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

Input:
Patient: 20yo Male
Vitals: BP 121/73 mmHg, BMI 21.6, Weight 51.5 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 121/73 mmHg (slightly elevated)

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


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

Input:
Patient: 53yo Female
Vitals: BP 123/97 mmHg, BMI 28.1, Weight 78.1 kg, HR 78 bpm
Labs: Glucose 124.9 mg/dL, Glucose (serum) 124.9 mg/dL, HbA1c 4.0 %, Total Cholesterol 213.0 mg/dL, HDL Cholesterol 54.9 mg/dL, Triglycerides 172.4 mg/dL, Creatinine 1.6 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Type 2 Diabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 3yo Female
Vitals: BP 140/78 mmHg, BMI 15.4, Weight 18.0 kg, HR 69 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/78 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 49yo Male
Vitals: BP 107/77 mmHg, BMI 30.3, Weight 91.2 kg, HR 77 bpm
Labs: Glucose 89.2 mg/dL, HbA1c 6.2 %, Total Cholesterol 145.2 mg/dL, HDL Cholesterol 26.7 mg/dL, Triglycerides 138.2 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.3 (obese)
- Age 49 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 102yo Female
Vitals: BP 119/86 mmHg, BMI 27.6, Weight 70.6 kg, HR 83 bpm
Labs: Glucose 81.8 mg/dL, Glucose (serum) 67.8 mg/dL, Total Cholesterol 254.0 mg/dL, HDL Cholesterol 51.8 mg/dL, Triglycerides 111.5 mg/dL, Creatinine 2.9 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.6 (overweight)
- Age 102 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: 41yo Male
Vitals: BP 135/89 mmHg, BMI 30.3, Weight 97.4 kg, HR 62 bpm
Labs: Glucose 70.0 mg/dL, HbA1c 6.1 %, Total Cholesterol 153.0 mg/dL, HDL Cholesterol 54.2 mg/dL, Triglycerides 101.2 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 135/89 mmHg (elevated)
- BMI 30.3 (obesity increases BP risk)

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


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

Input:
Patient: 50yo Female
Vitals: BP 132/75 mmHg, BMI 30.8, Weight 85.8 kg, HR 64 bpm
Labs: Glucose 91.4 mg/dL, Glucose (serum) 67.4 mg/dL, HbA1c 6.2 %, Total Cholesterol 206.0 mg/dL, HDL Cholesterol 64.4 mg/dL, Triglycerides 127.4 mg/dL, Creatinine 2.8 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 30.8 (obese)
- Age 50 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 132/75 mmHg (elevated)
- BMI 30.8 (obesity increases BP risk)

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


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

Input:
Patient: 44yo Male
Vitals: BP 130/77 mmHg, BMI 27.9, Weight 88.0 kg, HR 88 bpm
Labs: Total Cholesterol 138.2 mg/dL, HDL Cholesterol 53.2 mg/dL, Triglycerides 115.1 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 130/77 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: 66yo Female
Vitals: BP 119/91 mmHg, BMI 28.0, Weight 76.6 kg, HR 82 bpm
Labs: Glucose 121.8 mg/dL, Glucose (serum) 113.1 mg/dL, HbA1c 4.0 %, Total Cholesterol 210.9 mg/dL, HDL Cholesterol 59.0 mg/dL, Triglycerides 173.9 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes, Diabetic Retinopathy, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: 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: 48yo Female
Vitals: BP 123/75 mmHg, BMI 28.0, Weight 87.4 kg, HR 72 bpm
Labs: Glucose 76.6 mg/dL, HbA1c 5.9 %, Total Cholesterol 152.7 mg/dL, HDL Cholesterol 49.9 mg/dL, Triglycerides 136.7 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 48 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 123/75 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: 18yo Female
Vitals: BP 114/73 mmHg, BMI 22.1, Weight 59.4 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: 9yo Female
Vitals: BP 120/77 mmHg, BMI 16.7, Weight 26.2 kg, HR 80 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 120/77 mmHg (slightly elevated)

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


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

Input:
Patient: 14yo Male
Vitals: BP 110/72 mmHg, BMI 21.8, Weight 64.8 kg, HR 93 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 51yo Female
Vitals: BP 102/89 mmHg, BMI 30.5, Weight 85.9 kg, HR 98 bpm
Labs: Glucose (serum) 71.2 mg/dL, Total Cholesterol 169.7 mg/dL, HDL Cholesterol 50.3 mg/dL, Triglycerides 100.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.5 (obese)
- Age 51 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 102/89 mmHg (elevated)
- BMI 30.5 (obesity increases BP risk)

