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

Input:
Patient: 61yo Female
Vitals: BP 125/63 mmHg, BMI 28.4, Weight 77.1 kg, HR 63 bpm
Labs: Glucose 93.5 mg/dL, Glucose (serum) 84.5 mg/dL, HbA1c 6.3 %, Total Cholesterol 238.5 mg/dL, HDL Cholesterol 42.9 mg/dL, Triglycerides 220.9 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes
Medications: atenolol 25 MG Oral Tablet, simvastatin 40 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 61 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 125/63 mmHg (slightly elevated)
- Age 61 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: 81yo Male
Vitals: BP 100/54 mmHg, BMI 29.8, Weight 88.2 kg, HR 94 bpm
Labs: Glucose 91.3 mg/dL, HbA1c 5.9 %, Total Cholesterol 188.6 mg/dL, HDL Cholesterol 78.2 mg/dL, Triglycerides 113.2 mg/dL, Creatinine 2.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 29.8 (overweight)
- Age 81 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 84yo Male
Vitals: BP 88/69 mmHg, BMI 30.1, Weight 91.3 kg, HR 69 bpm
Labs: Glucose 163.8 mg/dL, Glucose (serum) 160.4 mg/dL, HbA1c 3.0 %, Total Cholesterol 241.7 mg/dL, HDL Cholesterol 37.6 mg/dL, Triglycerides 467.7 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease, Type 2 Diabetes
Medications: simvastatin 40 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 53yo Female
Vitals: BP 112/70 mmHg, BMI 30.5, Weight 69.7 kg, HR 61 bpm
Labs: Glucose 66.6 mg/dL, Glucose (serum) 76.4 mg/dL, Total Cholesterol 158.4 mg/dL, HDL Cholesterol 48.1 mg/dL, Triglycerides 187.3 mg/dL, Creatinine 3.5 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 10 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.5 (obese)
- Age 53 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: 16yo Female
Vitals: BP 110/69 mmHg, BMI 21.3, Weight 53.9 kg, HR 64 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 18yo Male
Vitals: BP 112/72 mmHg, BMI 24.5, Weight 86.3 kg, HR 75 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 41yo Male
Vitals: BP 139/93 mmHg, BMI 30.3, Weight 101.2 kg, HR 73 bpm
Labs: Total Cholesterol 163.4 mg/dL, HDL Cholesterol 53.7 mg/dL, Triglycerides 102.6 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 139/93 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: 26yo Female
Vitals: BP 83/86 mmHg, BMI 27.6, Weight 83.1 kg, HR 65 bpm
Labs: Glucose (serum) 66.0 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 83/86 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: 63yo Male
Vitals: BP 83/62 mmHg, BMI 27.9, Weight 87.7 kg, HR 88 bpm
Labs: Total Cholesterol 274.5 mg/dL, HDL Cholesterol 33.0 mg/dL, Triglycerides 139.7 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 63 years (≥45 increases risk)

**Hypertension: LOW**
- Age 63 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: 92yo Female
Vitals: BP 130/84 mmHg, BMI 27.5, Weight 72.7 kg, HR 65 bpm
Labs: Glucose 69.5 mg/dL, Glucose (serum) 75.3 mg/dL, Total Cholesterol 273.1 mg/dL, HDL Cholesterol 62.4 mg/dL, Triglycerides 137.6 mg/dL, Creatinine 0.4 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.5 (overweight)
- Age 92 years (≥45 increases risk)

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

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


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

Input:
Patient: 69yo Male
Vitals: BP 103/69 mmHg, BMI 28.0, Weight 85.0 kg, HR 84 bpm
Labs: Glucose 83.5 mg/dL, Glucose (serum) 83.5 mg/dL, HbA1c 2.5 %, Total Cholesterol 147.6 mg/dL, HDL Cholesterol 53.5 mg/dL, Triglycerides 148.3 mg/dL, Creatinine 16.0 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Kidney Disease, Diabetic Retinopathy
Medications: Simvastatin 20 MG Oral Tablet, losartan potassium 100 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 50yo Male
Vitals: BP 124/94 mmHg, BMI 29.7, Weight 102.6 kg, HR 85 bpm
Labs: Glucose 78.1 mg/dL, Glucose (serum) 78.1 mg/dL, HbA1c 2.9 %, Total Cholesterol 139.4 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 143.2 mg/dL, Creatinine 2.7 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 29.7 (overweight)
- Age 50 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 34yo Female
Vitals: BP 119/81 mmHg, BMI 27.6, Weight 81.7 kg, HR 82 bpm
Labs: Total Cholesterol 186.4 mg/dL, HDL Cholesterol 50.8 mg/dL, Triglycerides 139.7 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 119/81 mmHg (elevated)

