholesterol 155.7 mg/dL, HDL Cholesterol 47.1 mg/dL, Triglycerides 110.3 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.7 (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


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 Female
Vitals: BP 125/71 mmHg, BMI 25.2, Weight 59.6 kg, HR 88 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.2 (overweight)

**Hypertension: LOW**
- BP 125/71 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 96/61 mmHg, BMI 28.2, Weight 95.5 kg, HR 75 bpm
Labs: Glucose (serum) 95.0 mg/dL, Total Cholesterol 189.8 mg/dL, HDL Cholesterol 61.5 mg/dL, Triglycerides 101.9 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)
- Age 46 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: 40yo Female
Vitals: BP 117/79 mmHg, BMI 27.7, Weight 63.3 kg, HR 67 bpm
Labs: Glucose 84.7 mg/dL, HbA1c 6.1 %, Total Cholesterol 104.7 mg/dL, HDL Cholesterol 48.0 mg/dL, Triglycerides 123.9 mg/dL, Creatinine 0.8 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)
- 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: 30yo Male
Vitals: BP 130/72 mmHg, BMI 26.3, Weight 79.9 kg, HR 90 bpm
Labs: Glucose 99.7 mg/dL, HbA1c 6.0 %, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 26.3 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/72 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: 10yo Male
Vitals: BP 137/88 mmHg, BMI 19.5, Weight 44.9 kg, HR 94 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 137/88 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: 37yo Female
Vitals: BP 112/75 mmHg, BMI 29.4, Weight 78.1 kg, HR 91 bpm
Labs: Glucose 89.1 mg/dL, HbA1c 6.1 %, Total Cholesterol 150.5 mg/dL, HDL Cholesterol 61.4 mg/dL, Triglycerides 122.6 mg/dL, Creatinine 1.0 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 6.1% (prediabetes range 5.7-6.4%)
- BMI 29.4 (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: 44yo Male
Vitals: BP 128/73 mmHg, BMI 27.3, Weight 88.8 kg, HR 91 bpm
Labs: Glucose 76.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 161.2 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 126.9 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.3 (overweight)
- History of prediabetes

**Hypertension: LOW**
- BP 128/73 mmHg (slightly elevated)

## 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: 11yo Female
Vitals: BP 110/86 mmHg, BMI 16.9, Weight 41.8 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 110/86 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: 89yo Female
Vitals: BP 121/80 mmHg, BMI 30.1, Weight 77.6 kg, HR 63 bpm
Labs: Glucose 72.5 mg/dL, HbA1c 2.9 %, Total Cholesterol 269.6 mg/dL, HDL Cholesterol 60.0 mg/dL, Triglycerides 106.7 mg/dL, Creatinine 0.5 mg/dL
Active conditions: Essential Hypertension, Prediabetes, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 89 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: 84yo Male
Vitals: BP 87/75 mmHg, BMI 28.4, Weight 85.4 kg, HR 75 bpm
Labs: Glucose 66.9 mg/dL, HbA1c 5.9 %, Total Cholesterol 190.3 mg/dL, HDL Cholesterol 66.1 mg/dL, Triglycerides 122.7 mg/dL, Creatinine 0.7 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 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 84 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: 10yo Male
Vitals: BP 110/89 mmHg, BMI 16.8, Weight 34.3 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 110/89 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: 24yo Female
Vitals: BP 133/64 mmHg, BMI 24.5, Weight 63.0 kg, HR 94 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 133/64 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: 101yo Male
Vitals: BP 88/64 mmHg, BMI 28.8, Weight 84.8 kg, HR 83 bpm
Labs: Glucose 88.1 mg/dL, Glucose (serum) 72.4 mg/dL, HbA1c 3.0 %, Total Cholesterol 206.3 mg/dL, HDL Cholesterol 72.8 mg/dL, Triglycerides 125.8 mg/dL, Creatinine 0.5 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, 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, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.8 (overweight)
- Age 101 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: 1yo Female
Vitals: BP 98/80 mmHg, Weight 10.5 kg, HR 87 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 98/80 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: 34yo Male
Vitals: BP 98/74 mmHg, BMI 31.6, Weight 94.1 kg, HR 73 bpm
Labs: Total Cholesterol 141.5 mg/dL, HDL Cholesterol 55.3 mg/dL, Triglycerides 114.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 31.6 (obese)