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


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

Input:
Patient: 23yo Male
Vitals: BP 105/90 mmHg, BMI 21.3, Weight 58.0 kg, HR 90 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 105/90 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 63yo Male
Vitals: BP 122/68 mmHg, BMI 29.4, Weight 90.4 kg, HR 81 bpm
Labs: Glucose 82.5 mg/dL, HbA1c 6.2 %, Total Cholesterol 186.2 mg/dL, HDL Cholesterol 23.4 mg/dL, Triglycerides 116.4 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.4 (overweight)
- Age 63 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 122/68 mmHg (slightly elevated)
- Age 63 years (≥55 increases risk)

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


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

Input:
Patient: 47yo Male
Vitals: BP 130/76 mmHg, BMI 27.9, Weight 93.7 kg, HR 93 bpm
Labs: Glucose 87.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 125.7 mg/dL, HDL Cholesterol 31.1 mg/dL, Triglycerides 149.7 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 47 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/76 mmHg (elevated)

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


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

Input:
Patient: 34yo Female
Vitals: BP 116/86 mmHg, BMI 26.5, Weight 75.6 kg, HR 85 bpm
Labs: Glucose 77.3 mg/dL, HbA1c 6.2 %, Total Cholesterol 243.5 mg/dL, HDL Cholesterol 52.2 mg/dL, Triglycerides 139.2 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 26.5 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 116/86 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: 75yo Female
Vitals: BP 110/71 mmHg, BMI 29.5, Weight 75.6 kg, HR 95 bpm
Labs: Glucose 83.5 mg/dL, HbA1c 5.9 %, Total Cholesterol 185.3 mg/dL, HDL Cholesterol 27.9 mg/dL, Triglycerides 118.5 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Retinopathy
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 81yo Male
Vitals: BP 107/73 mmHg, BMI 25.0, Weight 77.9 kg, HR 83 bpm
Labs: Glucose 64.4 mg/dL, HbA1c 5.9 %, Total Cholesterol 208.8 mg/dL, HDL Cholesterol 75.2 mg/dL, Triglycerides 162.5 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 25.0 (overweight)
- Age 81 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 81 years (≥55 increases risk)

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


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

Input:
Patient: 21yo Female
Vitals: BP 135/83 mmHg, BMI 26.4, Weight 73.9 kg, HR 85 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 135/83 mmHg (elevated)

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


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

Input:
Patient: 37yo Female
Vitals: BP 145/82 mmHg, BMI 30.6, Weight 76.0 kg, HR 96 bpm
Labs: Total Cholesterol 166.8 mg/dL, HDL Cholesterol 28.5 mg/dL, Triglycerides 118.2 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 145/82 mmHg (Stage 1+ hypertension)
- BMI 30.6 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. 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: 19yo Female
Vitals: BP 124/81 mmHg, BMI 21.7, Weight 59.6 kg, HR 65 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 124/81 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: 33yo Male
Vitals: BP 134/73 mmHg, BMI 30.1, Weight 93.6 kg, HR 95 bpm
Labs: Glucose 77.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 288.3 mg/dL, HDL Cholesterol 51.5 mg/dL, Triglycerides 105.2 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 134/73 mmHg (elevated)
- BMI 30.1 (obesity increases BP risk)

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


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

Input:
Patient: 41yo Male
Vitals: BP 123/79 mmHg, BMI 30.4, Weight 102.7 kg, HR 83 bpm
Labs: Glucose 74.6 mg/dL, HbA1c 5.8 %, Total Cholesterol 99.5 mg/dL, HDL Cholesterol 33.7 mg/dL, Triglycerides 110.4 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 30.4 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 123/79 mmHg (slightly elevated)
- BMI 30.4 (obesity increases BP risk)

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


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

Input:
Patient: 16yo Male
Vitals: BP 144/91 mmHg, BMI 22.3, Weight 66.9 kg, HR 68 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 144/91 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 55yo Female
Vitals: BP 127/84 mmHg, BMI 27.5, Weight 79.6 kg, HR 93 bpm
Labs: Total Cholesterol 219.2 mg/dL, HDL Cholesterol 48.1 mg/dL, Triglycerides 101.6 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 73yo Female
Vitals: BP 81/61 mmHg, BMI 30.1, Weight 87.3 kg, HR 92 bpm
Labs: Glucose 70.8 mg/dL, Glucose (serum) 70.3 mg/dL, HbA1c 6.0 %, Total Cholesterol 166.5 mg/dL, HDL Cholesterol 59.4 mg/dL, Triglycerides 144.7 mg/dL, Creatinine 3.4 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 30.1 (obese)
- Age 73 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 30.1 (obesity increases BP risk)
- Age 73 years (≥55 increases risk)