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


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

Input:
Patient: 51yo Female
Vitals: BP 105/82 mmHg, BMI 23.8, Weight 62.3 kg, HR 63 bpm
Labs: Total Cholesterol 291.0 mg/dL, HDL Cholesterol 29.8 mg/dL, Triglycerides 118.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 105/82 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: 74yo Female
Vitals: BP 128/95 mmHg, BMI 27.6, Weight 71.8 kg, HR 75 bpm
Labs: Glucose 95.6 mg/dL, Total Cholesterol 167.6 mg/dL, HDL Cholesterol 65.3 mg/dL, Triglycerides 103.6 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (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: 22yo Female
Vitals: BP 100/78 mmHg, BMI 22.9, Weight 63.2 kg, HR 67 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: 6yo Male
Vitals: BP 132/71 mmHg, BMI 16.6, Weight 22.3 kg, HR 85 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 132/71 mmHg (elevated)

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


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

Input:
Patient: 14yo Male
Vitals: BP 112/88 mmHg, BMI 20.6, Weight 48.5 kg, HR 93 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 112/88 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: 34yo Male
Vitals: BP 123/99 mmHg, BMI 30.1, Weight 97.3 kg, HR 92 bpm
Labs: Total Cholesterol 181.9 mg/dL, HDL Cholesterol 56.0 mg/dL, Triglycerides 123.7 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 123/99 mmHg (Stage 1+ hypertension)
- 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. 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: 76yo Male
Vitals: BP 107/66 mmHg, BMI 27.1, Weight 79.9 kg, HR 99 bpm
Labs: Glucose 93.3 mg/dL, HbA1c 6.1 %, Total Cholesterol 152.6 mg/dL, HDL Cholesterol 72.2 mg/dL, Triglycerides 160.0 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 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.1 (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: 41yo Female
Vitals: BP 112/96 mmHg, BMI 27.7, Weight 68.7 kg, HR 75 bpm
Labs: Total Cholesterol 155.1 mg/dL, HDL Cholesterol 55.9 mg/dL, Triglycerides 149.4 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 112/96 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: 7yo Male
Vitals: BP 110/73 mmHg, BMI 14.1, Weight 21.3 kg, HR 71 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 47yo Female
Vitals: BP 117/76 mmHg, BMI 27.3, Weight 69.2 kg, HR 72 bpm
Labs: Total Cholesterol 105.3 mg/dL, HDL Cholesterol 29.9 mg/dL, Triglycerides 136.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.3 (overweight)
- Age 47 years (≥45 increases risk)

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

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


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

Input:
Patient: 77yo Female
Vitals: BP 105/87 mmHg, BMI 27.8, Weight 75.2 kg, HR 81 bpm
Labs: Glucose 80.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 191.2 mg/dL, HDL Cholesterol 56.8 mg/dL, Triglycerides 146.1 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.8 (overweight)
- Age 77 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 105/87 mmHg (elevated)
- Age 77 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: 50yo Male
Vitals: BP 131/72 mmHg, BMI 28.7, Weight 94.4 kg, HR 99 bpm
Labs: Glucose 80.1 mg/dL, HbA1c 6.0 %, Total Cholesterol 224.2 mg/dL, HDL Cholesterol 30.5 mg/dL, Triglycerides 145.7 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 28.7 (overweight)
- Age 50 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 131/72 mmHg (elevated)

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


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

Input:
Patient: 39yo Male
Vitals: BP 96/86 mmHg, BMI 29.3, Weight 90.7 kg, HR 90 bpm
Labs: Glucose 99.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 209.2 mg/dL, HDL Cholesterol 56.9 mg/dL, Triglycerides 121.6 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.3 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 96/86 mmHg (elevated)

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


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

Input:
Patient: 17yo Female
Vitals: BP 131/78 mmHg, BMI 28.0, Weight 79.8 kg, HR 87 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/78 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: 45yo Male
Vitals: BP 135/97 mmHg, BMI 30.2, Weight 92.0 kg, HR 69 bpm
Labs: Glucose 93.9 mg/dL, HbA1c 6.4 %, Total Cholesterol 166.4 mg/dL, HDL Cholesterol 56.8 mg/dL, Triglycerides 134.2 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 30.2 (obese)
- Age 45 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 135/97 mmHg (Stage 1+ hypertension)
- 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. Confirm elevated BP on 2 separate occasions
4. Consider initiating antihypertensive therapy
5. Order baseline labs: renal function, electrolytes, lipid panel
6. Assess cardiovascular risk (Framingham or ASCVD score)


