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: 50yo Male
Vitals: BP 105/81 mmHg, BMI 29.3, Weight 100.8 kg, HR 77 bpm
Labs: Glucose 91.1 mg/dL, Glucose (serum) 91.1 mg/dL, HbA1c 3.1 %, Total Cholesterol 175.4 mg/dL, HDL Cholesterol 31.6 mg/dL, Triglycerides 115.0 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: atorvastatin 80 MG Oral Tablet, lisinopril 20 MG Oral Tablet, 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 29.3 (overweight)
- Age 50 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: 75yo Female
Vitals: BP 119/71 mmHg, BMI 28.1, Weight 66.0 kg, HR 61 bpm
Labs: Glucose 77.8 mg/dL, HbA1c 6.3 %, Total Cholesterol 178.3 mg/dL, HDL Cholesterol 45.0 mg/dL, Triglycerides 128.0 mg/dL, Creatinine 0.5 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 28.1 (overweight)
- Age 75 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 75 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: 56yo Male
Vitals: BP 126/95 mmHg, BMI 27.5, Weight 83.9 kg, HR 93 bpm
Labs: Glucose 89.5 mg/dL, Glucose (serum) 89.5 mg/dL, HbA1c 3.1 %, Total Cholesterol 173.9 mg/dL, HDL Cholesterol 57.7 mg/dL, Triglycerides 103.3 mg/dL, Creatinine 1.9 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.5 (overweight)
- Age 56 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 0yo Female
Vitals: BP 119/75 mmHg, Weight 5.6 kg, HR 71 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: 42yo Male
Vitals: BP 127/80 mmHg, BMI 30.3, Weight 99.8 kg, HR 68 bpm
Labs: Glucose 67.9 mg/dL, HbA1c 6.2 %, Total Cholesterol 187.9 mg/dL, HDL Cholesterol 53.9 mg/dL, Triglycerides 107.1 mg/dL, Creatinine 1.4 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 127/80 mmHg (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: 49yo Female
Vitals: BP 99/69 mmHg, BMI 29.1, Weight 80.0 kg, HR 62 bpm
Labs: Glucose 76.0 mg/dL, HbA1c 6.3 %, Total Cholesterol 174.3 mg/dL, HDL Cholesterol 31.2 mg/dL, Triglycerides 105.6 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 29.1 (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: 75yo Male
Vitals: BP 95/67 mmHg, BMI 27.4, Weight 89.9 kg, HR 93 bpm
Labs: Glucose 104.1 mg/dL, Glucose (serum) 124.8 mg/dL, HbA1c 3.9 %, Total Cholesterol 230.5 mg/dL, HDL Cholesterol 54.2 mg/dL, Triglycerides 183.8 mg/dL, Creatinine 16.1 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, 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]

Output:
## Risk Assessment

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

**Hypertension: LOW**
- Age 75 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: 18yo Female
Vitals: BP 120/83 mmHg, BMI 21.8, Weight 61.0 kg, HR 85 bpm
Labs: Glucose 72.7 mg/dL, HbA1c 6.4 %, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 120/83 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 147/78 mmHg, BMI 27.8, Weight 79.8 kg, HR 81 bpm
Labs: Total Cholesterol 199.2 mg/dL, HDL Cholesterol 57.4 mg/dL, Triglycerides 139.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.8 (overweight)
- Age 51 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 147/78 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: 4yo Male
Vitals: BP 137/75 mmHg, BMI 16.8, Weight 19.5 kg, HR 69 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 137/75 mmHg (elevated)

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


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

Input:
Patient: 31yo Male
Vitals: BP 103/77 mmHg, BMI 27.1, Weight 78.9 kg, HR 96 bpm
Labs: Total Cholesterol 148.6 mg/dL, HDL Cholesterol 23.8 mg/dL, Triglycerides 148.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.1 (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: 57yo Female
Vitals: BP 107/88 mmHg, BMI 30.4, Weight 79.1 kg, HR 66 bpm
Labs: Glucose 70.0 mg/dL, HbA1c 6.1 %, Total Cholesterol 206.1 mg/dL, HDL Cholesterol 53.3 mg/dL, Triglycerides 141.0 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Type 2 Diabetes, Diabetic Retinopathy, Diabetic Neuropathy, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 34yo Female
Vitals: BP 122/78 mmHg, BMI 29.1, Weight 76.4 kg, HR 80 bpm
Labs: Total Cholesterol 145.9 mg/dL, HDL Cholesterol 57.4 mg/dL, Triglycerides 125.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.1 (overweight)