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


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

Input:
Patient: 27yo Female
Vitals: BP 143/92 mmHg, BMI 31.0, Weight 72.1 kg, HR 86 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 31.0 (obese)

**Hypertension: HIGH**
- BP 143/92 mmHg (Stage 1+ hypertension)
- BMI 31.0 (obesity increases BP risk)

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


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

Input:
Patient: 36yo Male
Vitals: BP 131/78 mmHg, BMI 30.5, Weight 98.6 kg, HR 60 bpm
Labs: Total Cholesterol 174.0 mg/dL, HDL Cholesterol 32.8 mg/dL, Triglycerides 100.7 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/78 mmHg (elevated)
- BMI 30.5 (obesity increases BP risk)

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


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

Input:
Patient: 73yo Female
Vitals: BP 131/91 mmHg, BMI 27.5, Weight 62.8 kg, HR 76 bpm
Labs: Glucose 118.6 mg/dL, HbA1c 6.9 %, Total Cholesterol 228.3 mg/dL, HDL Cholesterol 53.4 mg/dL, Triglycerides 160.9 mg/dL, Creatinine 0.5 mg/dL
Active conditions: Essential Hypertension, Prediabetes, Type 2 Diabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 71yo Female
Vitals: BP 103/68 mmHg, BMI 27.8, Weight 62.5 kg, HR 98 bpm
Labs: Glucose 69.4 mg/dL, Glucose (serum) 83.4 mg/dL, HbA1c 2.5 %, Total Cholesterol 146.1 mg/dL, HDL Cholesterol 52.3 mg/dL, Triglycerides 121.1 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Kidney Disease, Diabetic Retinopathy
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 3yo Male
Vitals: BP 95/84 mmHg, BMI 17.1, Weight 16.2 kg, HR 65 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 95/84 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: 21yo Female
Vitals: BP 102/68 mmHg, BMI 19.1, Weight 46.8 kg, HR 65 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 58yo Female
Vitals: BP 122/89 mmHg, BMI 35.8, Weight 98.7 kg, HR 78 bpm
Labs: Glucose 116.3 mg/dL, HbA1c 7.5 %, Total Cholesterol 205.0 mg/dL, HDL Cholesterol 40.5 mg/dL, Triglycerides 187.2 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension
Medications: 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 67yo Male
Vitals: BP 128/74 mmHg, BMI 27.4, Weight 84.6 kg, HR 98 bpm
Labs: Total Cholesterol 163.5 mg/dL, HDL Cholesterol 31.6 mg/dL, Triglycerides 118.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.4 (overweight)
- Age 67 years (≥45 increases risk)

**Hypertension: LOW**
- BP 128/74 mmHg (slightly elevated)
- Age 67 years (≥55 increases risk)

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


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

Input:
Patient: 39yo Female
Vitals: BP 138/82 mmHg, BMI 29.9, Weight 78.6 kg, HR 73 bpm
Labs: Glucose 80.8 mg/dL, HbA1c 6.3 %, Total Cholesterol 198.7 mg/dL, HDL Cholesterol 50.4 mg/dL, Triglycerides 121.5 mg/dL, Creatinine 1.4 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 138/82 mmHg (elevated)

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


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

Input:
Patient: 18yo Female
Vitals: BP 115/62 mmHg, BMI 25.4, Weight 71.1 kg, HR 63 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.4 (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: 67yo Male
Vitals: BP 98/77 mmHg, BMI 30.1, Weight 100.4 kg, HR 94 bpm
Labs: Glucose 154.7 mg/dL, Glucose (serum) 154.7 mg/dL, HbA1c 3.0 %, Total Cholesterol 242.2 mg/dL, HDL Cholesterol 37.5 mg/dL, Triglycerides 422.5 mg/dL, Creatinine 2.9 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Type 2 Diabetes
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 30yo Female
Vitals: BP 108/77 mmHg, BMI 25.3, Weight 63.7 kg, HR 91 bpm
Labs: Glucose 76.5 mg/dL, HbA1c 6.4 %, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 25.3 (overweight)
- History of prediabetes