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

Input:
Patient: 62yo Female
Vitals: BP 110/78 mmHg, BMI 27.8, Weight 69.6 kg, HR 76 bpm
Labs: Glucose 97.9 mg/dL, Glucose (serum) 64.6 mg/dL, HbA1c 6.2 %, Total Cholesterol 307.3 mg/dL, HDL Cholesterol 61.5 mg/dL, Triglycerides 121.7 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.8 (overweight)
- Age 62 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 30yo Male
Vitals: BP 103/85 mmHg, BMI 26.4, Weight 82.5 kg, HR 72 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 103/85 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 139/83 mmHg, BMI 29.0, Weight 77.7 kg, HR 99 bpm
Labs: Glucose 99.6 mg/dL, HbA1c 6.3 %, Total Cholesterol 141.5 mg/dL, HDL Cholesterol 60.2 mg/dL, Triglycerides 138.6 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 29.0 (overweight)
- Age 58 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 139/83 mmHg (elevated)
- Age 58 years (≥55 increases risk)

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


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

Input:
Patient: 16yo Female
Vitals: BP 114/67 mmHg, BMI 24.7, Weight 66.8 kg, HR 98 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 25yo Female
Vitals: BP 135/74 mmHg, BMI 27.3, Weight 72.6 kg, HR 90 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 135/74 mmHg (elevated)

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


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

Input:
Patient: 47yo Female
Vitals: BP 106/65 mmHg, BMI 29.7, Weight 76.9 kg, HR 71 bpm
Labs: Glucose 89.4 mg/dL, HbA1c 6.0 %, Total Cholesterol 148.9 mg/dL, HDL Cholesterol 61.0 mg/dL, Triglycerides 118.5 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 29.7 (overweight)
- Age 47 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 82yo Male
Vitals: BP 103/66 mmHg, BMI 28.7, Weight 82.4 kg, HR 83 bpm
Labs: Glucose 94.7 mg/dL, HbA1c 6.0 %, Total Cholesterol 201.9 mg/dL, HDL Cholesterol 52.2 mg/dL, Triglycerides 158.0 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 28.7 (overweight)
- Age 82 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 82 years (≥55 increases risk)

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


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

Input:
Patient: 66yo Female
Vitals: BP 113/82 mmHg, BMI 28.2, Weight 67.8 kg, HR 99 bpm
Labs: Glucose 94.8 mg/dL, HbA1c 5.8 %, Total Cholesterol 177.2 mg/dL, HDL Cholesterol 59.0 mg/dL, Triglycerides 114.1 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 28.2 (overweight)
- Age 66 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 113/82 mmHg (elevated)
- Age 66 years (≥55 increases risk)

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


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

Input:
Patient: 23yo Female
Vitals: BP 150/80 mmHg, BMI 22.3, Weight 65.4 kg, HR 86 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 150/80 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 40yo Female
Vitals: BP 134/75 mmHg, BMI 36.5, Weight 111.3 kg, HR 75 bpm
Labs: Total Cholesterol 179.4 mg/dL, HDL Cholesterol 60.5 mg/dL, Triglycerides 139.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 36.5 (obese)

**Hypertension: MODERATE**
- BP 134/75 mmHg (elevated)
- BMI 36.5 (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: 72yo Male
Vitals: BP 124/62 mmHg, BMI 28.1, Weight 101.7 kg, HR 80 bpm
Labs: Glucose 88.4 mg/dL, Glucose (serum) 92.6 mg/dL, HbA1c 5.8 %, Total Cholesterol 183.9 mg/dL, HDL Cholesterol 22.1 mg/dL, Triglycerides 126.6 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes
Medications: atorvastatin 20 MG Oral Tablet, Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 28.1 (overweight)
- Age 72 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 124/62 mmHg (slightly elevated)
- Age 72 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: 33yo Female
Vitals: BP 107/89 mmHg, BMI 27.4, Weight 63.3 kg, HR 83 bpm
Labs: Glucose 66.8 mg/dL, HbA1c 6.2 %, Total Cholesterol 142.7 mg/dL, HDL Cholesterol 53.4 mg/dL, Triglycerides 122.9 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 27.4 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 107/89 mmHg (elevated)

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


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

Input:
Patient: 31yo Male
Vitals: BP 116/73 mmHg, BMI 29.7, Weight 78.1 kg, HR 96 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 77yo Male
Vitals: BP 95/57 mmHg, BMI 27.4, Weight 79.2 kg, HR 77 bpm
Labs: Total Cholesterol 312.9 mg/dL, HDL Cholesterol 51.3 mg/dL, Triglycerides 124.1 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.4 (overweight)
- Age 77 years (≥45 increases risk)

**Hypertension: LOW**
- Age 77 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: 30yo Male
Vitals: BP 101/70 mmHg, BMI 32.4, Weight 98.3 kg, HR 94 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 32.4 (obese)

