Instruction: Based on the following patient record, assess 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 104/84 mmHg, BMI 28.0, Weight 69.5 kg, HR 75 bpm
Labs: Glucose (serum) 95.3 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 104/84 mmHg (elevated)

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


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

Input:
Patient: 56yo Female
Vitals: BP 125/73 mmHg, BMI 30.5, Weight 71.5 kg, HR 77 bpm
Labs: Glucose 85.6 mg/dL, Total Cholesterol 167.5 mg/dL, HDL Cholesterol 55.7 mg/dL, Triglycerides 148.8 mg/dL, Creatinine 3.4 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.5 (obese)
- Age 56 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 125/73 mmHg (slightly elevated)
- BMI 30.5 (obesity increases BP risk)
- Age 56 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: 21yo Male
Vitals: BP 113/81 mmHg, BMI 25.0, Weight 74.4 kg, HR 68 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.0 (overweight)

**Hypertension: MODERATE**
- BP 113/81 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: 32yo Female
Vitals: BP 122/84 mmHg, BMI 29.7, Weight 77.4 kg, HR 68 bpm
Labs: Glucose (serum) 76.8 mg/dL, Total Cholesterol 160.1 mg/dL, HDL Cholesterol 51.4 mg/dL, Triglycerides 137.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.7 (overweight)

**Hypertension: MODERATE**
- BP 122/84 mmHg (elevated)

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


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

Input:
Patient: 66yo Male
Vitals: BP 80/60 mmHg, BMI 28.2, Weight 89.4 kg, HR 96 bpm
Labs: Glucose 72.4 mg/dL, Glucose (serum) 70.7 mg/dL, HbA1c 6.1 %, Total Cholesterol 186.5 mg/dL, HDL Cholesterol 30.8 mg/dL, Triglycerides 124.6 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.2 (overweight)
- Age 66 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 27yo Female
Vitals: BP 127/91 mmHg, BMI 23.3, Weight 62.4 kg, HR 74 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 127/91 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: 70yo Female
Vitals: BP 130/77 mmHg, BMI 28.0, Weight 72.4 kg, HR 82 bpm
Labs: Glucose 79.7 mg/dL, Glucose (serum) 96.7 mg/dL, HbA1c 6.4 %, Total Cholesterol 190.2 mg/dL, HDL Cholesterol 58.8 mg/dL, Triglycerides 160.5 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 70 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: 51yo Male
Vitals: BP 146/75 mmHg, BMI 30.4, Weight 111.3 kg, HR 90 bpm
Labs: Glucose 86.4 mg/dL, HbA1c 5.9 %, Total Cholesterol 164.0 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 113.8 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 30.4 (obese)
- Age 51 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: 11yo Female
Vitals: BP 124/83 mmHg, BMI 15.7, Weight 33.6 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 124/83 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: 41yo Male
Vitals: BP 136/117 mmHg, BMI 28.2, Weight 91.9 kg, HR 72 bpm
Labs: Glucose 89.0 mg/dL, HbA1c 5.9 %, Total Cholesterol 200.5 mg/dL, HDL Cholesterol 49.0 mg/dL, Triglycerides 107.0 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.2 (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: 26yo Male
Vitals: BP 110/83 mmHg, BMI 26.3, Weight 79.8 kg, HR 72 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 110/83 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: 64yo Male
Vitals: BP 89/79 mmHg, BMI 27.6, Weight 72.5 kg, HR 71 bpm
Labs: Glucose 74.8 mg/dL, Glucose (serum) 64.3 mg/dL, HbA1c 5.8 %, Total Cholesterol 163.6 mg/dL, HDL Cholesterol 32.6 mg/dL, Triglycerides 121.0 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 27.6 (overweight)
- Age 64 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 64 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: 50yo Female
Vitals: BP 128/81 mmHg, BMI 27.2, Weight 76.0 kg, HR 85 bpm
Labs: Glucose 98.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 154.2 mg/dL, HDL Cholesterol 59.9 mg/dL, Triglycerides 136.2 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.2 (overweight)
- Age 50 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 128/81 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: 65yo Male
Vitals: BP 118/102 mmHg, BMI 23.4, Weight 61.5 kg, HR 64 bpm
Labs: Glucose 95.2 mg/dL, HbA1c 6.4 %, Total Cholesterol 267.6 mg/dL, HDL Cholesterol 29.0 mg/dL, Triglycerides 137.2 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- 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: 57yo Male
Vitals: BP 110/97 mmHg, BMI 27.7, Weight 83.0 kg, HR 73 bpm
Labs: Glucose 78.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 193.5 mg/dL, HDL Cholesterol 50.5 mg/dL, Triglycerides 128.6 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.7 (overweight)
- Age 57 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 110/97 mmHg (Stage 1+ hypertension)
- Age 57 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: 4yo Male
Vitals: BP 131/75 mmHg, BMI 20.0, Weight 19.7 kg, HR 92 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/75 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: 12yo Female
Vitals: BP 129/89 mmHg, BMI 22.4, Weight 51.8 kg, HR 83 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 129/89 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: 42yo Male
Vitals: BP 129/105 mmHg, BMI 27.2, Weight 76.7 kg, HR 61 bpm
Labs: Glucose 77.6 mg/dL, HbA1c 6.3 %, Total Cholesterol 170.0 mg/dL, HDL Cholesterol 47.8 mg/dL, Triglycerides 103.7 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.2 (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: 3yo Male
Vitals: BP 137/80 mmHg, BMI 15.1, Weight 14.6 kg, HR 88 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 137/80 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: 76yo Male
Vitals: BP 111/64 mmHg, BMI 28.1, Weight 72.0 kg, HR 79 bpm
Labs: Glucose 99.8 mg/dL, HbA1c 6.4 %, Total Cholesterol 179.8 mg/dL, HDL Cholesterol 30.7 mg/dL, Triglycerides 126.0 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 28.1 (overweight)
- Age 76 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 76 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 115/88 mmHg, BMI 30.2, Weight 98.8 kg, HR 77 bpm
Labs: Glucose 92.5 mg/dL, HbA1c 6.4 %, Total Cholesterol 167.5 mg/dL, HDL Cholesterol 46.0 mg/dL, Triglycerides 121.3 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- 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: 47yo Male
Vitals: BP 125/86 mmHg, BMI 29.1, Weight 89.5 kg, HR 88 bpm
Labs: Total Cholesterol 160.4 mg/dL, HDL Cholesterol 54.6 mg/dL, Triglycerides 109.6 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 29.1 (overweight)
- Age 47 years (≥45 increases risk)