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

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


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

Input:
Patient: 13yo Female
Vitals: BP 140/75 mmHg, BMI 27.5, Weight 60.3 kg, HR 68 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/75 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: 31yo Male
Vitals: BP 134/72 mmHg, BMI 30.0, Weight 85.1 kg, HR 91 bpm
Labs: Total Cholesterol 145.1 mg/dL, HDL Cholesterol 28.7 mg/dL, Triglycerides 109.0 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 134/72 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: 49yo Female
Vitals: BP 115/63 mmHg, BMI 28.0, Weight 71.4 kg, HR 85 bpm
Labs: Total Cholesterol 153.9 mg/dL, HDL Cholesterol 55.1 mg/dL, Triglycerides 110.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)
- Age 49 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: 64yo Male
Vitals: BP 122/88 mmHg, BMI 28.2, Weight 89.4 kg, HR 75 bpm
Labs: Glucose 90.6 mg/dL, Glucose (serum) 80.0 mg/dL, HbA1c 3.3 %, Total Cholesterol 267.4 mg/dL, HDL Cholesterol 21.1 mg/dL, Triglycerides 106.6 mg/dL, Creatinine 3.0 mg/dL
Active conditions: Essential Hypertension, Prediabetes, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.2 (overweight)
- Age 64 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 19yo Female
Vitals: BP 128/79 mmHg, BMI 25.8, Weight 72.1 kg, HR 67 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.8 (overweight)

**Hypertension: LOW**
- BP 128/79 mmHg (slightly elevated)

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


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

Input:
Patient: 41yo Female
Vitals: BP 91/68 mmHg, BMI 30.5, Weight 83.6 kg, HR 75 bpm
Labs: Glucose 73.3 mg/dL, HbA1c 6.3 %, Total Cholesterol 290.7 mg/dL, HDL Cholesterol 65.1 mg/dL, Triglycerides 116.1 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 30.5 (obese)
- History of prediabetes

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

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


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

Input:
Patient: 48yo Female
Vitals: BP 135/100 mmHg, BMI 27.6, Weight 70.5 kg, HR 88 bpm
Labs: Glucose 96.4 mg/dL, Glucose (serum) 96.4 mg/dL, HbA1c 3.3 %, Total Cholesterol 187.6 mg/dL, HDL Cholesterol 58.5 mg/dL, Triglycerides 138.5 mg/dL, Creatinine 4.8 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.6 (overweight)
- Age 48 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 51yo Male
Vitals: BP 130/74 mmHg, BMI 28.3, Weight 79.0 kg, HR 79 bpm
Labs: Total Cholesterol 158.1 mg/dL, HDL Cholesterol 30.5 mg/dL, Triglycerides 109.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.3 (overweight)
- Age 51 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 130/74 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: 23yo Female
Vitals: BP 113/74 mmHg, BMI 21.0, Weight 55.8 kg, HR 85 bpm
Labs: Glucose 64.8 mg/dL, HbA1c 5.9 %, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (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: 83yo Male
Vitals: BP 112/82 mmHg, BMI 28.7, Weight 88.8 kg, HR 74 bpm
Labs: Glucose 93.4 mg/dL, Glucose (serum) 93.4 mg/dL, HbA1c 4.2 %, Total Cholesterol 103.3 mg/dL, HDL Cholesterol 65.8 mg/dL, Triglycerides 116.7 mg/dL, Creatinine 15.3 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.7 (overweight)
- Age 83 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 38yo Female
Vitals: BP 125/75 mmHg, BMI 29.9, Weight 82.5 kg, HR 70 bpm
Labs: Total Cholesterol 170.1 mg/dL, HDL Cholesterol 54.5 mg/dL, Triglycerides 146.0 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 125/75 mmHg (slightly elevated)

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


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

Input:
Patient: 46yo Male
Vitals: BP 85/60 mmHg, BMI 30.1, Weight 90.2 kg, HR 80 bpm
Labs: Glucose (serum) 68.0 mg/dL, HbA1c 5.7 %, Total Cholesterol 285.9 mg/dL, HDL Cholesterol 45.0 mg/dL, Triglycerides 147.4 mg/dL
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.7% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- Age 46 years (≥45 increases risk)

**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: 36yo Female
Vitals: BP 112/85 mmHg, BMI 30.1, Weight 78.1 kg, HR 71 bpm
Labs: Total Cholesterol 142.6 mg/dL, HDL Cholesterol 49.4 mg/dL, Triglycerides 140.1 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 112/85 mmHg (elevated)
- BMI 30.1 (obesity increases BP risk)