**Hypertension: LOW**
- BP 122/78 mmHg (slightly elevated)

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


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

Input:
Patient: 58yo Female
Vitals: BP 131/82 mmHg, BMI 30.4, Weight 72.2 kg, HR 76 bpm
Labs: Glucose 91.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 135.8 mg/dL, HDL Cholesterol 51.5 mg/dL, Triglycerides 130.2 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.4 (obese)
- Age 58 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 131/82 mmHg (elevated)
- BMI 30.4 (obesity increases BP risk)
- Age 58 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: 4yo Female
Vitals: BP 111/76 mmHg, BMI 16.3, Weight 20.1 kg, HR 98 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: 30yo Female
Vitals: BP 139/88 mmHg, BMI 24.2, Weight 65.3 kg, HR 98 bpm
Labs: Glucose 77.0 mg/dL, HbA1c 6.0 %, Creatinine 0.9 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 139/88 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: 23yo Male
Vitals: BP 149/74 mmHg, BMI 27.7, Weight 71.0 kg, HR 64 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 149/74 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: 62yo Male
Vitals: BP 120/88 mmHg, BMI 27.3, Weight 84.6 kg, HR 92 bpm
Labs: Glucose 97.4 mg/dL, HbA1c 6.1 %, Total Cholesterol 240.7 mg/dL, HDL Cholesterol 51.9 mg/dL, Triglycerides 119.6 mg/dL, Creatinine 0.9 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 6.1% (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: 35yo Female
Vitals: BP 113/83 mmHg, BMI 28.5, Weight 81.1 kg, HR 88 bpm
Labs: Total Cholesterol 185.2 mg/dL, HDL Cholesterol 50.8 mg/dL, Triglycerides 103.7 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 113/83 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: 18yo Male
Vitals: BP 103/67 mmHg, BMI 21.5, Weight 70.5 kg, HR 95 bpm
Labs: Glucose 97.6 mg/dL, HbA1c 6.4 %, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- 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: 57yo Female
Vitals: BP 106/74 mmHg, BMI 30.6, Weight 79.0 kg, HR 62 bpm
Labs: Glucose 99.5 mg/dL, Glucose (serum) 79.9 mg/dL, Total Cholesterol 172.0 mg/dL, HDL Cholesterol 50.2 mg/dL, Triglycerides 135.4 mg/dL, Creatinine 2.9 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 10 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.6 (obese)
- Age 57 years (≥45 increases risk)

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

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


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

Input:
Patient: 82yo Male
Vitals: BP 107/77 mmHg, BMI 30.2, Weight 82.2 kg, HR 70 bpm
Labs: Glucose 82.1 mg/dL, Glucose (serum) 82.1 mg/dL, HbA1c 3.1 %, Total Cholesterol 103.4 mg/dL, HDL Cholesterol 26.1 mg/dL, Triglycerides 133.0 mg/dL, Creatinine 2.7 mg/dL
Active conditions: Essential Hypertension, Prediabetes, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 82 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 Male
Vitals: BP 116/76 mmHg, BMI 20.1, Weight 56.9 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: 65yo Male
Vitals: BP 93/54 mmHg, BMI 29.0, Weight 104.9 kg, HR 92 bpm
Labs: Glucose 74.0 mg/dL, Glucose (serum) 74.0 mg/dL, HbA1c 2.9 %, Total Cholesterol 185.5 mg/dL, HDL Cholesterol 62.5 mg/dL, Triglycerides 109.4 mg/dL, Creatinine 2.0 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], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 29.0 (overweight)
- Age 65 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: 28yo Female
Vitals: BP 97/68 mmHg, BMI 27.2, Weight 71.0 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: 44yo Female
Vitals: BP 133/87 mmHg, BMI 27.8, Weight 90.1 kg, HR 74 bpm
Labs: Total Cholesterol 157.4 mg/dL, HDL Cholesterol 57.0 mg/dL, Triglycerides 130.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.8 (overweight)

**Hypertension: MODERATE**
- BP 133/87 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: 29yo Male
Vitals: BP 122/87 mmHg, BMI 25.7, Weight 77.3 kg, HR 62 bpm
Labs: Glucose 94.8 mg/dL, HbA1c 6.2 %, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 25.7 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 122/87 mmHg (elevated)