**Hypertension: MODERATE**
- BMI 31.6 (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: 55yo Female
Vitals: BP 122/100 mmHg, BMI 28.7, Weight 83.6 kg, HR 88 bpm
Labs: Glucose 98.8 mg/dL, Total Cholesterol 175.6 mg/dL, HDL Cholesterol 34.7 mg/dL, Triglycerides 128.4 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.7 (overweight)
- Age 55 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: 32yo Female
Vitals: BP 111/86 mmHg, BMI 27.2, Weight 70.4 kg, HR 93 bpm
Labs: Glucose 66.6 mg/dL, HbA1c 6.3 %, Total Cholesterol 172.1 mg/dL, HDL Cholesterol 63.4 mg/dL, Triglycerides 141.5 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.2 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 111/86 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: 51yo Female
Vitals: BP 139/80 mmHg, BMI 28.7, Weight 79.3 kg, HR 95 bpm
Labs: Total Cholesterol 159.2 mg/dL, HDL Cholesterol 60.0 mg/dL, Triglycerides 113.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.7 (overweight)
- Age 51 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 139/80 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: 0yo Male
Vitals: BP 129/86 mmHg, Weight 7.2 kg, HR 71 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 129/86 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: 22yo Male
Vitals: BP 110/70 mmHg, BMI 25.3, Weight 75.1 kg, HR 78 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.3 (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: 55yo Female
Vitals: BP 128/99 mmHg, BMI 31.1, Weight 86.2 kg, HR 85 bpm
Labs: Glucose 65.9 mg/dL, HbA1c 5.8 %, Total Cholesterol 178.6 mg/dL, HDL Cholesterol 29.0 mg/dL, Triglycerides 115.0 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 31.1 (obese)
- Age 55 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: 88yo Male
Vitals: BP 129/91 mmHg, BMI 27.3, Weight 88.6 kg, HR 81 bpm
Labs: Glucose 64.8 mg/dL, Glucose (serum) 64.8 mg/dL, HbA1c 3.3 %, Total Cholesterol 206.7 mg/dL, HDL Cholesterol 50.9 mg/dL, Triglycerides 164.0 mg/dL, Creatinine 2.4 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, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.3 (overweight)
- Age 88 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: 25yo Female
Vitals: BP 137/89 mmHg, BMI 42.1, Weight 105.7 kg, HR 71 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 42.1 (obese)