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


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

Input:
Patient: 61yo Female
Vitals: BP 101/67 mmHg, BMI 28.1, Weight 73.8 kg, HR 72 bpm
Labs: Glucose 82.4 mg/dL, Total Cholesterol 127.8 mg/dL, HDL Cholesterol 65.5 mg/dL, Triglycerides 118.5 mg/dL, Creatinine 2.8 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 61 years (≥45 increases risk)

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

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


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

Input:
Patient: 1yo Male
Vitals: BP 109/91 mmHg, Weight 15.5 kg, HR 98 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 109/91 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 40yo Male
Vitals: BP 118/80 mmHg, BMI 27.3, Weight 83.6 kg, HR 64 bpm
Labs: Total Cholesterol 186.5 mg/dL, HDL Cholesterol 33.4 mg/dL, Triglycerides 128.5 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 118/80 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: 44yo Female
Vitals: BP 93/84 mmHg, BMI 27.8, Weight 76.0 kg, HR 67 bpm
Labs: Total Cholesterol 168.6 mg/dL, HDL Cholesterol 50.8 mg/dL, Triglycerides 125.5 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 93/84 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: 22yo Female
Vitals: BP 100/66 mmHg, BMI 29.7, Weight 84.8 kg, HR 98 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: 61yo Male
Vitals: BP 113/63 mmHg, BMI 27.7, Weight 94.7 kg, HR 69 bpm
Labs: Glucose (serum) 91.3 mg/dL, HbA1c 5.4 %, Total Cholesterol 263.1 mg/dL, HDL Cholesterol 58.1 mg/dL, Triglycerides 107.5 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.7 (overweight)
- Age 61 years (≥45 increases risk)

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

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


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

Input:
Patient: 12yo Male
Vitals: BP 111/76 mmHg, BMI 17.0, Weight 33.7 kg, HR 69 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 13yo Male
Vitals: BP 119/76 mmHg, BMI 20.9, Weight 53.6 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: 59yo Male
Vitals: BP 120/80 mmHg, BMI 29.1, Weight 77.6 kg, HR 72 bpm
Labs: Glucose 96.9 mg/dL, Glucose (serum) 91.2 mg/dL, HbA1c 3.3 %, Total Cholesterol 173.4 mg/dL, HDL Cholesterol 65.2 mg/dL, Triglycerides 110.3 mg/dL, Creatinine 3.3 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], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 29.1 (overweight)
- Age 59 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 58yo Female
Vitals: BP 119/87 mmHg, BMI 27.6, Weight 80.1 kg, HR 90 bpm
Labs: Glucose 83.2 mg/dL, HbA1c 5.9 %, Total Cholesterol 182.4 mg/dL, HDL Cholesterol 55.0 mg/dL, Triglycerides 108.8 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.6 (overweight)
- Age 58 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 119/87 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: 76yo Female
Vitals: BP 155/85 mmHg, BMI 27.5, Weight 83.9 kg, HR 93 bpm
Labs: Glucose 76.6 mg/dL, Glucose (serum) 64.3 mg/dL, HbA1c 5.8 %, Total Cholesterol 208.2 mg/dL, HDL Cholesterol 77.1 mg/dL, Triglycerides 117.9 mg/dL, Creatinine 2.8 mg/dL
Active conditions: Prediabetes
Medications: rosuvastatin calcium 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 76 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 155/85 mmHg (Stage 1+ hypertension)
- Age 76 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: 41yo Female
Vitals: BP 126/84 mmHg, BMI 28.4, Weight 88.6 kg, HR 81 bpm
Labs: Total Cholesterol 249.1 mg/dL, HDL Cholesterol 60.2 mg/dL, Triglycerides 109.5 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 126/84 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: 8yo Female
Vitals: BP 130/79 mmHg, BMI 14.4, Weight 22.9 kg, HR 95 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 100yo Male
Vitals: BP 127/82 mmHg, BMI 27.6, Weight 91.5 kg, HR 83 bpm
Labs: Glucose 73.2 mg/dL, HbA1c 6.1 %, Total Cholesterol 207.9 mg/dL, HDL Cholesterol 26.1 mg/dL, Triglycerides 100.4 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.6 (overweight)
- Age 100 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 127/82 mmHg (elevated)
- Age 100 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: 49yo Male
Vitals: BP 103/54 mmHg, BMI 28.4, Weight 84.4 kg, HR 99 bpm
Labs: Glucose 85.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 265.2 mg/dL, HDL Cholesterol 56.1 mg/dL, Triglycerides 131.8 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 49 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 0yo Male
Vitals: BP 104/79 mmHg, Weight 4.0 kg, HR 93 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 64yo Male
Vitals: BP 118/87 mmHg, BMI 30.0, Weight 92.4 kg, HR 98 bpm
Labs: Total Cholesterol 137.4 mg/dL, HDL Cholesterol 29.9 mg/dL, Triglycerides 114.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (obese)
- Age 64 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 118/87 mmHg (elevated)
- BMI 30.0 (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: 0yo Female
Vitals: BP 132/80 mmHg, Weight 6.9 kg, HR 95 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 132/80 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: 18yo Female
Vitals: BP 93/75 mmHg, BMI 19.1, Weight 39.2 kg, HR 74 bpm
Labs: Glucose (serum) 82.3 mg/dL