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


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

Input:
Patient: 78yo Male
Vitals: BP 129/67 mmHg, BMI 27.8, Weight 88.0 kg, HR 62 bpm
Labs: Glucose 73.2 mg/dL, Glucose (serum) 83.2 mg/dL, HbA1c 5.5 %, Total Cholesterol 163.0 mg/dL, HDL Cholesterol 52.0 mg/dL, Triglycerides 117.5 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy
Medications: Simvastatin 20 MG Oral Tablet, atorvastatin 40 MG Oral Tablet, lisinopril 2.5 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 129/67 mmHg (slightly elevated)
- Age 78 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: 20yo Female
Vitals: BP 124/91 mmHg, BMI 24.1, Weight 61.2 kg, HR 98 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 124/91 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 62yo Female
Vitals: BP 112/85 mmHg, BMI 28.3, Weight 72.7 kg, HR 65 bpm
Labs: Glucose 70.7 mg/dL, HbA1c 6.4 %, Total Cholesterol 142.3 mg/dL, HDL Cholesterol 30.5 mg/dL, Triglycerides 146.9 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 28.3 (overweight)
- Age 62 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 112/85 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 92/76 mmHg, BMI 20.9, Weight 58.1 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: 52yo Male
Vitals: BP 105/65 mmHg, BMI 27.2, Weight 78.9 kg, HR 62 bpm
Labs: Glucose 73.2 mg/dL, HbA1c 5.9 %, Total Cholesterol 169.9 mg/dL, HDL Cholesterol 54.4 mg/dL, Triglycerides 134.1 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 27.2 (overweight)
- Age 52 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: 13yo Female
Vitals: BP 107/77 mmHg, BMI 16.7, Weight 38.7 kg, HR 100 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 Male
Vitals: BP 123/68 mmHg, BMI 28.4, Weight 84.2 kg, HR 63 bpm
Labs: Glucose 96.6 mg/dL, Glucose (serum) 96.6 mg/dL, HbA1c 2.6 %, Total Cholesterol 154.9 mg/dL, HDL Cholesterol 30.2 mg/dL, Triglycerides 114.8 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, 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], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 123/68 mmHg (slightly elevated)
- Age 64 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: 33yo Male
Vitals: BP 123/65 mmHg, BMI 30.0, Weight 96.2 kg, HR 87 bpm
Labs: Glucose 75.3 mg/dL, HbA1c 6.2 %, Total Cholesterol 254.9 mg/dL, HDL Cholesterol 52.9 mg/dL, Triglycerides 109.1 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.0 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 123/65 mmHg (slightly elevated)
- 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. 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: 62yo Female
Vitals: BP 98/68 mmHg, BMI 28.1, Weight 66.4 kg, HR 68 bpm
Labs: Glucose 82.3 mg/dL, HbA1c 7.0 %, Total Cholesterol 197.7 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 102.6 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 20yo Female
Vitals: BP 132/75 mmHg, BMI 22.4, Weight 55.0 kg, HR 93 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 132/75 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: 65yo Male
Vitals: BP 103/85 mmHg, BMI 30.2, Weight 92.2 kg, HR 76 bpm
Labs: Glucose 65.2 mg/dL, Glucose (serum) 65.2 mg/dL, HbA1c 2.9 %, Total Cholesterol 187.2 mg/dL, HDL Cholesterol 34.4 mg/dL, Triglycerides 160.6 mg/dL, Creatinine 4.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 10 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 65 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: 4yo Male
Vitals: BP 115/89 mmHg, BMI 16.7, Weight 15.1 kg, HR 67 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 115/89 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: 31yo Male
Vitals: BP 123/97 mmHg, BMI 23.7, Weight 66.0 kg, HR 79 bpm
Labs: Total Cholesterol 106.4 mg/dL, HDL Cholesterol 46.8 mg/dL, Triglycerides 146.1 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 123/97 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 98yo Male
Vitals: BP 114/85 mmHg, BMI 27.3, Weight 85.4 kg, HR 97 bpm
Labs: Glucose 85.8 mg/dL, Glucose (serum) 85.8 mg/dL, HbA1c 2.3 %, Total Cholesterol 148.3 mg/dL, HDL Cholesterol 27.5 mg/dL, Triglycerides 109.4 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

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: 39yo Female
Vitals: BP 154/102 mmHg, BMI 45.4, Weight 130.4 kg, HR 75 bpm
Labs: Glucose 73.1 mg/dL, HbA1c 5.9 %, Total Cholesterol 260.6 mg/dL, HDL Cholesterol 49.5 mg/dL, Triglycerides 126.0 mg/dL, Creatinine 1.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 45.4 (obese)
- History of prediabetes

**Hypertension: HIGH**
- BP 154/102 mmHg (Stage 1+ hypertension)
- BMI 45.4 (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: 77yo Female
Vitals: BP 132/98 mmHg, BMI 27.6, Weight 68.9 kg, HR 84 bpm
Labs: Total Cholesterol 181.7 mg/dL, HDL Cholesterol 50.8 mg/dL, Triglycerides 115.2 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (overweight)
- Age 77 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: 33yo Female
Vitals: BP 105/74 mmHg, BMI 27.3, Weight 77.2 kg, HR 72 bpm
Labs: Total Cholesterol 192.7 mg/dL, HDL Cholesterol 47.7 mg/dL, Triglycerides 136.3 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.3 (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: 17yo Male
Vitals: BP 113/80 mmHg, BMI 21.7, Weight 73.0 kg, HR 92 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 113/80 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: 65yo Female
Vitals: BP 146/87 mmHg, BMI 28.3, Weight 79.9 kg, HR 72 bpm
Labs: Glucose 83.0 mg/dL, HbA1c 6.4 %, Total Cholesterol 131.8 mg/dL, HDL Cholesterol 57.6 mg/dL, Triglycerides 120.1 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 28.3 (overweight)
- Age 65 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 146/87 mmHg (Stage 1+ hypertension)
- Age 65 years (≥55 increases risk)