**Hypertension: MODERATE**
- BP 137/89 mmHg (elevated)
- BMI 42.1 (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: 40yo Male
Vitals: BP 112/86 mmHg, BMI 30.3, Weight 83.2 kg, HR 73 bpm
Labs: Glucose 78.2 mg/dL, HbA1c 6.1 %, Total Cholesterol 194.4 mg/dL, HDL Cholesterol 46.8 mg/dL, Triglycerides 121.8 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension
Medications: 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: 94yo Female
Vitals: BP 124/82 mmHg, BMI 27.9, Weight 73.6 kg, HR 73 bpm
Labs: Glucose 90.0 mg/dL, Glucose (serum) 88.0 mg/dL, HbA1c 2.5 %, Total Cholesterol 197.5 mg/dL, HDL Cholesterol 32.1 mg/dL, Triglycerides 179.1 mg/dL, Creatinine 2.7 mg/dL
Active conditions: 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], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 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: 0yo Female
Vitals: BP 136/79 mmHg, Weight 8.5 kg, HR 91 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 136/79 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: 20yo Male
Vitals: BP 99/87 mmHg, BMI 22.8, Weight 67.2 kg, HR 77 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 99/87 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: 53yo Male
Vitals: BP 145/95 mmHg, BMI 27.9, Weight 96.0 kg, HR 73 bpm
Labs: Glucose 121.6 mg/dL, HbA1c 7.0 %, Total Cholesterol 238.4 mg/dL, HDL Cholesterol 52.9 mg/dL, Triglycerides 168.5 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Neuropathy
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: 35yo Female
Vitals: BP 133/89 mmHg, BMI 28.0, Weight 76.4 kg, HR 60 bpm
Labs: Glucose 64.5 mg/dL, HbA1c 5.9 %, Total Cholesterol 315.8 mg/dL, HDL Cholesterol 57.3 mg/dL, Triglycerides 110.4 mg/dL, Creatinine 1.0 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 133/89 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: 78yo Female
Vitals: BP 127/82 mmHg, BMI 28.2, Weight 81.4 kg, HR 70 bpm
Labs: Glucose 82.9 mg/dL, Glucose (serum) 78.4 mg/dL, HbA1c 6.0 %, Total Cholesterol 154.6 mg/dL, HDL Cholesterol 49.3 mg/dL, Triglycerides 184.0 mg/dL, Creatinine 3.4 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 28.2 (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: 22yo Female
Vitals: BP 130/72 mmHg, BMI 21.8, Weight 56.2 kg, HR 68 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 130/72 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: 62yo Female
Vitals: BP 114/61 mmHg, BMI 30.1, Weight 68.8 kg, HR 97 bpm
Labs: Glucose 66.9 mg/dL, Glucose (serum) 66.9 mg/dL, HbA1c 3.2 %, Total Cholesterol 144.3 mg/dL, HDL Cholesterol 64.5 mg/dL, Triglycerides 102.5 mg/dL, Creatinine 2.6 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], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- 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: 21yo Female
Vitals: BP 129/74 mmHg, BMI 21.9, Weight 60.8 kg, HR 71 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 129/74 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: 63yo Female
Vitals: BP 91/69 mmHg, BMI 27.7, Weight 70.0 kg, HR 93 bpm
Labs: Glucose 98.5 mg/dL, HbA1c 5.9 %, Total Cholesterol 195.1 mg/dL, HDL Cholesterol 53.3 mg/dL, Triglycerides 104.3 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.7 (overweight)
- Age 63 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 63 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: 22yo Male
Vitals: BP 132/88 mmHg, BMI 26.3, Weight 81.6 kg, HR 95 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 132/88 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: 14yo Female
Vitals: BP 111/80 mmHg, BMI 19.3, Weight 40.7 kg, HR 98 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 111/80 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: 26yo Female
Vitals: BP 145/85 mmHg, BMI 26.5, Weight 70.2 kg, HR 70 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.5 (overweight)

**Hypertension: HIGH**
- BP 145/85 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: 20yo Male
Vitals: BP 130/74 mmHg, BMI 37.6, Weight 109.0 kg, HR 73 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 37.6 (obese)

**Hypertension: MODERATE**
- BP 130/74 mmHg (elevated)
- BMI 37.6 (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: 32yo Female
Vitals: BP 150/97 mmHg, BMI 30.1, Weight 82.2 kg, HR 88 bpm
Labs: Glucose 66.7 mg/dL, HbA1c 6.1 %, Total Cholesterol 192.4 mg/dL, HDL Cholesterol 55.3 mg/dL, Triglycerides 104.4 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.1 (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: 44yo Female
Vitals: BP 124/98 mmHg, BMI 28.3, Weight 81.6 kg, HR 74 bpm
Labs: Total Cholesterol 142.7 mg/dL, HDL Cholesterol 55.7 mg/dL, Triglycerides 115.5 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.3 (overweight)

**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 Female
Vitals: BP 133/76 mmHg, BMI 27.0, Weight 50.8 kg, HR 74 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.0 (overweight)