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 43yo Female
Vitals: BP 111/82 mmHg, BMI 30.3, Weight 75.3 kg, HR 80 bpm
Labs: Total Cholesterol 120.8 mg/dL, HDL Cholesterol 61.1 mg/dL, Triglycerides 110.4 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 111/82 mmHg (elevated)
- BMI 30.3 (obesity increases BP risk)

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


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

Input:
Patient: 22yo Male
Vitals: BP 144/81 mmHg, BMI 23.9, Weight 83.1 kg, HR 67 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 144/81 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: 12yo Female
Vitals: BP 113/82 mmHg, BMI 24.4, Weight 50.9 kg, HR 94 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 113/82 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: 105yo Female
Vitals: BP 97/58 mmHg, BMI 28.2, Weight 68.1 kg, HR 99 bpm
Labs: Glucose 85.0 mg/dL, Total Cholesterol 180.0 mg/dL, HDL Cholesterol 51.2 mg/dL, Triglycerides 172.0 mg/dL, Creatinine 2.7 mg/dL
Medications: atorvastatin 80 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)
- Age 105 years (≥45 increases risk)

**Hypertension: LOW**
- Age 105 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: 1yo Female
Vitals: BP 119/78 mmHg, Weight 11.9 kg, HR 66 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: 81yo Female
Vitals: BP 94/76 mmHg, BMI 28.4, Weight 62.3 kg, HR 100 bpm
Labs: Total Cholesterol 256.2 mg/dL, HDL Cholesterol 49.5 mg/dL, Triglycerides 110.5 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.4 (overweight)
- Age 81 years (≥45 increases risk)

**Hypertension: LOW**
- Age 81 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: 56yo Female
Vitals: BP 113/73 mmHg, BMI 26.9, Weight 66.7 kg, HR 75 bpm
Labs: Glucose 96.1 mg/dL, HbA1c 6.2 %, Total Cholesterol 87.9 mg/dL, HDL Cholesterol 57.1 mg/dL, Triglycerides 119.5 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 26.9 (overweight)
- Age 56 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 53yo Female
Vitals: BP 95/75 mmHg, BMI 30.5, Weight 71.7 kg, HR 79 bpm
Labs: Total Cholesterol 177.6 mg/dL, HDL Cholesterol 54.6 mg/dL, Triglycerides 138.5 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: 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: 21yo Female
Vitals: BP 109/74 mmHg, BMI 26.8, Weight 74.7 kg, HR 99 bpm

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: 26yo Female
Vitals: BP 82/76 mmHg, BMI 28.2, Weight 77.5 kg, HR 68 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 59yo Male
Vitals: BP 117/73 mmHg, BMI 27.9, Weight 71.6 kg, HR 94 bpm
Labs: Glucose 90.3 mg/dL, Total Cholesterol 207.7 mg/dL, HDL Cholesterol 72.2 mg/dL, Triglycerides 154.2 mg/dL, Creatinine 2.5 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 59 years (≥45 increases risk)

**Hypertension: LOW**
- Age 59 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: 70yo Female
Vitals: BP 106/65 mmHg, BMI 30.4, Weight 84.0 kg, HR 89 bpm
Labs: Glucose 98.8 mg/dL, Glucose (serum) 87.9 mg/dL, HbA1c 5.2 %, Total Cholesterol 150.4 mg/dL, HDL Cholesterol 53.6 mg/dL, Triglycerides 180.5 mg/dL, Creatinine 3.4 mg/dL
Medications: simvastatin 40 MG Oral Tablet, hydrochlorothiazide 12.5 MG / lisinopril 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 70 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 30.4 (obesity increases BP risk)
- Age 70 years (≥55 increases risk)