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


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

Input:
Patient: 58yo Female
Vitals: BP 124/68 mmHg, BMI 27.5, Weight 66.1 kg, HR 98 bpm
Labs: Glucose 90.7 mg/dL, Glucose (serum) 90.7 mg/dL, HbA1c 3.1 %, Total Cholesterol 163.3 mg/dL, HDL Cholesterol 52.0 mg/dL, Triglycerides 108.9 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], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.5 (overweight)
- Age 58 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: 64yo Female
Vitals: BP 138/89 mmHg, BMI 29.5, Weight 83.1 kg, HR 80 bpm
Labs: Total Cholesterol 148.3 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 125.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.5 (overweight)
- Age 64 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 138/89 mmHg (elevated)
- Age 64 years (≥55 increases risk)

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


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

Input:
Patient: 66yo Female
Vitals: BP 104/82 mmHg, BMI 28.3, Weight 80.8 kg, HR 96 bpm
Labs: Total Cholesterol 215.2 mg/dL, HDL Cholesterol 38.9 mg/dL, Triglycerides 109.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.3 (overweight)
- Age 66 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 104/82 mmHg (elevated)
- Age 66 years (≥55 increases risk)

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


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

Input:
Patient: 77yo Male
Vitals: BP 129/70 mmHg, BMI 27.8, Weight 89.8 kg, HR 72 bpm
Labs: Glucose 68.0 mg/dL, Glucose (serum) 88.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 169.9 mg/dL, HDL Cholesterol 71.5 mg/dL, Triglycerides 141.8 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 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 77 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 129/70 mmHg (slightly elevated)
- Age 77 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 137/78 mmHg, BMI 30.7, Weight 97.9 kg, HR 90 bpm
Labs: Glucose 66.5 mg/dL, HbA1c 6.0 %, Creatinine 1.6 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 30.7 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 137/78 mmHg (elevated)
- BMI 30.7 (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: 17yo Male
Vitals: BP 142/84 mmHg, BMI 25.7, Weight 88.0 kg, HR 99 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.7 (overweight)

**Hypertension: HIGH**
- BP 142/84 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: 45yo Male
Vitals: BP 130/88 mmHg, BMI 30.0, Weight 89.5 kg, HR 66 bpm
Labs: Glucose 87.9 mg/dL, HbA1c 6.2 %, Total Cholesterol 171.3 mg/dL, HDL Cholesterol 31.6 mg/dL, Triglycerides 103.9 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.0 (obese)
- Age 45 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/88 mmHg (elevated)
- 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. 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: 15yo Female
Vitals: BP 129/75 mmHg, BMI 29.8, Weight 91.6 kg, HR 62 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.8 (overweight)

**Hypertension: LOW**
- BP 129/75 mmHg (slightly elevated)

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


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

Input:
Patient: 54yo Female
Vitals: BP 140/104 mmHg, BMI 30.4, Weight 87.2 kg, HR 82 bpm
Labs: Glucose 78.1 mg/dL, Glucose (serum) 78.1 mg/dL, HbA1c 6.1 %, Total Cholesterol 173.8 mg/dL, HDL Cholesterol 31.3 mg/dL, Triglycerides 140.3 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: lisinopril 10 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin]

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.4 (obese)
- Age 54 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: 68yo Female
Vitals: BP 120/84 mmHg, BMI 28.0, Weight 68.3 kg, HR 89 bpm
Labs: Glucose 89.5 mg/dL, HbA1c 5.9 %, Total Cholesterol 294.4 mg/dL, HDL Cholesterol 54.0 mg/dL, Triglycerides 113.9 mg/dL, Creatinine 0.6 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 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.0 (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: 46yo Male
Vitals: BP 99/82 mmHg, BMI 22.8, Weight 83.5 kg, HR 94 bpm
Labs: Glucose 82.8 mg/dL, HbA1c 6.2 %, Total Cholesterol 177.0 mg/dL, HDL Cholesterol 27.9 mg/dL, Triglycerides 113.3 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%)
- Age 46 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 99/82 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: 34yo Male
Vitals: BP 134/90 mmHg, BMI 25.5, Weight 96.9 kg, HR 78 bpm
Labs: Total Cholesterol 141.4 mg/dL, HDL Cholesterol 50.6 mg/dL, Triglycerides 118.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.5 (overweight)