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

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


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

Input:
Patient: 54yo Female
Vitals: BP 96/45 mmHg, BMI 28.0, Weight 83.3 kg, HR 97 bpm
Labs: Glucose 68.0 mg/dL, Glucose (serum) 88.6 mg/dL, HbA1c 5.4 %, Total Cholesterol 161.9 mg/dL, HDL Cholesterol 37.4 mg/dL, Triglycerides 182.2 mg/dL, Creatinine 2.7 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)
- Age 54 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: 57yo Male
Vitals: BP 135/90 mmHg, BMI 27.6, Weight 77.8 kg, HR 68 bpm
Labs: Glucose 134.0 mg/dL, HbA1c 5.4 %, Total Cholesterol 258.1 mg/dL, HDL Cholesterol 23.1 mg/dL, Triglycerides 236.7 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 33yo Female
Vitals: BP 106/95 mmHg, BMI 30.3, Weight 66.6 kg, HR 80 bpm
Labs: Total Cholesterol 168.0 mg/dL, HDL Cholesterol 56.5 mg/dL, Triglycerides 137.3 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 106/95 mmHg (Stage 1+ hypertension)
- 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. 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: 75yo Female
Vitals: BP 114/76 mmHg, BMI 29.5, Weight 82.2 kg, HR 61 bpm
Labs: Total Cholesterol 192.4 mg/dL, HDL Cholesterol 54.7 mg/dL, Triglycerides 113.3 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.5 (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: 27yo Female
Vitals: BP 105/79 mmHg, BMI 21.9, Weight 63.6 kg, HR 96 bpm
Labs: Glucose 67.1 mg/dL, Glucose (serum) 84.6 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: 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: 41yo Female
Vitals: BP 121/64 mmHg, BMI 30.1, Weight 80.4 kg, HR 66 bpm
Labs: Total Cholesterol 223.3 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 105.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)

**Hypertension: MODERATE**
- BP 121/64 mmHg (slightly 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: 3yo Female
Vitals: BP 111/85 mmHg, BMI 16.5, Weight 13.8 kg, HR 78 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 111/85 mmHg (elevated)

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


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

Input:
Patient: 65yo Female
Vitals: BP 113/66 mmHg, BMI 27.6, Weight 76.9 kg, HR 75 bpm
Labs: Glucose 99.0 mg/dL, HbA1c 6.4 %, Total Cholesterol 202.7 mg/dL, HDL Cholesterol 43.9 mg/dL, Triglycerides 102.8 mg/dL, Creatinine 3.1 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 27.6 (overweight)
- Age 65 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 65 years (≥55 increases risk)