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


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

Input:
Patient: 13yo Female
Vitals: BP 136/66 mmHg, BMI 16.1, Weight 41.4 kg, HR 79 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 136/66 mmHg (elevated)

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


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

Input:
Patient: 50yo Male
Vitals: BP 98/79 mmHg, BMI 29.7, Weight 80.9 kg, HR 80 bpm
Labs: Total Cholesterol 140.4 mg/dL, HDL Cholesterol 28.5 mg/dL, Triglycerides 135.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.7 (overweight)
- Age 50 years (≥45 increases risk)

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

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


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

Input:
Patient: 15yo Male
Vitals: BP 119/68 mmHg, BMI 25.5, Weight 76.3 kg, HR 97 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 50yo Female
Vitals: BP 111/73 mmHg, BMI 28.1, Weight 70.2 kg, HR 99 bpm
Labs: Glucose 86.4 mg/dL, HbA1c 6.1 %, Total Cholesterol 139.4 mg/dL, HDL Cholesterol 55.1 mg/dL, Triglycerides 126.3 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.1 (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: 23yo Female
Vitals: BP 123/71 mmHg, BMI 22.6, Weight 60.8 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 123/71 mmHg (slightly elevated)

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


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

Input:
Patient: 72yo Male
Vitals: BP 112/84 mmHg, BMI 27.4, Weight 87.2 kg, HR 62 bpm
Labs: Glucose 120.7 mg/dL, HbA1c 6.9 %, Total Cholesterol 203.6 mg/dL, HDL Cholesterol 52.8 mg/dL, Triglycerides 179.3 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 46yo Female
Vitals: BP 127/71 mmHg, BMI 30.5, Weight 89.7 kg, HR 71 bpm
Labs: Total Cholesterol 223.8 mg/dL, HDL Cholesterol 54.1 mg/dL, Triglycerides 148.6 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 127/71 mmHg (slightly elevated)
- BMI 30.5 (obesity increases BP risk)

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


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

Input:
Patient: 36yo Male
Vitals: BP 140/83 mmHg, BMI 29.4, Weight 99.8 kg, HR 73 bpm
Labs: Glucose 70.3 mg/dL, HbA1c 6.2 %, Total Cholesterol 252.0 mg/dL, HDL Cholesterol 63.2 mg/dL, Triglycerides 112.2 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 29.4 (overweight)
- History of prediabetes

**Hypertension: HIGH**
- BP 140/83 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: 38yo Male
Vitals: BP 110/74 mmHg, BMI 30.3, Weight 86.9 kg, HR 93 bpm
Labs: Total Cholesterol 157.3 mg/dL, HDL Cholesterol 54.2 mg/dL, Triglycerides 142.8 mg/dL

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 33yo Female
Vitals: BP 138/74 mmHg, BMI 37.6, Weight 100.8 kg, HR 83 bpm
Labs: Glucose 99.0 mg/dL, HbA1c 6.4 %, Total Cholesterol 192.1 mg/dL, HDL Cholesterol 52.1 mg/dL, Triglycerides 122.0 mg/dL, Creatinine 2.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 37.6 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 138/74 mmHg (elevated)
- BMI 37.6 (obesity increases BP risk)

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


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

Input:
Patient: 78yo Male
Vitals: BP 82/57 mmHg, BMI 27.7, Weight 80.7 kg, HR 62 bpm
Labs: Glucose 91.4 mg/dL, Total Cholesterol 170.6 mg/dL, HDL Cholesterol 37.0 mg/dL, Triglycerides 140.6 mg/dL, Creatinine 3.1 mg/dL
Active conditions: 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: LOW**
- BMI 27.7 (overweight)
- Age 78 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: 2yo Male
Vitals: BP 126/86 mmHg, Weight 14.3 kg, HR 61 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 126/86 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: 17yo Male
Vitals: BP 123/97 mmHg, BMI 26.4, Weight 78.6 kg, HR 99 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 39yo Male
Vitals: BP 131/91 mmHg, BMI 28.2, Weight 85.9 kg, HR 70 bpm
Labs: Total Cholesterol 270.1 mg/dL, HDL Cholesterol 52.8 mg/dL, Triglycerides 121.2 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 131/91 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 40yo Male
Vitals: BP 118/73 mmHg, BMI 28.1, Weight 85.3 kg, HR 62 bpm
Labs: Glucose 65.8 mg/dL, HbA1c 6.0 %, Total Cholesterol 252.0 mg/dL, HDL Cholesterol 28.1 mg/dL, Triglycerides 136.4 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 28.1 (overweight)
- History of prediabetes