**Hypertension: HIGH**
- BP 134/90 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: 19yo Male
Vitals: BP 102/81 mmHg, BMI 27.0, Weight 69.0 kg, HR 88 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 102/81 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: 67yo Male
Vitals: BP 102/67 mmHg, BMI 30.1, Weight 99.2 kg, HR 99 bpm
Labs: Glucose 83.2 mg/dL, Total Cholesterol 206.3 mg/dL, HDL Cholesterol 42.2 mg/dL, Triglycerides 177.0 mg/dL, Creatinine 3.3 mg/dL
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 67 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 30.1 (obesity increases BP risk)
- Age 67 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: 52yo Female
Vitals: BP 83/67 mmHg, BMI 27.9, Weight 73.3 kg, HR 90 bpm
Labs: Glucose 100.0 mg/dL, HbA1c 6.3 %, Total Cholesterol 186.6 mg/dL, HDL Cholesterol 58.0 mg/dL, Triglycerides 149.2 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- Fasting glucose 100.0 mg/dL (prediabetes range 100-125)
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 52 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: 108yo Male
Vitals: BP 107/82 mmHg, BMI 27.5, Weight 84.0 kg, HR 82 bpm
Labs: Glucose 70.1 mg/dL, HbA1c 6.1 %, Total Cholesterol 171.4 mg/dL, HDL Cholesterol 32.1 mg/dL, Triglycerides 115.5 mg/dL, Creatinine 0.4 mg/dL
Active conditions: Prediabetes
Medications: atorvastatin 20 MG Oral Tablet, hydrochlorothiazide 12.5 MG / lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 108 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 107/82 mmHg (elevated)
- Age 108 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: 29yo Female
Vitals: BP 115/74 mmHg, BMI 30.9, Weight 81.9 kg, HR 93 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.9 (obese)

**Hypertension: MODERATE**
- BMI 30.9 (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: 62yo Male
Vitals: BP 118/73 mmHg, BMI 27.4, Weight 76.3 kg, HR 75 bpm
Labs: Glucose 114.2 mg/dL, HbA1c 6.9 %, Total Cholesterol 223.2 mg/dL, HDL Cholesterol 47.2 mg/dL, Triglycerides 151.2 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Type 2 Diabetes, Diabetic Neuropathy
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

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

**Hypertension: LOW**
- Age 62 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: 62yo Female
Vitals: BP 98/86 mmHg, BMI 27.1, Weight 77.7 kg, HR 88 bpm
Labs: Glucose 72.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 215.2 mg/dL, HDL Cholesterol 57.6 mg/dL, Triglycerides 144.5 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.1 (overweight)
- Age 62 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 98/86 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: 38yo Female
Vitals: BP 133/78 mmHg, BMI 30.7, Weight 78.4 kg, HR 72 bpm
Labs: Glucose 85.3 mg/dL, HbA1c 5.8 %, Total Cholesterol 123.8 mg/dL, HDL Cholesterol 57.0 mg/dL, Triglycerides 116.4 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 30.7 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 133/78 mmHg (elevated)
- BMI 30.7 (obesity increases BP risk)

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


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

Input:
Patient: 18yo Male
Vitals: BP 127/80 mmHg, BMI 20.3, Weight 66.7 kg, HR 67 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 127/80 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: 58yo Male
Vitals: BP 118/90 mmHg, BMI 28.2, Weight 85.9 kg, HR 94 bpm
Labs: Glucose (serum) 78.8 mg/dL, Total Cholesterol 161.4 mg/dL, HDL Cholesterol 25.0 mg/dL, Triglycerides 123.0 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)
- Age 58 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: 4yo Male
Vitals: BP 117/93 mmHg, BMI 16.2, Weight 15.2 kg, HR 84 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 117/93 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 24yo Female
Vitals: BP 130/90 mmHg, BMI 21.7, Weight 63.2 kg, HR 92 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 130/90 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: 21yo Male
Vitals: BP 114/88 mmHg, BMI 23.0, Weight 78.0 kg, HR 96 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 114/88 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: 35yo Male
Vitals: BP 130/73 mmHg, BMI 28.1, Weight 94.7 kg, HR 68 bpm
Labs: Total Cholesterol 250.1 mg/dL, HDL Cholesterol 33.6 mg/dL, Triglycerides 132.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)

**Hypertension: MODERATE**
- BP 130/73 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: 3yo Male
Vitals: BP 123/90 mmHg, BMI 16.6, Weight 14.7 kg, HR 72 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 123/90 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: 62yo Female
Vitals: BP 103/68 mmHg, BMI 28.1, Weight 75.6 kg, HR 75 bpm
Labs: Glucose 183.1 mg/dL, HbA1c 5.5 %, Total Cholesterol 247.3 mg/dL, HDL Cholesterol 39.1 mg/dL, Triglycerides 362.3 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Type 2 Diabetes
Medications: 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet