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


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

Input:
Patient: 32yo Male
Vitals: BP 146/85 mmHg, BMI 25.1, Weight 80.8 kg, HR 83 bpm
Labs: Total Cholesterol 134.6 mg/dL, HDL Cholesterol 26.6 mg/dL, Triglycerides 144.1 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 146/85 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 52yo Female
Vitals: BP 130/87 mmHg, BMI 30.1, Weight 78.6 kg, HR 83 bpm
Labs: Glucose 75.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 206.9 mg/dL, HDL Cholesterol 60.5 mg/dL, Triglycerides 188.1 mg/dL, Creatinine 3.4 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 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 30.1 (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: 62yo Male
Vitals: BP 108/90 mmHg, BMI 30.1, Weight 95.4 kg, HR 100 bpm
Labs: Glucose 72.8 mg/dL, HbA1c 5.8 %, Total Cholesterol 192.5 mg/dL, HDL Cholesterol 57.2 mg/dL, Triglycerides 112.6 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- Age 62 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 108/90 mmHg (Stage 1+ hypertension)
- BMI 30.1 (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. 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: 2yo Male
Vitals: BP 98/81 mmHg, BMI 15.0, Weight 13.2 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 98/81 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: 22yo Female
Vitals: BP 132/82 mmHg, BMI 29.3, Weight 75.3 kg, HR 71 bpm
Labs: Glucose (serum) 81.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.3 (overweight)

**Hypertension: MODERATE**
- BP 132/82 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: 26yo Female
Vitals: BP 142/87 mmHg, BMI 24.1, Weight 49.4 kg, HR 72 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 142/87 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: 27yo Female
Vitals: BP 123/78 mmHg, BMI 24.6, Weight 68.8 kg, HR 90 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 31yo Female
Vitals: BP 118/85 mmHg, BMI 24.8, Weight 66.7 kg, HR 64 bpm
Labs: Total Cholesterol 174.5 mg/dL, HDL Cholesterol 29.2 mg/dL, Triglycerides 144.7 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 118/85 mmHg (elevated)

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


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

Input:
Patient: 58yo Female
Vitals: BP 138/105 mmHg, BMI 27.9, Weight 76.5 kg, HR 89 bpm
Labs: Glucose 97.5 mg/dL, HbA1c 6.1 %, Total Cholesterol 191.7 mg/dL, HDL Cholesterol 63.8 mg/dL, Triglycerides 137.9 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.9 (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: 103yo Female
Vitals: BP 81/71 mmHg, BMI 27.4, Weight 81.1 kg, HR 78 bpm
Labs: Glucose 77.8 mg/dL, Glucose (serum) 77.8 mg/dL, HbA1c 2.4 %, Total Cholesterol 192.5 mg/dL, HDL Cholesterol 56.1 mg/dL, Triglycerides 130.2 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Kidney Disease, Diabetic Retinopathy
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 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 103 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: 5yo Female
Vitals: BP 135/89 mmHg, BMI 14.6, Weight 15.5 kg, HR 69 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 135/89 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: 13yo Female
Vitals: BP 116/87 mmHg, BMI 19.1, Weight 45.6 kg, HR 60 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 116/87 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: 37yo Male
Vitals: BP 112/82 mmHg, BMI 28.3, Weight 98.7 kg, HR 63 bpm
Labs: Total Cholesterol 272.2 mg/dL, HDL Cholesterol 51.7 mg/dL, Triglycerides 140.1 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 112/82 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: 65yo Male
Vitals: BP 106/56 mmHg, BMI 27.2, Weight 81.2 kg, HR 66 bpm
Labs: Glucose 89.8 mg/dL, HbA1c 5.9 %, Total Cholesterol 152.0 mg/dL, HDL Cholesterol 39.4 mg/dL, Triglycerides 122.8 mg/dL, Creatinine 2.9 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.2 (overweight)
- Age 65 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 65 years (≥55 increases risk)

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


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

Input:
Patient: 11yo Male
Vitals: BP 109/86 mmHg, BMI 18.4, Weight 37.7 kg, HR 72 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 109/86 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: 79yo Female
Vitals: BP 101/83 mmHg, BMI 27.6, Weight 73.3 kg, HR 86 bpm
Labs: Total Cholesterol 152.0 mg/dL, HDL Cholesterol 66.4 mg/dL, Triglycerides 116.7 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (overweight)
- Age 79 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: 5yo Female
Vitals: BP 101/75 mmHg, BMI 14.8, Weight 17.5 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 Female
Vitals: BP 119/72 mmHg, BMI 20.5, Weight 46.6 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 116/88 mmHg, BMI 20.3, Weight 44.0 kg, HR 89 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 116/88 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: 36yo Female
Vitals: BP 107/72 mmHg, BMI 28.3, Weight 76.3 kg, HR 91 bpm
Labs: Total Cholesterol 160.7 mg/dL, HDL Cholesterol 61.9 mg/dL, Triglycerides 114.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.3 (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: 14yo Male
Vitals: BP 115/89 mmHg, BMI 24.1, Weight 68.0 kg, HR 98 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: 99yo Female
Vitals: BP 101/45 mmHg, BMI 27.5, Weight 74.5 kg, HR 80 bpm
Labs: Glucose 95.0 mg/dL, HbA1c 2.9 %, Total Cholesterol 181.9 mg/dL, HDL Cholesterol 28.5 mg/dL, Triglycerides 108.1 mg/dL, Creatinine 0.5 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