**Hypertension: MODERATE**
- BMI 32.4 (obesity increases BP risk)

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


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

Input:
Patient: 69yo Female
Vitals: BP 145/99 mmHg, BMI 27.6, Weight 79.4 kg, HR 86 bpm
Labs: Glucose 99.9 mg/dL, HbA1c 6.0 %, Total Cholesterol 173.7 mg/dL, HDL Cholesterol 58.3 mg/dL, Triglycerides 125.9 mg/dL, Creatinine 0.7 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 27.6 (overweight)
- Age 69 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: 36yo Female
Vitals: BP 122/70 mmHg, BMI 28.7, Weight 76.9 kg, HR 75 bpm
Labs: Glucose 72.5 mg/dL, HbA1c 5.9 %, Total Cholesterol 181.9 mg/dL, HDL Cholesterol 65.6 mg/dL, Triglycerides 126.3 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.7 (overweight)
- History of prediabetes

**Hypertension: LOW**
- BP 122/70 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: 32yo Male
Vitals: BP 112/88 mmHg, BMI 28.1, Weight 87.3 kg, HR 94 bpm
Labs: Total Cholesterol 189.2 mg/dL, HDL Cholesterol 60.9 mg/dL, Triglycerides 140.5 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 112/88 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: 95yo Male
Vitals: BP 129/81 mmHg, BMI 27.5, Weight 79.6 kg, HR 94 bpm
Labs: Glucose 69.1 mg/dL, HbA1c 5.9 %, Total Cholesterol 203.2 mg/dL, HDL Cholesterol 79.3 mg/dL, Triglycerides 193.4 mg/dL, Creatinine 3.1 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 95 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 129/81 mmHg (elevated)
- Age 95 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: 55yo Female
Vitals: BP 124/91 mmHg, BMI 28.6, Weight 66.7 kg, HR 67 bpm
Labs: Glucose 70.8 mg/dL, HbA1c 5.9 %, Total Cholesterol 206.4 mg/dL, HDL Cholesterol 44.5 mg/dL, Triglycerides 178.6 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.6 (overweight)
- Age 55 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 124/91 mmHg (Stage 1+ hypertension)
- Age 55 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: 79yo Female
Vitals: BP 113/90 mmHg, BMI 27.6, Weight 67.3 kg, HR 83 bpm
Labs: Glucose 87.8 mg/dL, HbA1c 6.0 %, Total Cholesterol 161.4 mg/dL, HDL Cholesterol 31.2 mg/dL, Triglycerides 168.5 mg/dL, Creatinine 2.5 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 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.6 (overweight)
- Age 79 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 36yo Male
Vitals: BP 130/84 mmHg, BMI 29.1, Weight 89.5 kg, HR 76 bpm
Labs: Glucose 89.7 mg/dL, HbA1c 5.8 %, Total Cholesterol 100.4 mg/dL, HDL Cholesterol 63.1 mg/dL, Triglycerides 100.1 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 29.1 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/84 mmHg (elevated)

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


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

Input:
Patient: 55yo Female
Vitals: BP 126/90 mmHg, BMI 30.6, Weight 86.8 kg, HR 77 bpm
Labs: Glucose (serum) 79.7 mg/dL, Total Cholesterol 247.7 mg/dL, HDL Cholesterol 51.2 mg/dL, Triglycerides 108.4 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.6 (obese)
- Age 55 years (≥45 increases risk)

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

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


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

Input:
Patient: 58yo Male
Vitals: BP 122/84 mmHg, BMI 28.1, Weight 101.5 kg, HR 92 bpm
Labs: Total Cholesterol 280.4 mg/dL, HDL Cholesterol 34.7 mg/dL, Triglycerides 148.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 58 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 122/84 mmHg (elevated)
- Age 58 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: 61yo Female
Vitals: BP 126/88 mmHg, BMI 27.6, Weight 81.3 kg, HR 85 bpm
Labs: Glucose 87.6 mg/dL, Glucose (serum) 87.6 mg/dL, HbA1c 2.9 %, Total Cholesterol 144.7 mg/dL, HDL Cholesterol 52.3 mg/dL, Triglycerides 104.7 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.6 (overweight)
- Age 61 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 6yo Female
Vitals: BP 107/85 mmHg, BMI 15.1, Weight 17.8 kg, HR 69 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 107/85 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: 66yo Male
Vitals: BP 132/86 mmHg, BMI 28.4, Weight 101.6 kg, HR 80 bpm
Labs: Glucose 69.0 mg/dL, HbA1c 6.3 %, Total Cholesterol 176.3 mg/dL, HDL Cholesterol 57.4 mg/dL, Triglycerides 104.6 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 66 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 132/86 mmHg (elevated)
- Age 66 years (≥55 increases risk)

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


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

Input:
Patient: 56yo Male
Vitals: BP 144/85 mmHg, BMI 29.5, Weight 87.4 kg, HR 95 bpm
Labs: Total Cholesterol 157.3 mg/dL, HDL Cholesterol 63.5 mg/dL, Triglycerides 145.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.5 (overweight)
- Age 56 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 144/85 mmHg (Stage 1+ hypertension)
- Age 56 years (≥55 increases risk)