Output:
## Risk Assessment

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

**Hypertension: LOW**
- Age 62 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: 14yo Female
Vitals: BP 119/70 mmHg, BMI 18.9, Weight 45.9 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: 38yo Female
Vitals: BP 125/65 mmHg, BMI 28.0, Weight 61.5 kg, HR 100 bpm
Labs: Total Cholesterol 136.3 mg/dL, HDL Cholesterol 57.7 mg/dL, Triglycerides 119.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 125/65 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 Male
Vitals: BP 131/84 mmHg, BMI 27.1, Weight 82.0 kg, HR 91 bpm
Labs: Glucose 73.3 mg/dL, HbA1c 6.0 %, Total Cholesterol 162.9 mg/dL, HDL Cholesterol 45.4 mg/dL, Triglycerides 116.7 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.1 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 131/84 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: 36yo Female
Vitals: BP 110/84 mmHg, BMI 27.9, Weight 71.9 kg, HR 71 bpm
Labs: Glucose 96.1 mg/dL, HbA1c 5.8 %, Total Cholesterol 184.2 mg/dL, HDL Cholesterol 53.6 mg/dL, Triglycerides 108.2 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 110/84 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: 46yo Female
Vitals: BP 123/82 mmHg, BMI 30.1, Weight 89.1 kg, HR 97 bpm
Labs: Glucose 91.2 mg/dL, HbA1c 6.0 %, Total Cholesterol 330.0 mg/dL, HDL Cholesterol 51.6 mg/dL, Triglycerides 121.0 mg/dL, 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 30.1 (obese)
- Age 46 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 123/82 mmHg (elevated)
- BMI 30.1 (obesity increases BP risk)

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


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

Input:
Patient: 17yo Female
Vitals: BP 113/74 mmHg, BMI 18.9, Weight 46.5 kg, HR 72 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: 12yo Male
Vitals: BP 105/74 mmHg, BMI 26.7, Weight 74.7 kg, HR 97 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 24yo Male
Vitals: BP 102/72 mmHg, BMI 24.5, Weight 66.2 kg, HR 94 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 101/81 mmHg, BMI 27.4, Weight 63.8 kg, HR 92 bpm
Labs: Glucose 66.7 mg/dL, HbA1c 5.9 %, Total Cholesterol 174.8 mg/dL, HDL Cholesterol 69.5 mg/dL, Triglycerides 161.1 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.4 (overweight)
- Age 64 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 101/81 mmHg (elevated)
- Age 64 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: 9yo Male
Vitals: BP 126/80 mmHg, BMI 15.9, Weight 32.0 kg, HR 95 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 126/80 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: 47yo Male
Vitals: BP 112/76 mmHg, BMI 27.7, Weight 85.4 kg, HR 82 bpm
Labs: Total Cholesterol 132.8 mg/dL, HDL Cholesterol 55.3 mg/dL, Triglycerides 109.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.7 (overweight)
- Age 47 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: 1yo Female
Vitals: BP 130/86 mmHg, Weight 10.8 kg, HR 60 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 130/86 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: 37yo Male
Vitals: BP 111/73 mmHg, BMI 28.3, Weight 89.5 kg, HR 80 bpm
Labs: Glucose 83.3 mg/dL, HbA1c 5.9 %, Total Cholesterol 195.2 mg/dL, HDL Cholesterol 60.4 mg/dL, Triglycerides 145.4 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.3 (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: 83yo Female
Vitals: BP 121/80 mmHg, BMI 27.5, Weight 76.2 kg, HR 62 bpm
Labs: Glucose 75.0 mg/dL, Glucose (serum) 75.0 mg/dL, HbA1c 3.2 %, Total Cholesterol 283.7 mg/dL, HDL Cholesterol 54.4 mg/dL, Triglycerides 137.1 mg/dL, Creatinine 40.2 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], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.5 (overweight)
- Age 83 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: 79yo Female
Vitals: BP 135/76 mmHg, BMI 30.3, Weight 79.9 kg, HR 94 bpm
Labs: Glucose 66.9 mg/dL, HbA1c 5.9 %, Total Cholesterol 169.3 mg/dL, HDL Cholesterol 50.4 mg/dL, Triglycerides 100.5 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 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 30.3 (obese)
- Age 79 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: 45yo Female
Vitals: BP 129/70 mmHg, BMI 27.4, Weight 70.9 kg, HR 98 bpm
Labs: Total Cholesterol 146.4 mg/dL, HDL Cholesterol 53.2 mg/dL, Triglycerides 118.9 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 129/70 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 Male
Vitals: BP 124/92 mmHg, BMI 28.3, Weight 88.1 kg, HR 64 bpm
Labs: Glucose 85.7 mg/dL, Glucose (serum) 78.5 mg/dL, HbA1c 6.2 %, Total Cholesterol 171.6 mg/dL, HDL Cholesterol 72.9 mg/dL, Triglycerides 128.2 mg/dL, Creatinine 2.5 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 28.3 (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: 91yo Male
Vitals: BP 76/49 mmHg, BMI 27.7, Weight 76.1 kg, HR 71 bpm
Labs: Glucose 115.9 mg/dL, Glucose (serum) 115.9 mg/dL, HbA1c 3.9 %, Total Cholesterol 219.5 mg/dL, HDL Cholesterol 51.4 mg/dL, Triglycerides 150.2 mg/dL, Creatinine 3.3 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Retinopathy, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, atorvastatin 10 MG Oral Tablet, lisinopril 5 MG Oral Tablet, Simvastatin 10 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: 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: 75yo Female
Vitals: BP 115/63 mmHg, BMI 28.3, Weight 65.8 kg, HR 72 bpm
Labs: Total Cholesterol 166.7 mg/dL, HDL Cholesterol 63.5 mg/dL, Triglycerides 127.0 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.3 (overweight)
- Age 75 years (≥45 increases risk)