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.5 (overweight)
- Age 99 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: 62yo Male
Vitals: BP 81/67 mmHg, BMI 28.2, Weight 82.7 kg, HR 77 bpm
Labs: Glucose 73.1 mg/dL, Total Cholesterol 190.3 mg/dL, HDL Cholesterol 74.6 mg/dL, Triglycerides 165.2 mg/dL, Creatinine 3.5 mg/dL
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)
- Age 62 years (≥45 increases risk)

**Hypertension: LOW**
- Age 62 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: 39yo Female
Vitals: BP 125/63 mmHg, BMI 28.3, Weight 64.5 kg, HR 77 bpm
Labs: Glucose 78.6 mg/dL, HbA1c 5.8 %, Total Cholesterol 172.5 mg/dL, HDL Cholesterol 58.7 mg/dL, Triglycerides 146.4 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 28.3 (overweight)
- History of prediabetes

**Hypertension: LOW**
- BP 125/63 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: 55yo Male
Vitals: BP 116/70 mmHg, BMI 27.5, Weight 85.2 kg, HR 77 bpm
Labs: Total Cholesterol 136.7 mg/dL, HDL Cholesterol 55.2 mg/dL, Triglycerides 123.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.5 (overweight)
- Age 55 years (≥45 increases risk)

**Hypertension: LOW**
- Age 55 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: 48yo Female
Vitals: BP 137/94 mmHg, BMI 27.9, Weight 72.8 kg, HR 83 bpm
Labs: Total Cholesterol 189.4 mg/dL, HDL Cholesterol 28.4 mg/dL, Triglycerides 103.6 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 48 years (≥45 increases risk)

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

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


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

Input:
Patient: 40yo Female
Vitals: BP 114/71 mmHg, BMI 30.9, Weight 82.5 kg, HR 63 bpm
Labs: Total Cholesterol 167.7 mg/dL, HDL Cholesterol 51.9 mg/dL, Triglycerides 146.3 mg/dL

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: 20yo Female
Vitals: BP 141/85 mmHg, BMI 26.1, Weight 67.1 kg, HR 94 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.1 (overweight)

**Hypertension: HIGH**
- BP 141/85 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 38yo Female
Vitals: BP 112/81 mmHg, BMI 26.2, Weight 74.7 kg, HR 64 bpm
Labs: Glucose 74.0 mg/dL, HbA1c 5.9 %, Total Cholesterol 162.8 mg/dL, HDL Cholesterol 55.9 mg/dL, Triglycerides 117.0 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 26.2 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 112/81 mmHg (elevated)

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


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

Input:
Patient: 53yo Male
Vitals: BP 101/69 mmHg, BMI 29.9, Weight 90.0 kg, HR 64 bpm
Labs: Glucose 66.0 mg/dL, HbA1c 6.3 %, Total Cholesterol 143.1 mg/dL, HDL Cholesterol 60.2 mg/dL, Triglycerides 129.8 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Essential Hypertension, Prediabetes
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 6.3% (prediabetes range 5.7-6.4%)
- BMI 29.9 (overweight)
- Age 53 years (≥45 increases risk)
- History of prediabetes

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

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


Instruction: Based on the following patient record, assess 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 120/75 mmHg, BMI 27.5, Weight 68.9 kg, HR 70 bpm
Labs: Total Cholesterol 142.8 mg/dL, HDL Cholesterol 57.3 mg/dL, Triglycerides 137.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.5 (overweight)
- Age 51 years (≥45 increases risk)