**Hypertension: MODERATE**
- BP 133/76 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: 46yo Female
Vitals: BP 139/92 mmHg, BMI 30.0, Weight 84.6 kg, HR 74 bpm
Labs: Total Cholesterol 189.3 mg/dL, HDL Cholesterol 55.5 mg/dL, Triglycerides 121.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (obese)
- Age 46 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 139/92 mmHg (Stage 1+ hypertension)
- BMI 30.0 (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: 62yo Male
Vitals: BP 130/74 mmHg, BMI 27.8, Weight 85.9 kg, HR 65 bpm
Labs: Glucose 65.3 mg/dL, HbA1c 6.4 %, Total Cholesterol 174.1 mg/dL, HDL Cholesterol 48.0 mg/dL, Triglycerides 142.0 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 27.8 (overweight)
- Age 62 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/74 mmHg (elevated)
- Age 62 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: 27yo Female
Vitals: BP 120/64 mmHg, BMI 29.6, Weight 76.4 kg, HR 90 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 120/64 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: 30yo Female
Vitals: BP 119/79 mmHg, BMI 36.3, Weight 98.3 kg, HR 70 bpm
Labs: Total Cholesterol 156.9 mg/dL, HDL Cholesterol 50.3 mg/dL, Triglycerides 146.2 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 36.3 (obese)

**Hypertension: MODERATE**
- BMI 36.3 (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: 9yo Female
Vitals: BP 106/87 mmHg, BMI 15.8, Weight 24.4 kg, HR 99 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 106/87 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: 44yo Female
Vitals: BP 125/94 mmHg, BMI 28.0, Weight 75.1 kg, HR 99 bpm
Labs: Glucose 89.9 mg/dL, HbA1c 6.1 %, Total Cholesterol 192.4 mg/dL, HDL Cholesterol 50.0 mg/dL, Triglycerides 144.7 mg/dL, Creatinine 0.9 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)
- History of prediabetes

**Hypertension: HIGH**
- BP 125/94 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: 26yo Female
Vitals: BP 101/77 mmHg, BMI 31.3, Weight 75.3 kg, HR 96 bpm
Labs: Glucose 93.8 mg/dL, HbA1c 6.4 %, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 31.3 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 31.3 (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: 59yo Female
Vitals: BP 132/73 mmHg, BMI 29.5, Weight 79.1 kg, HR 84 bpm
Labs: Glucose 64.9 mg/dL, Glucose (serum) 64.9 mg/dL, HbA1c 3.1 %, Total Cholesterol 215.6 mg/dL, HDL Cholesterol 52.2 mg/dL, Triglycerides 145.0 mg/dL, Creatinine 1.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 29.5 (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: 69yo Male
Vitals: BP 106/66 mmHg, BMI 28.0, Weight 86.5 kg, HR 85 bpm
Labs: Glucose (serum) 83.4 mg/dL, HbA1c 5.5 %, Total Cholesterol 127.0 mg/dL, HDL Cholesterol 29.1 mg/dL, Triglycerides 111.0 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (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: 36yo Female
Vitals: BP 141/78 mmHg, BMI 26.5, Weight 78.5 kg, HR 63 bpm
Labs: Total Cholesterol 199.8 mg/dL, HDL Cholesterol 55.8 mg/dL, Triglycerides 144.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.5 (overweight)