**Hypertension: LOW**
- Age 75 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: 8yo Female
Vitals: BP 106/69 mmHg, BMI 17.2, Weight 28.6 kg, HR 96 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: 54yo Female
Vitals: BP 127/87 mmHg, BMI 30.4, Weight 78.2 kg, HR 84 bpm
Labs: Glucose 82.4 mg/dL, HbA1c 6.1 %, Total Cholesterol 225.4 mg/dL, HDL Cholesterol 25.9 mg/dL, Triglycerides 131.9 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes
Medications: 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 40yo Male
Vitals: BP 134/76 mmHg, BMI 29.0, Weight 97.2 kg, HR 81 bpm
Labs: Glucose 86.6 mg/dL, HbA1c 6.2 %, Total Cholesterol 137.0 mg/dL, HDL Cholesterol 60.8 mg/dL, Triglycerides 150.0 mg/dL, Creatinine 1.4 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 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.0 (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: 10yo Female
Vitals: BP 140/90 mmHg, BMI 20.7, Weight 37.0 kg, HR 81 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/90 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: 36yo Male
Vitals: BP 118/74 mmHg, BMI 29.2, Weight 99.3 kg, HR 79 bpm
Labs: Total Cholesterol 225.7 mg/dL, HDL Cholesterol 48.2 mg/dL, Triglycerides 105.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.2 (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: 23yo Female
Vitals: BP 130/90 mmHg, BMI 19.8, Weight 48.4 kg, HR 91 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 130/90 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 18yo Male
Vitals: BP 129/69 mmHg, BMI 26.2, Weight 83.2 kg, HR 99 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.2 (overweight)

**Hypertension: LOW**
- BP 129/69 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: 13yo Male
Vitals: BP 125/72 mmHg, BMI 19.0, Weight 51.8 kg, HR 92 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 125/72 mmHg (slightly elevated)

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


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

Input:
Patient: 63yo Male
Vitals: BP 131/87 mmHg, BMI 30.2, Weight 94.8 kg, HR 81 bpm
Labs: Glucose 94.5 mg/dL, HbA1c 5.8 %, Total Cholesterol 302.8 mg/dL, HDL Cholesterol 58.3 mg/dL, Triglycerides 106.9 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- Age 63 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 131/87 mmHg (elevated)
- BMI 30.2 (obesity increases BP risk)
- Age 63 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: 62yo Male
Vitals: BP 117/78 mmHg, BMI 29.7, Weight 82.1 kg, HR 68 bpm
Labs: Total Cholesterol 155.0 mg/dL, HDL Cholesterol 28.4 mg/dL, Triglycerides 116.6 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 29.7 (overweight)
- Age 62 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: 14yo Male
Vitals: BP 134/64 mmHg, BMI 25.2, Weight 73.4 kg, HR 73 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 134/64 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: 47yo Male
Vitals: BP 123/88 mmHg, BMI 30.2, Weight 106.5 kg, HR 99 bpm
Labs: Total Cholesterol 155.7 mg/dL, HDL Cholesterol 29.0 mg/dL, Triglycerides 135.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 47 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 123/88 mmHg (elevated)
- BMI 30.2 (obesity increases BP risk)

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


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

Input:
Patient: 34yo Male
Vitals: BP 97/80 mmHg, BMI 30.2, Weight 95.4 kg, HR 96 bpm
Labs: Total Cholesterol 186.8 mg/dL, HDL Cholesterol 53.9 mg/dL, Triglycerides 146.0 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 97/80 mmHg (elevated)
- BMI 30.2 (obesity increases BP risk)