**Hypertension: LOW**
- BP 120/75 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: 55yo Male
Vitals: BP 120/71 mmHg, BMI 30.1, Weight 94.1 kg, HR 83 bpm
Labs: Glucose 81.6 mg/dL, HbA1c 5.9 %, Total Cholesterol 170.7 mg/dL, HDL Cholesterol 58.6 mg/dL, Triglycerides 112.9 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- Age 55 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 120/71 mmHg (slightly elevated)
- BMI 30.1 (obesity increases BP risk)
- Age 55 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: 51yo Male
Vitals: BP 132/80 mmHg, BMI 30.2, Weight 96.9 kg, HR 64 bpm
Labs: Glucose 71.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 175.7 mg/dL, HDL Cholesterol 54.9 mg/dL, Triglycerides 130.7 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- Age 51 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 132/80 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: 63yo Female
Vitals: BP 111/70 mmHg, BMI 32.3, Weight 83.6 kg, HR 67 bpm
Labs: Total Cholesterol 263.5 mg/dL, HDL Cholesterol 55.6 mg/dL, Triglycerides 106.3 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 32.3 (obese)
- Age 63 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 32.3 (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: 46yo Male
Vitals: BP 107/83 mmHg, BMI 30.0, Weight 114.3 kg, HR 69 bpm
Labs: Total Cholesterol 150.7 mg/dL, HDL Cholesterol 52.8 mg/dL, Triglycerides 124.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 107/83 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: 58yo Female
Vitals: BP 124/77 mmHg, BMI 30.4, Weight 77.3 kg, HR 73 bpm
Labs: Total Cholesterol 229.7 mg/dL, HDL Cholesterol 52.8 mg/dL, Triglycerides 122.2 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 58 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: 12yo Male
Vitals: BP 140/91 mmHg, BMI 18.2, Weight 45.2 kg, HR 83 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/91 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: 80yo Male
Vitals: BP 110/54 mmHg, BMI 30.1, Weight 95.1 kg, HR 87 bpm
Labs: Glucose (serum) 84.7 mg/dL, HbA1c 5.3 %, Total Cholesterol 271.9 mg/dL, HDL Cholesterol 58.2 mg/dL, Triglycerides 117.8 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 80 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: 14yo Female
Vitals: BP 96/73 mmHg, BMI 20.2, Weight 54.3 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: 58yo Male
Vitals: BP 130/99 mmHg, BMI 30.3, Weight 95.2 kg, HR 70 bpm
Labs: Total Cholesterol 156.9 mg/dL, HDL Cholesterol 30.1 mg/dL, Triglycerides 101.3 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.3 (obese)
- Age 58 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 130/99 mmHg (Stage 1+ hypertension)
- BMI 30.3 (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. 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: 52yo Male
Vitals: BP 107/70 mmHg, BMI 27.4, Weight 94.0 kg, HR 86 bpm
Labs: Glucose 67.1 mg/dL, HbA1c 6.4 %, Total Cholesterol 149.9 mg/dL, HDL Cholesterol 62.3 mg/dL, Triglycerides 144.0 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 27.4 (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: 10yo Male
Vitals: BP 103/66 mmHg, BMI 18.8, Weight 41.8 kg, HR 63 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 0yo Female
Vitals: BP 110/73 mmHg, Weight 6.8 kg, HR 62 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 90/71 mmHg, BMI 25.7, Weight 58.6 kg, HR 92 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.7 (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: 32yo Male
Vitals: BP 139/105 mmHg, BMI 30.5, Weight 89.7 kg, HR 66 bpm
Labs: Total Cholesterol 141.5 mg/dL, HDL Cholesterol 48.6 mg/dL, Triglycerides 103.3 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

**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: 77yo Female
Vitals: BP 132/65 mmHg, BMI 27.1, Weight 82.7 kg, HR 74 bpm
Labs: Glucose 167.8 mg/dL, HbA1c 5.3 %, Total Cholesterol 240.9 mg/dL, HDL Cholesterol 26.7 mg/dL, Triglycerides 331.1 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Retinopathy
Medications: simvastatin 20 MG Oral Tablet, lisinopril 2.5 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: 5yo Female
Vitals: BP 133/66 mmHg, BMI 16.6, Weight 18.6 kg, HR 91 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 133/66 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 122/81 mmHg, BMI 29.9, Weight 93.9 kg, HR 86 bpm
Labs: Total Cholesterol 158.6 mg/dL, HDL Cholesterol 56.3 mg/dL, Triglycerides 109.2 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 122/81 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: 109yo Female
Vitals: BP 133/68 mmHg, BMI 27.7, Weight 79.6 kg, HR 93 bpm
Labs: Total Cholesterol 237.6 mg/dL, HDL Cholesterol 57.6 mg/dL, Triglycerides 111.2 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.7 (overweight)
- Age 109 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 133/68 mmHg (elevated)
- Age 109 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: 43yo Female
Vitals: BP 139/87 mmHg, BMI 29.0, Weight 77.3 kg, HR 70 bpm
Labs: Total Cholesterol 178.0 mg/dL, HDL Cholesterol 60.5 mg/dL, Triglycerides 124.6 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.0 (overweight)

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

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


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

Input:
Patient: 49yo Female
Vitals: BP 108/85 mmHg, BMI 29.5, Weight 81.7 kg, HR 62 bpm
Labs: Total Cholesterol 201.4 mg/dL, HDL Cholesterol 57.8 mg/dL, Triglycerides 140.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.5 (overweight)
- Age 49 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 108/85 mmHg (elevated)