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


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

Input:
Patient: 66yo Female
Vitals: BP 117/88 mmHg, BMI 27.9, Weight 69.7 kg, HR 83 bpm
Labs: Glucose 71.5 mg/dL, Glucose (serum) 97.7 mg/dL, HbA1c 2.9 %, Total Cholesterol 173.2 mg/dL, HDL Cholesterol 58.7 mg/dL, Triglycerides 141.9 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.9 (overweight)
- Age 66 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 25yo Male
Vitals: BP 108/76 mmHg, BMI 24.9, Weight 87.3 kg, HR 100 bpm
Labs: Glucose 70.0 mg/dL, HbA1c 6.1 %, Creatinine 1.4 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: 8yo Female
Vitals: BP 115/64 mmHg, BMI 16.7, Weight 25.5 kg, HR 83 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 13yo Male
Vitals: BP 112/72 mmHg, BMI 20.9, Weight 43.9 kg, HR 74 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 65yo Female
Vitals: BP 112/74 mmHg, BMI 27.6, Weight 77.0 kg, HR 100 bpm
Labs: Glucose 87.2 mg/dL, HbA1c 6.2 %, Total Cholesterol 209.2 mg/dL, HDL Cholesterol 55.2 mg/dL, Triglycerides 145.1 mg/dL, Creatinine 3.3 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (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: 50yo Female
Vitals: BP 123/66 mmHg, BMI 28.1, Weight 78.5 kg, HR 87 bpm
Labs: Glucose 75.7 mg/dL, Total Cholesterol 152.3 mg/dL, HDL Cholesterol 70.3 mg/dL, Triglycerides 165.7 mg/dL, Creatinine 2.5 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 50 years (≥45 increases risk)

**Hypertension: LOW**
- BP 123/66 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: 79yo Male
Vitals: BP 129/54 mmHg, BMI 28.1, Weight 86.7 kg, HR 63 bpm
Labs: Total Cholesterol 182.3 mg/dL, HDL Cholesterol 57.3 mg/dL, Triglycerides 119.9 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 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: LOW**
- BMI 28.1 (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: 31yo Female
Vitals: BP 126/92 mmHg, BMI 30.0, Weight 85.0 kg, HR 66 bpm
Labs: Total Cholesterol 207.1 mg/dL, HDL Cholesterol 60.0 mg/dL, Triglycerides 122.8 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (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: 61yo Female
Vitals: BP 130/85 mmHg, BMI 28.1, Weight 71.8 kg, HR 95 bpm
Labs: Glucose 74.6 mg/dL, HbA1c 6.2 %, Total Cholesterol 177.4 mg/dL, HDL Cholesterol 53.3 mg/dL, Triglycerides 124.6 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 28.1 (overweight)
- Age 61 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: 52yo Female
Vitals: BP 106/68 mmHg, BMI 28.0, Weight 74.5 kg, HR 68 bpm
Labs: Glucose 93.4 mg/dL, Glucose (serum) 68.3 mg/dL, HbA1c 6.1 %, Total Cholesterol 153.7 mg/dL, HDL Cholesterol 54.9 mg/dL, Triglycerides 121.1 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes
Medications: losartan potassium 50 MG Oral Tablet, lisinopril 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 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: 49yo Female
Vitals: BP 109/75 mmHg, BMI 30.2, Weight 85.2 kg, HR 63 bpm
Labs: Total Cholesterol 162.1 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 141.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 49 years (≥45 increases risk)

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

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


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

Input:
Patient: 22yo Male
Vitals: BP 97/76 mmHg, BMI 25.7, Weight 77.3 kg, HR 70 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: 77yo Male
Vitals: BP 98/68 mmHg, BMI 27.9, Weight 86.4 kg, HR 86 bpm
Labs: Glucose 65.3 mg/dL, HbA1c 6.2 %, Total Cholesterol 196.5 mg/dL, HDL Cholesterol 34.2 mg/dL, Triglycerides 120.0 mg/dL, Creatinine 3.1 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 77 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 77 years (≥55 increases risk)

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


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

Input:
Patient: 61yo Male
Vitals: BP 135/78 mmHg, BMI 30.3, Weight 106.9 kg, HR 61 bpm
Labs: Glucose 99.0 mg/dL, Glucose (serum) 99.0 mg/dL, HbA1c 3.3 %, Total Cholesterol 138.9 mg/dL, HDL Cholesterol 58.7 mg/dL, Triglycerides 101.9 mg/dL, Creatinine 2.9 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.3 (obese)
- Age 61 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 10yo Male
Vitals: BP 132/77 mmHg, BMI 20.3, Weight 42.7 kg, HR 60 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 101yo Female
Vitals: BP 125/73 mmHg, BMI 27.4, Weight 65.5 kg, HR 73 bpm
Labs: Glucose 73.9 mg/dL, HbA1c 6.3 %, Total Cholesterol 176.7 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 113.3 mg/dL, Creatinine 0.3 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.4 (overweight)
- Age 101 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 125/73 mmHg (slightly elevated)
- Age 101 years (≥55 increases risk)