**Hypertension: HIGH**
- BP 141/78 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: 10yo Male
Vitals: BP 133/83 mmHg, BMI 18.1, Weight 35.8 kg, HR 93 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 133/83 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 113/77 mmHg, BMI 29.7, Weight 86.6 kg, HR 61 bpm
Labs: Total Cholesterol 174.6 mg/dL, HDL Cholesterol 56.3 mg/dL, Triglycerides 148.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.7 (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: 8yo Male
Vitals: BP 115/67 mmHg, BMI 15.0, Weight 27.7 kg, HR 88 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: 41yo Male
Vitals: BP 121/68 mmHg, BMI 30.2, Weight 91.6 kg, HR 93 bpm
Labs: Total Cholesterol 135.1 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 140.3 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 121/68 mmHg (slightly 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: 27yo Male
Vitals: BP 118/73 mmHg, BMI 27.2, Weight 84.6 kg, HR 78 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.2 (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: 4yo Female
Vitals: BP 108/72 mmHg, BMI 15.7, Weight 17.5 kg, HR 83 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: 49yo Female
Vitals: BP 108/72 mmHg, BMI 28.9, Weight 74.0 kg, HR 72 bpm
Labs: Glucose 80.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 280.5 mg/dL, HDL Cholesterol 52.1 mg/dL, Triglycerides 109.2 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.9 (overweight)
- Age 49 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: 19yo Male
Vitals: BP 130/83 mmHg, BMI 19.2, Weight 54.5 kg, HR 79 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 130/83 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: 63yo Female
Vitals: BP 113/72 mmHg, BMI 29.7, Weight 67.7 kg, HR 89 bpm
Labs: Glucose 80.2 mg/dL, HbA1c 6.1 %, Total Cholesterol 192.5 mg/dL, HDL Cholesterol 55.3 mg/dL, Triglycerides 109.7 mg/dL, Creatinine 2.5 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 29.7 (overweight)
- Age 63 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 63 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: 59yo Female
Vitals: BP 116/83 mmHg, BMI 21.4, Weight 54.8 kg, HR 77 bpm
Labs: Glucose 111.6 mg/dL, HbA1c 6.6 %, Total Cholesterol 216.9 mg/dL, HDL Cholesterol 45.3 mg/dL, Triglycerides 183.5 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy, Diabetic Retinopathy

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 116/83 mmHg (elevated)
- Age 59 years (≥55 increases risk)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks
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: 30yo Male
Vitals: BP 105/79 mmHg, BMI 29.9, Weight 89.2 kg, HR 81 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.9 (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: 43yo Female
Vitals: BP 127/77 mmHg, BMI 28.0, Weight 65.3 kg, HR 78 bpm
Labs: Total Cholesterol 140.6 mg/dL, HDL Cholesterol 53.3 mg/dL, Triglycerides 104.2 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 127/77 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: 57yo Female
Vitals: BP 121/75 mmHg, BMI 27.8, Weight 81.5 kg, HR 76 bpm
Labs: Glucose 88.5 mg/dL, HbA1c 6.3 %, Total Cholesterol 231.7 mg/dL, HDL Cholesterol 53.6 mg/dL, Triglycerides 211.7 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: 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: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.8 (overweight)
- Age 57 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: 47yo Male
Vitals: BP 125/74 mmHg, BMI 30.4, Weight 87.8 kg, HR 61 bpm
Labs: Total Cholesterol 128.6 mg/dL, HDL Cholesterol 61.5 mg/dL, Triglycerides 131.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 47 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 125/74 mmHg (slightly elevated)
- 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. 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: 72yo Female
Vitals: BP 123/77 mmHg, BMI 30.4, Weight 79.1 kg, HR 81 bpm
Labs: Total Cholesterol 195.3 mg/dL, HDL Cholesterol 61.2 mg/dL, Triglycerides 131.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 72 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 123/77 mmHg (slightly elevated)
- BMI 30.4 (obesity increases BP risk)
- 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: 75yo Male
Vitals: BP 128/78 mmHg, BMI 28.1, Weight 95.1 kg, HR 89 bpm
Labs: Glucose 109.1 mg/dL, Glucose (serum) 109.1 mg/dL, HbA1c 4.0 %, Total Cholesterol 210.9 mg/dL, HDL Cholesterol 43.8 mg/dL, Triglycerides 179.6 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Kidney Disease, Diabetic Retinopathy
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