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


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

Input:
Patient: 34yo Male
Vitals: BP 138/82 mmHg, BMI 30.1, Weight 84.0 kg, HR 97 bpm
Labs: Total Cholesterol 174.4 mg/dL, HDL Cholesterol 32.4 mg/dL, Triglycerides 136.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)

**Hypertension: MODERATE**
- BP 138/82 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: 55yo Male
Vitals: BP 132/98 mmHg, BMI 30.1, Weight 100.4 kg, HR 91 bpm
Labs: Glucose 117.5 mg/dL, HbA1c 7.5 %, Total Cholesterol 221.6 mg/dL, HDL Cholesterol 58.9 mg/dL, Triglycerides 166.7 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Type 2 Diabetes, Essential Hypertension, Diabetic Retinopathy, Diabetic Neuropathy
Medications: Simvastatin 20 MG Oral Tablet, amLODIPine 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: DIAGNOSED**
- Patient has diagnosed Hypertension

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


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

Input:
Patient: 46yo Female
Vitals: BP 111/72 mmHg, BMI 30.5, Weight 83.0 kg, HR 65 bpm
Labs: Total Cholesterol 165.3 mg/dL, HDL Cholesterol 49.5 mg/dL, Triglycerides 108.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.5 (obese)
- Age 46 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 30.5 (obesity increases BP risk)

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


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

Input:
Patient: 57yo Male
Vitals: BP 120/75 mmHg, BMI 27.6, Weight 85.5 kg, HR 94 bpm
Labs: Total Cholesterol 176.1 mg/dL, HDL Cholesterol 47.9 mg/dL, Triglycerides 138.3 mg/dL
Active conditions: Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (overweight)
- Age 57 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: 10yo Male
Vitals: BP 112/70 mmHg, BMI 20.1, Weight 32.6 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: 54yo Female
Vitals: BP 117/76 mmHg, BMI 28.0, Weight 69.0 kg, HR 65 bpm
Labs: Glucose 81.9 mg/dL, HbA1c 5.9 %, Total Cholesterol 214.3 mg/dL, HDL Cholesterol 50.1 mg/dL, Triglycerides 113.5 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 54 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: 40yo Female
Vitals: BP 99/76 mmHg, BMI 41.7, Weight 115.2 kg, HR 63 bpm
Labs: Glucose 91.3 mg/dL, HbA1c 6.1 %, Total Cholesterol 152.5 mg/dL, HDL Cholesterol 57.9 mg/dL, Triglycerides 144.6 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 41.7 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 41.7 (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: 46yo Male
Vitals: BP 132/94 mmHg, BMI 28.6, Weight 83.1 kg, HR 80 bpm
Labs: Total Cholesterol 146.0 mg/dL, HDL Cholesterol 30.8 mg/dL, Triglycerides 140.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.6 (overweight)
- Age 46 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 132/94 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 43yo Female
Vitals: BP 125/88 mmHg, BMI 22.1, Weight 55.3 kg, HR 78 bpm
Labs: Total Cholesterol 201.4 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 106.4 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 125/88 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: 74yo Male
Vitals: BP 152/87 mmHg, BMI 27.9, Weight 94.9 kg, HR 87 bpm
Labs: Total Cholesterol 173.1 mg/dL, HDL Cholesterol 50.2 mg/dL, Triglycerides 127.9 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 74 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: 5yo Female
Vitals: BP 91/76 mmHg, BMI 13.8, Weight 15.7 kg, HR 73 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 25yo Female
Vitals: BP 113/64 mmHg, BMI 29.5, Weight 87.6 kg, HR 77 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.5 (overweight)

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

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


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

Input:
Patient: 57yo Male
Vitals: BP 138/102 mmHg, BMI 27.2, Weight 80.2 kg, HR 68 bpm
Labs: Glucose 76.3 mg/dL, Glucose (serum) 76.3 mg/dL, HbA1c 3.0 %, Total Cholesterol 189.1 mg/dL, HDL Cholesterol 45.4 mg/dL, Triglycerides 112.1 mg/dL, Creatinine 2.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.2 (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: 33yo Female
Vitals: BP 130/79 mmHg, BMI 29.2, Weight 85.7 kg, HR 85 bpm
Labs: Total Cholesterol 265.2 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 137.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 130/79 mmHg (elevated)

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


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

Input:
Patient: 31yo Female
Vitals: BP 105/73 mmHg, BMI 26.8, Weight 72.7 kg, HR 98 bpm
Labs: Total Cholesterol 147.8 mg/dL, HDL Cholesterol 59.5 mg/dL, Triglycerides 122.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.8 (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: 10yo Male
Vitals: BP 101/84 mmHg, BMI 20.6, Weight 43.4 kg, HR 63 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 101/84 mmHg (elevated)