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


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

Input:
Patient: 50yo Female
Vitals: BP 128/104 mmHg, BMI 32.1, Weight 85.2 kg, HR 62 bpm
Labs: Glucose 78.2 mg/dL, HbA1c 6.4 %, Total Cholesterol 138.4 mg/dL, HDL Cholesterol 51.9 mg/dL, Triglycerides 144.1 mg/dL, Creatinine 0.9 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 32.1 (obese)
- Age 50 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 30yo Male
Vitals: BP 118/85 mmHg, BMI 29.5, Weight 90.9 kg, HR 85 bpm

Output:
## Risk Assessment

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

**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: 17yo Female
Vitals: BP 119/79 mmHg, BMI 18.8, Weight 50.2 kg, HR 74 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 64yo Female
Vitals: BP 108/67 mmHg, BMI 30.5, Weight 78.4 kg, HR 94 bpm
Labs: Glucose (serum) 67.4 mg/dL, HbA1c 5.6 %, Total Cholesterol 152.3 mg/dL, HDL Cholesterol 52.4 mg/dL, Triglycerides 128.0 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.5 (obese)
- Age 64 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 30.5 (obesity increases BP risk)
- Age 64 years (≥55 increases risk)

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


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

Input:
Patient: 23yo Male
Vitals: BP 113/76 mmHg, BMI 24.9, Weight 77.0 kg, HR 83 bpm
Labs: Glucose 98.2 mg/dL, HbA1c 6.0 %, Creatinine 1.3 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: 22yo Female
Vitals: BP 116/87 mmHg, BMI 30.4, Weight 78.9 kg, HR 75 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 116/87 mmHg (elevated)
- BMI 30.4 (obesity increases BP risk)

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


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

Input:
Patient: 9yo Female
Vitals: BP 142/84 mmHg, BMI 19.0, Weight 38.6 kg, HR 78 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 142/84 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 11yo Male
Vitals: BP 99/66 mmHg, BMI 18.5, Weight 37.7 kg, HR 77 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: 1yo Female
Vitals: BP 118/68 mmHg, Weight 9.9 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: 42yo Female
Vitals: BP 112/86 mmHg, BMI 30.0, Weight 79.0 kg, HR 65 bpm
Labs: Total Cholesterol 164.5 mg/dL, HDL Cholesterol 31.1 mg/dL, Triglycerides 100.3 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (obese)

**Hypertension: MODERATE**
- BP 112/86 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: 25yo Female
Vitals: BP 99/72 mmHg, BMI 19.8, Weight 57.4 kg, HR 96 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 5yo Male
Vitals: BP 142/83 mmHg, BMI 15.5, Weight 21.6 kg, HR 73 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 66yo Female
Vitals: BP 147/94 mmHg, BMI 28.8, Weight 76.4 kg, HR 65 bpm
Labs: Glucose 73.0 mg/dL, HbA1c 5.9 %, Total Cholesterol 169.8 mg/dL, HDL Cholesterol 78.3 mg/dL, Triglycerides 194.0 mg/dL, Creatinine 3.5 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.8 (overweight)
- Age 66 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 147/94 mmHg (Stage 1+ hypertension)
- Age 66 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: 22yo Male
Vitals: BP 134/76 mmHg, BMI 24.2, Weight 72.5 kg, HR 92 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 134/76 mmHg (elevated)

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


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

Input:
Patient: 73yo Female
Vitals: BP 101/59 mmHg, BMI 27.9, Weight 76.1 kg, HR 65 bpm
Labs: Glucose 97.6 mg/dL, Glucose (serum) 83.8 mg/dL, HbA1c 6.2 %, Total Cholesterol 187.6 mg/dL, HDL Cholesterol 54.7 mg/dL, Triglycerides 109.3 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 73 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 73 years (≥55 increases risk)

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


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

Input:
Patient: 46yo Female
Vitals: BP 103/80 mmHg, BMI 29.4, Weight 71.5 kg, HR 85 bpm
Labs: Total Cholesterol 190.2 mg/dL, HDL Cholesterol 49.0 mg/dL, Triglycerides 127.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.4 (overweight)
- Age 46 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 103/80 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: 70yo Female
Vitals: BP 99/62 mmHg, BMI 28.2, Weight 75.3 kg, HR 83 bpm
Labs: Glucose 101.0 mg/dL, HbA1c 7.0 %, Total Cholesterol 187.5 mg/dL, HDL Cholesterol 62.5 mg/dL, Triglycerides 143.1 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