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: 46yo Female
Vitals: BP 128/80 mmHg, BMI 20.2, Weight 46.6 kg, HR 81 bpm
Labs: Total Cholesterol 187.2 mg/dL, HDL Cholesterol 54.0 mg/dL, Triglycerides 123.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- Age 46 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 128/80 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: 49yo Male
Vitals: BP 126/77 mmHg, BMI 28.0, Weight 85.1 kg, HR 64 bpm
Labs: Total Cholesterol 135.7 mg/dL, HDL Cholesterol 53.9 mg/dL, Triglycerides 100.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)
- Age 49 years (≥45 increases risk)

**Hypertension: LOW**
- BP 126/77 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: 60yo Male
Vitals: BP 95/62 mmHg, BMI 27.8, Weight 98.2 kg, HR 82 bpm
Labs: Glucose 118.4 mg/dL, Glucose (serum) 118.4 mg/dL, HbA1c 4.0 %, Total Cholesterol 215.0 mg/dL, HDL Cholesterol 41.4 mg/dL, Triglycerides 158.3 mg/dL, Creatinine 2.1 mg/dL
Active conditions: Prediabetes, 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]

Output:
## Risk Assessment

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

**Hypertension: LOW**
- Age 60 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: 13yo Male
Vitals: BP 140/89 mmHg, BMI 20.7, Weight 58.9 kg, HR 73 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/89 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: 67yo Male
Vitals: BP 105/80 mmHg, BMI 27.4, Weight 83.1 kg, HR 87 bpm
Labs: Glucose 95.5 mg/dL, HbA1c 6.4 %, Total Cholesterol 156.2 mg/dL, HDL Cholesterol 40.3 mg/dL, Triglycerides 198.8 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 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: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 27.4 (overweight)
- Age 67 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: 73yo Male
Vitals: BP 120/78 mmHg, BMI 27.4, Weight 89.4 kg, HR 71 bpm
Labs: Total Cholesterol 202.6 mg/dL, HDL Cholesterol 31.1 mg/dL, Triglycerides 145.5 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.4 (overweight)
- Age 73 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: 59yo Female
Vitals: BP 138/87 mmHg, BMI 27.6, Weight 81.4 kg, HR 98 bpm
Labs: Glucose 95.3 mg/dL, Glucose (serum) 95.5 mg/dL, Total Cholesterol 150.9 mg/dL, HDL Cholesterol 38.7 mg/dL, Triglycerides 195.0 mg/dL, Creatinine 3.4 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (overweight)
- Age 59 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 122/67 mmHg, BMI 27.3, Weight 89.0 kg, HR 80 bpm
Labs: Glucose 71.6 mg/dL, HbA1c 6.3 %, Total Cholesterol 113.4 mg/dL, HDL Cholesterol 27.6 mg/dL, Triglycerides 148.3 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 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 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: 29yo Female
Vitals: BP 108/77 mmHg, BMI 24.1, Weight 70.2 kg, HR 97 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: 64yo Female
Vitals: BP 132/92 mmHg, BMI 27.9, Weight 75.3 kg, HR 89 bpm
Labs: Glucose 74.2 mg/dL, Glucose (serum) 98.0 mg/dL, HbA1c 2.5 %, Total Cholesterol 100.1 mg/dL, HDL Cholesterol 57.6 mg/dL, Triglycerides 143.1 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy, Diabetic Kidney Disease, Essential Hypertension
Medications: Simvastatin 10 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, 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: 53yo Male
Vitals: BP 124/74 mmHg, BMI 28.0, Weight 89.2 kg, HR 80 bpm
Labs: Glucose 80.3 mg/dL, HbA1c 6.2 %, Total Cholesterol 184.8 mg/dL, HDL Cholesterol 57.6 mg/dL, Triglycerides 137.6 mg/dL, Creatinine 1.1 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 53 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 124/74 mmHg (slightly elevated)