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


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

Input:
Patient: 43yo Female
Vitals: BP 140/84 mmHg, BMI 28.4, Weight 79.2 kg, HR 95 bpm
Labs: Glucose 80.4 mg/dL, HbA1c 7.1 %, Total Cholesterol 214.5 mg/dL, HDL Cholesterol 55.2 mg/dL, Triglycerides 106.1 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/84 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: 19yo Male
Vitals: BP 102/66 mmHg, BMI 19.2, Weight 49.0 kg, HR 67 bpm
Labs: Glucose 90.8 mg/dL, HbA1c 6.1 %, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: 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: 3yo Female
Vitals: BP 140/72 mmHg, BMI 14.9, Weight 14.9 kg, HR 92 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/72 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 18yo Female
Vitals: BP 131/80 mmHg, BMI 19.0, Weight 51.0 kg, HR 93 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/80 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 Male
Vitals: BP 102/75 mmHg, BMI 27.4, Weight 90.3 kg, HR 83 bpm
Labs: Glucose 100.0 mg/dL, Glucose (serum) 73.9 mg/dL, HbA1c 6.2 %, Total Cholesterol 207.9 mg/dL, HDL Cholesterol 31.5 mg/dL, Triglycerides 127.3 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: atorvastatin 80 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**
- Fasting glucose 100.0 mg/dL (prediabetes range 100-125)
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.4 (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: 20yo Female
Vitals: BP 114/66 mmHg, BMI 29.6, Weight 81.9 kg, HR 82 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.6 (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: 2yo Female
Vitals: BP 128/67 mmHg, BMI 14.6, Weight 13.0 kg, HR 81 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 128/67 mmHg (slightly elevated)

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


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

Input:
Patient: 32yo Female
Vitals: BP 130/80 mmHg, BMI 25.7, Weight 57.7 kg, HR 81 bpm
Labs: Total Cholesterol 192.7 mg/dL, HDL Cholesterol 51.4 mg/dL, Triglycerides 101.1 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 130/80 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: 4yo Female
Vitals: BP 94/68 mmHg, BMI 16.4, Weight 16.4 kg, HR 62 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 25yo Male
Vitals: BP 96/69 mmHg, BMI 26.3, Weight 84.4 kg, HR 81 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.3 (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: 20yo Male
Vitals: BP 113/76 mmHg, BMI 20.8, Weight 62.2 kg, HR 86 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: 26yo Male
Vitals: BP 139/88 mmHg, BMI 24.8, Weight 78.0 kg, HR 96 bpm
Labs: Glucose 73.8 mg/dL, HbA1c 6.3 %, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 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: 9yo Female
Vitals: BP 118/86 mmHg, BMI 15.2, Weight 29.2 kg, HR 85 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 118/86 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: 32yo Male
Vitals: BP 109/86 mmHg, BMI 30.3, Weight 107.8 kg, HR 67 bpm
Labs: Glucose 78.9 mg/dL, Glucose (serum) 89.4 mg/dL, Total Cholesterol 171.4 mg/dL, HDL Cholesterol 56.6 mg/dL, Triglycerides 111.4 mg/dL, Creatinine 1.8 mg/dL
Active conditions: Diabetic Kidney Disease

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 109/86 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: 42yo Male
Vitals: BP 141/86 mmHg, BMI 30.3, Weight 94.6 kg, HR 73 bpm
Labs: Glucose 88.7 mg/dL, HbA1c 6.1 %, Total Cholesterol 141.7 mg/dL, HDL Cholesterol 31.0 mg/dL, Triglycerides 106.5 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.3 (obese)
- History of prediabetes

**Hypertension: HIGH**
- BP 141/86 mmHg (Stage 1+ hypertension)
- 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. 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: 74yo Male
Vitals: BP 106/74 mmHg, BMI 30.4, Weight 108.0 kg, HR 72 bpm
Labs: Glucose 93.1 mg/dL, Glucose (serum) 93.1 mg/dL, HbA1c 3.4 %, Total Cholesterol 183.1 mg/dL, HDL Cholesterol 54.1 mg/dL, Triglycerides 112.1 mg/dL, Creatinine 5.8 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, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 74 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: 50yo Female
Vitals: BP 136/86 mmHg, BMI 27.9, Weight 73.8 kg, HR 87 bpm
Labs: Glucose (serum) 99.4 mg/dL, Total Cholesterol 185.9 mg/dL, HDL Cholesterol 61.7 mg/dL, Triglycerides 143.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 50 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 136/86 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: 2yo Female
Vitals: BP 123/73 mmHg, Weight 14.9 kg, HR 88 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 123/73 mmHg (slightly elevated)