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

**Hypertension: LOW**
- Age 70 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: 63yo Female
Vitals: BP 106/80 mmHg, BMI 30.1, Weight 74.8 kg, HR 99 bpm
Labs: Total Cholesterol 167.7 mg/dL, HDL Cholesterol 50.9 mg/dL, Triglycerides 141.2 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 63 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 106/80 mmHg (elevated)
- BMI 30.1 (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: 36yo Female
Vitals: BP 112/76 mmHg, BMI 28.7, Weight 69.9 kg, HR 63 bpm
Labs: Total Cholesterol 110.8 mg/dL, HDL Cholesterol 54.3 mg/dL, Triglycerides 112.2 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.7 (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: 2yo Female
Vitals: BP 133/72 mmHg, Weight 14.5 kg, HR 60 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 80yo Male
Vitals: BP 122/101 mmHg, BMI 30.2, Weight 104.0 kg, HR 65 bpm
Labs: Glucose 87.3 mg/dL, Glucose (serum) 83.6 mg/dL, HbA1c 3.1 %, Total Cholesterol 112.7 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 131.0 mg/dL, Creatinine 2.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Neuropathy, Diabetic Kidney Disease, Diabetic Retinopathy
Medications: Simvastatin 20 MG Oral Tablet, lovastatin 10 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 107yo Male
Vitals: BP 137/76 mmHg, BMI 28.0, Weight 79.8 kg, HR 63 bpm
Labs: Total Cholesterol 160.3 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 133.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)
- Age 107 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 137/76 mmHg (elevated)
- Age 107 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: 45yo Male
Vitals: BP 145/79 mmHg, BMI 27.8, Weight 83.0 kg, HR 74 bpm
Labs: Glucose 84.4 mg/dL, HbA1c 6.0 %, Total Cholesterol 301.0 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 118.4 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.8 (overweight)
- Age 45 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 145/79 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 13yo Female
Vitals: BP 100/85 mmHg, BMI 18.2, Weight 40.1 kg, HR 67 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 100/85 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: 24yo Female
Vitals: BP 106/71 mmHg, BMI 31.2, Weight 87.2 kg, HR 78 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 31.2 (obese)

**Hypertension: MODERATE**
- BMI 31.2 (obesity increases BP risk)

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


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

Input:
Patient: 27yo Female
Vitals: BP 112/80 mmHg, BMI 25.4, Weight 73.3 kg, HR 79 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.4 (overweight)

**Hypertension: MODERATE**
- BP 112/80 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: 19yo Female
Vitals: BP 123/68 mmHg, BMI 20.7, Weight 49.9 kg, HR 97 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 123/68 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: 4yo Male
Vitals: BP 127/99 mmHg, BMI 15.9, Weight 18.1 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 127/99 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: 29yo Female
Vitals: BP 131/82 mmHg, BMI 26.4, Weight 65.4 kg, HR 71 bpm
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.4 (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: 67yo Male
Vitals: BP 106/72 mmHg, BMI 27.9, Weight 87.7 kg, HR 65 bpm
Labs: Glucose 66.7 mg/dL, Glucose (serum) 83.1 mg/dL, HbA1c 2.9 %, Total Cholesterol 208.3 mg/dL, HDL Cholesterol 42.3 mg/dL, Triglycerides 115.9 mg/dL, Creatinine 2.7 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.9 (overweight)
- Age 67 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 39yo Male
Vitals: BP 99/82 mmHg, BMI 30.4, Weight 91.9 kg, HR 80 bpm
Labs: Glucose 73.3 mg/dL, HbA1c 6.4 %, Total Cholesterol 119.8 mg/dL, HDL Cholesterol 50.8 mg/dL, Triglycerides 118.6 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 30.4 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 99/82 mmHg (elevated)
- BMI 30.4 (obesity increases BP risk)

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


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

Input:
Patient: 74yo Female
Vitals: BP 121/70 mmHg, BMI 28.5, Weight 74.1 kg, HR 79 bpm
Labs: Glucose 99.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 201.3 mg/dL, HDL Cholesterol 54.2 mg/dL, Triglycerides 121.2 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.5 (overweight)
- Age 74 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 121/70 mmHg (slightly elevated)
- Age 74 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: 31yo Female
Vitals: BP 110/76 mmHg, BMI 28.9, Weight 81.1 kg, HR 99 bpm
Labs: Total Cholesterol 196.9 mg/dL, HDL Cholesterol 53.1 mg/dL, Triglycerides 147.9 mg/dL

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 40yo Male
Vitals: BP 97/79 mmHg, BMI 30.1, Weight 83.6 kg, HR 96 bpm
Labs: Glucose 87.2 mg/dL, HbA1c 6.0 %, Total Cholesterol 196.3 mg/dL, HDL Cholesterol 29.4 mg/dL, Triglycerides 125.1 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- 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: 25yo Female
Vitals: BP 132/86 mmHg, BMI 24.1, Weight 67.0 kg, HR 98 bpm
Labs: Glucose 80.2 mg/dL, HbA1c 6.2 %, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 132/86 mmHg (elevated)