## 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: 63yo Female
Vitals: BP 136/96 mmHg, BMI 27.6, Weight 74.2 kg, HR 90 bpm
Labs: Glucose 74.1 mg/dL, Glucose (serum) 74.1 mg/dL, HbA1c 3.0 %, Total Cholesterol 177.9 mg/dL, HDL Cholesterol 60.8 mg/dL, Triglycerides 115.6 mg/dL, Creatinine 1.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.6 (overweight)
- Age 63 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: 2yo Female
Vitals: BP 86/79 mmHg, Weight 16.3 kg, HR 89 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: 51yo Female
Vitals: BP 105/70 mmHg, BMI 28.0, Weight 77.3 kg, HR 66 bpm
Labs: Glucose 72.9 mg/dL, HbA1c 6.3 %, Total Cholesterol 178.0 mg/dL, HDL Cholesterol 51.3 mg/dL, Triglycerides 127.1 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 51 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: 34yo Female
Vitals: BP 129/65 mmHg, BMI 29.7, Weight 66.8 kg, HR 71 bpm
Labs: Glucose 74.3 mg/dL, HbA1c 6.2 %, Total Cholesterol 161.7 mg/dL, HDL Cholesterol 62.3 mg/dL, Triglycerides 145.7 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.7 (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: 22yo Female
Vitals: BP 100/80 mmHg, BMI 25.1, Weight 68.1 kg, HR 83 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.1 (overweight)

**Hypertension: MODERATE**
- BP 100/80 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: 107yo Male
Vitals: BP 99/61 mmHg, BMI 30.2, Weight 99.4 kg, HR 74 bpm
Labs: Glucose 88.1 mg/dL, HbA1c 6.0 %, Total Cholesterol 169.4 mg/dL, HDL Cholesterol 64.1 mg/dL, Triglycerides 119.0 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- Age 107 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 30.2 (obesity increases BP risk)
- Age 107 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: 25yo Female
Vitals: BP 110/81 mmHg, BMI 21.5, Weight 61.0 kg, HR 63 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 110/81 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: 40yo Male
Vitals: BP 142/86 mmHg, BMI 29.7, Weight 112.9 kg, HR 63 bpm
Labs: Glucose 83.7 mg/dL, HbA1c 6.4 %, Total Cholesterol 143.5 mg/dL, HDL Cholesterol 48.3 mg/dL, Triglycerides 134.5 mg/dL, Creatinine 1.6 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 142/86 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: 29yo Female
Vitals: BP 115/70 mmHg, BMI 28.0, Weight 74.2 kg, HR 100 bpm

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: 1yo Female
Vitals: BP 123/84 mmHg, Weight 11.9 kg, HR 70 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 123/84 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: 27yo Female
Vitals: BP 104/84 mmHg, BMI 27.3, Weight 76.1 kg, HR 68 bpm
Labs: Glucose 94.9 mg/dL, HbA1c 6.0 %, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.3 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 104/84 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: 60yo Female
Vitals: BP 116/65 mmHg, BMI 27.2, Weight 75.7 kg, HR 98 bpm
Labs: Glucose (serum) 97.3 mg/dL, HbA1c 5.5 %, Total Cholesterol 156.6 mg/dL, HDL Cholesterol 30.0 mg/dL, Triglycerides 132.3 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.2 (overweight)
- Age 60 years (≥45 increases risk)

**Hypertension: LOW**
- Age 60 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: 53yo Male
Vitals: BP 115/77 mmHg, BMI 30.5, Weight 95.4 kg, HR 77 bpm
Labs: Glucose 92.8 mg/dL, Glucose (serum) 78.9 mg/dL, HbA1c 6.3 %, Total Cholesterol 177.4 mg/dL, HDL Cholesterol 58.5 mg/dL, Triglycerides 139.4 mg/dL, Creatinine 1.3 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 6.3% (prediabetes range 5.7-6.4%)
- BMI 30.5 (obese)
- Age 53 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)