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


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

Input:
Patient: 30yo Female
Vitals: BP 96/67 mmHg, BMI 27.2, Weight 80.9 kg, HR 69 bpm
Labs: Total Cholesterol 142.5 mg/dL, HDL Cholesterol 52.0 mg/dL, Triglycerides 109.3 mg/dL

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: 9yo Female
Vitals: BP 136/96 mmHg, BMI 13.3, Weight 23.7 kg, HR 95 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 136/96 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 49yo Male
Vitals: BP 130/66 mmHg, BMI 28.2, Weight 82.4 kg, HR 92 bpm
Labs: Glucose 89.9 mg/dL, HbA1c 5.9 %, Total Cholesterol 153.9 mg/dL, HDL Cholesterol 49.0 mg/dL, Triglycerides 121.7 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.2 (overweight)
- Age 49 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/66 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: 49yo Male
Vitals: BP 136/120 mmHg, BMI 28.0, Weight 83.1 kg, HR 76 bpm
Labs: Glucose 85.1 mg/dL, HbA1c 6.0 %, Total Cholesterol 183.8 mg/dL, HDL Cholesterol 31.0 mg/dL, Triglycerides 117.1 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 49 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: 81yo Male
Vitals: BP 105/75 mmHg, BMI 27.7, Weight 82.4 kg, HR 77 bpm
Labs: Glucose 102.9 mg/dL, HbA1c 6.9 %, Total Cholesterol 218.0 mg/dL, HDL Cholesterol 51.8 mg/dL, Triglycerides 161.3 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy
Medications: simvastatin 20 MG Oral Tablet, lisinopril 30 MG Oral Tablet

Output:
## Risk Assessment

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

**Hypertension: LOW**
- Age 81 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: 50yo Male
Vitals: BP 87/56 mmHg, BMI 26.6, Weight 95.3 kg, HR 81 bpm
Labs: Glucose 67.2 mg/dL, Glucose (serum) 82.1 mg/dL, HbA1c 5.1 %, Total Cholesterol 125.6 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 124.8 mg/dL, Creatinine 1.5 mg/dL
Medications: losartan potassium 50 MG Oral Tablet, lisinopril 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.6 (overweight)
- Age 50 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: 72yo Male
Vitals: BP 108/88 mmHg, BMI 27.6, Weight 94.5 kg, HR 61 bpm
Labs: Glucose 93.6 mg/dL, Glucose (serum) 82.8 mg/dL, HbA1c 5.4 %, Total Cholesterol 296.9 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 104.9 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy, Essential Hypertension, Diabetic Retinopathy, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, atorvastatin 80 MG Oral Tablet, lisinopril 2.5 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 19yo Female
Vitals: BP 115/73 mmHg, BMI 25.0, Weight 77.9 kg, HR 93 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.0 (overweight)

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

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


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

Input:
Patient: 35yo Male
Vitals: BP 141/80 mmHg, BMI 30.4, Weight 103.6 kg, HR 80 bpm
Labs: Total Cholesterol 149.8 mg/dL, HDL Cholesterol 50.0 mg/dL, Triglycerides 124.0 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 141/80 mmHg (Stage 1+ hypertension)
- BMI 30.4 (obesity increases BP risk)

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


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

Input:
Patient: 15yo Male
Vitals: BP 102/88 mmHg, BMI 21.7, Weight 57.8 kg, HR 95 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 102/88 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: 5yo Female
Vitals: BP 98/64 mmHg, BMI 17.7, Weight 18.2 kg, HR 84 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 8yo Female
Vitals: BP 129/79 mmHg, BMI 15.5, Weight 27.1 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 129/79 mmHg (slightly elevated)

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


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

Input:
Patient: 15yo Female
Vitals: BP 96/73 mmHg, BMI 25.0, Weight 54.0 kg, HR 65 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.0 (overweight)

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

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


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

Input:
Patient: 56yo Female
Vitals: BP 139/84 mmHg, BMI 28.4, Weight 69.9 kg, HR 85 bpm
Labs: Glucose 97.4 mg/dL, HbA1c 6.1 %, Total Cholesterol 187.9 mg/dL, HDL Cholesterol 58.9 mg/dL, Triglycerides 124.1 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 56 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 139/84 mmHg (elevated)
- Age 56 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: 36yo Male
Vitals: BP 109/72 mmHg, BMI 27.1, Weight 82.2 kg, HR 76 bpm
Labs: Total Cholesterol 172.4 mg/dL, HDL Cholesterol 53.1 mg/dL, Triglycerides 131.4 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