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


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

Input:
Patient: 52yo Male
Vitals: BP 128/85 mmHg, BMI 33.9, Weight 97.5 kg, HR 96 bpm
Labs: Glucose 80.6 mg/dL, HbA1c 6.4 %, Total Cholesterol 212.4 mg/dL, HDL Cholesterol 58.2 mg/dL, Triglycerides 130.0 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 33.9 (obese)
- Age 52 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: 58yo Female
Vitals: BP 134/78 mmHg, BMI 30.7, Weight 85.3 kg, HR 98 bpm
Labs: Glucose 73.9 mg/dL, HbA1c 5.9 %, Total Cholesterol 180.3 mg/dL, HDL Cholesterol 60.6 mg/dL, Triglycerides 120.6 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 30.7 (obese)
- Age 58 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 134/78 mmHg (elevated)
- BMI 30.7 (obesity increases BP risk)
- Age 58 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: 14yo Female
Vitals: BP 100/67 mmHg, BMI 18.1, Weight 46.9 kg, HR 78 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: 17yo Male
Vitals: BP 136/80 mmHg, BMI 28.5, Weight 82.2 kg, HR 75 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 136/80 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: 51yo Female
Vitals: BP 117/60 mmHg, BMI 27.9, Weight 66.3 kg, HR 67 bpm
Labs: Total Cholesterol 296.5 mg/dL, HDL Cholesterol 57.7 mg/dL, Triglycerides 150.0 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 51 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: 42yo Male
Vitals: BP 108/92 mmHg, BMI 27.3, Weight 86.4 kg, HR 94 bpm
Labs: Total Cholesterol 219.4 mg/dL, HDL Cholesterol 46.0 mg/dL, Triglycerides 132.3 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 108/92 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: 35yo Male
Vitals: BP 132/98 mmHg, BMI 29.0, Weight 77.3 kg, HR 83 bpm
Labs: Glucose 107.3 mg/dL, HbA1c 7.3 %, Total Cholesterol 201.8 mg/dL, HDL Cholesterol 51.4 mg/dL, Triglycerides 183.4 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 24yo Female
Vitals: BP 119/79 mmHg, BMI 24.0, Weight 63.4 kg, HR 90 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 52yo Male
Vitals: BP 95/66 mmHg, BMI 27.6, Weight 86.3 kg, HR 82 bpm
Labs: Total Cholesterol 148.0 mg/dL, HDL Cholesterol 51.0 mg/dL, Triglycerides 132.5 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 27.6 (overweight)
- Age 52 years (≥45 increases risk)

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

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


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

Input:
Patient: 16yo Female
Vitals: BP 110/69 mmHg, BMI 19.4, Weight 46.9 kg, HR 70 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 33yo Male
Vitals: BP 108/73 mmHg, BMI 27.4, Weight 70.1 kg, HR 75 bpm
Labs: Glucose 92.6 mg/dL, HbA1c 5.9 %, Total Cholesterol 201.2 mg/dL, HDL Cholesterol 26.7 mg/dL, Triglycerides 105.3 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 27.4 (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: 12yo Male
Vitals: BP 118/73 mmHg, BMI 17.0, Weight 32.8 kg, HR 69 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 123/76 mmHg, BMI 27.4, Weight 70.9 kg, HR 93 bpm
Labs: Glucose 79.1 mg/dL, HbA1c 6.3 %, Total Cholesterol 152.1 mg/dL, HDL Cholesterol 48.9 mg/dL, Triglycerides 120.6 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 27.4 (overweight)
- History of prediabetes

**Hypertension: LOW**
- BP 123/76 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: 13yo Female
Vitals: BP 118/69 mmHg, BMI 18.2, Weight 46.1 kg, HR 95 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: 21yo Female
Vitals: BP 126/83 mmHg, BMI 28.3, Weight 62.1 kg, HR 61 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 126/83 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: 49yo Female
Vitals: BP 107/82 mmHg, BMI 27.6, Weight 68.8 kg, HR 90 bpm
Labs: Total Cholesterol 155.7 mg/dL, HDL Cholesterol 60.2 mg/dL, Triglycerides 123.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (overweight)
- Age 49 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 107/82 mmHg (elevated)

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


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

Input:
Patient: 0yo Male
Vitals: BP 94/66 mmHg, Weight 10.1 kg, HR 92 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: 62yo Female
Vitals: BP 116/81 mmHg, BMI 30.4, Weight 78.5 kg, HR 60 bpm
Labs: Glucose 88.3 mg/dL, HbA1c 6.4 %, Total Cholesterol 172.3 mg/dL, HDL Cholesterol 56.3 mg/dL, Triglycerides 137.6 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 30.4 (obese)
- Age 62 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 116/81 mmHg (elevated)
- BMI 30.4 (obesity increases BP risk)
- 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 112/69 mmHg, BMI 28.4, Weight 79.0 kg, HR 80 bpm
Labs: Glucose 86.8 mg/dL, HbA1c 5.9 %, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.4 (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