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


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

Input:
Patient: 26yo Male
Vitals: BP 115/86 mmHg, BMI 25.5, Weight 89.3 kg, HR 70 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 115/86 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: 1yo Male
Vitals: BP 133/81 mmHg, Weight 10.5 kg, HR 90 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 133/81 mmHg (elevated)

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


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

Input:
Patient: 13yo Male
Vitals: BP 128/89 mmHg, BMI 17.7, Weight 41.0 kg, HR 82 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 44yo Male
Vitals: BP 113/77 mmHg, BMI 29.9, Weight 93.1 kg, HR 65 bpm
Labs: Glucose 66.9 mg/dL, HbA1c 6.4 %, Total Cholesterol 277.8 mg/dL, HDL Cholesterol 32.5 mg/dL, Triglycerides 111.1 mg/dL, Creatinine 1.2 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 29.9 (overweight)
- History of prediabetes

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

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


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

Input:
Patient: 23yo Male
Vitals: BP 135/84 mmHg, BMI 23.2, Weight 71.7 kg, HR 89 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 135/84 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: 42yo Female
Vitals: BP 127/87 mmHg, BMI 27.9, Weight 64.9 kg, HR 74 bpm
Labs: Glucose 75.9 mg/dL, HbA1c 6.1 %, Total Cholesterol 134.8 mg/dL, HDL Cholesterol 30.3 mg/dL, Triglycerides 103.3 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 27.9 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 127/87 mmHg (elevated)

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


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

Input:
Patient: 35yo Female
Vitals: BP 102/79 mmHg, BMI 26.8, Weight 77.3 kg, HR 92 bpm
Labs: Total Cholesterol 139.8 mg/dL, HDL Cholesterol 51.5 mg/dL, Triglycerides 127.8 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: 16yo Male
Vitals: BP 103/74 mmHg, BMI 19.1, Weight 59.0 kg, HR 95 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 15yo Male
Vitals: BP 98/84 mmHg, BMI 19.5, Weight 52.1 kg, HR 84 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 98/84 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: 25yo Male
Vitals: BP 132/79 mmHg, BMI 24.8, Weight 83.6 kg, HR 100 bpm
Labs: Glucose 87.8 mg/dL, HbA1c 6.3 %, Creatinine 1.5 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 132/79 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: 38yo Male
Vitals: BP 128/99 mmHg, BMI 28.8, Weight 88.2 kg, HR 92 bpm
Labs: Total Cholesterol 162.3 mg/dL, HDL Cholesterol 60.9 mg/dL, Triglycerides 132.3 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.8 (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: 16yo Female
Vitals: BP 124/80 mmHg, BMI 18.6, Weight 52.7 kg, HR 95 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 62yo Female
Vitals: BP 111/95 mmHg, BMI 27.9, Weight 85.8 kg, HR 64 bpm
Labs: Glucose 64.7 mg/dL, Glucose (serum) 64.7 mg/dL, HbA1c 3.1 %, Total Cholesterol 127.2 mg/dL, HDL Cholesterol 56.8 mg/dL, Triglycerides 132.4 mg/dL, Creatinine 4.5 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.9 (overweight)
- Age 62 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 64yo Female
Vitals: BP 121/65 mmHg, BMI 30.3, Weight 78.3 kg, HR 82 bpm
Labs: Total Cholesterol 176.0 mg/dL, HDL Cholesterol 51.7 mg/dL, Triglycerides 140.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.3 (obese)
- Age 64 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 121/65 mmHg (slightly elevated)
- BMI 30.3 (obesity increases BP risk)
- Age 64 years (≥55 increases risk)

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


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

Input:
Patient: 4yo Female
Vitals: BP 111/82 mmHg, BMI 14.7, Weight 14.9 kg, HR 83 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 111/82 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: 5yo Male
Vitals: BP 110/76 mmHg, BMI 22.6, Weight 30.5 kg, HR 75 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 62yo Female
Vitals: BP 129/79 mmHg, BMI 30.2, Weight 84.6 kg, HR 93 bpm
Labs: Glucose 77.7 mg/dL, Glucose (serum) 77.7 mg/dL, HbA1c 3.3 %, Total Cholesterol 153.7 mg/dL, HDL Cholesterol 60.3 mg/dL, Triglycerides 110.8 mg/dL, Creatinine 4.3 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 62 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 28yo Male
Vitals: BP 132/88 mmHg, BMI 26.0, Weight 89.4 kg, HR 71 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.0 (overweight)

**Hypertension: MODERATE**
- BP 132/88 mmHg (elevated)

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


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

Input:
Patient: 60yo Female
Vitals: BP 136/85 mmHg, BMI 27.2, Weight 63.8 kg, HR 81 bpm
Labs: Total Cholesterol 195.0 mg/dL, HDL Cholesterol 62.8 mg/dL, Triglycerides 128.3 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 136/85 mmHg (elevated)
- Age 60 years (≥55 increases risk)

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