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

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


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

Input:
Patient: 63yo Female
Vitals: BP 114/87 mmHg, BMI 27.9, Weight 79.4 kg, HR 68 bpm
Labs: Glucose 114.3 mg/dL, HbA1c 7.0 %, Total Cholesterol 198.1 mg/dL, HDL Cholesterol 68.1 mg/dL, Triglycerides 136.1 mg/dL, Creatinine 3.4 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 39yo Male
Vitals: BP 128/77 mmHg, BMI 30.5, Weight 81.2 kg, HR 65 bpm
Labs: Total Cholesterol 184.7 mg/dL, HDL Cholesterol 51.6 mg/dL, Triglycerides 122.8 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 18yo Female
Vitals: BP 124/83 mmHg, BMI 25.3, Weight 70.6 kg, HR 64 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 124/83 mmHg (elevated)

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


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

Input:
Patient: 70yo Female
Vitals: BP 137/108 mmHg, BMI 29.0, Weight 80.5 kg, HR 83 bpm
Labs: Glucose 69.0 mg/dL, Glucose (serum) 81.1 mg/dL, HbA1c 6.0 %, Total Cholesterol 161.9 mg/dL, HDL Cholesterol 61.5 mg/dL, Triglycerides 133.8 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 29.0 (overweight)
- Age 70 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 54yo Female
Vitals: BP 108/64 mmHg, BMI 27.8, Weight 78.6 kg, HR 66 bpm
Labs: Total Cholesterol 188.7 mg/dL, HDL Cholesterol 56.8 mg/dL, Triglycerides 126.7 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.8 (overweight)
- Age 54 years (≥45 increases risk)

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

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


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

Input:
Patient: 73yo Female
Vitals: BP 111/89 mmHg, BMI 27.5, Weight 69.6 kg, HR 92 bpm
Labs: Glucose 98.5 mg/dL, Total Cholesterol 197.0 mg/dL, HDL Cholesterol 50.8 mg/dL, Triglycerides 180.3 mg/dL, Creatinine 3.3 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.5 (overweight)
- Age 73 years (≥45 increases risk)

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

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


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

Input:
Patient: 52yo Male
Vitals: BP 115/72 mmHg, BMI 28.9, Weight 83.1 kg, HR 96 bpm
Labs: Glucose 91.4 mg/dL, Glucose (serum) 89.8 mg/dL, HbA1c 3.4 %, Total Cholesterol 190.5 mg/dL, HDL Cholesterol 59.1 mg/dL, Triglycerides 122.3 mg/dL, Creatinine 3.3 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.9 (overweight)
- Age 52 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 8yo Male
Vitals: BP 114/86 mmHg, BMI 15.4, Weight 26.0 kg, HR 90 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 114/86 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: 18yo Female
Vitals: BP 122/86 mmHg, BMI 19.4, Weight 43.6 kg, HR 94 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 122/86 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: 21yo Male
Vitals: BP 108/88 mmHg, BMI 22.6, Weight 71.0 kg, HR 89 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 108/88 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: 108yo Female
Vitals: BP 98/57 mmHg, BMI 22.4, Weight 64.6 kg, HR 82 bpm
Labs: Glucose 80.9 mg/dL, Glucose (serum) 80.9 mg/dL, HbA1c 2.9 %, Total Cholesterol 136.3 mg/dL, HDL Cholesterol 47.2 mg/dL, Triglycerides 109.9 mg/dL, Creatinine 0.5 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**
- Age 108 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 125/86 mmHg, BMI 29.5, Weight 64.7 kg, HR 68 bpm
Labs: Glucose 90.9 mg/dL, HbA1c 6.2 %, Total Cholesterol 170.8 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 103.7 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.5 (overweight)
- Age 64 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 125/86 mmHg (elevated)
- Age 64 years (≥55 increases risk)

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


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

Input:
Patient: 62yo Male
Vitals: BP 105/74 mmHg, BMI 27.8, Weight 86.6 kg, HR 82 bpm
Labs: Glucose 71.6 mg/dL, HbA1c 5.9 %, Total Cholesterol 175.0 mg/dL, HDL Cholesterol 45.6 mg/dL, Triglycerides 106.2 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (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: 9yo Female
Vitals: BP 119/87 mmHg, BMI 17.5, Weight 29.9 kg, HR 81 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 119/87 mmHg (elevated)

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


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

Input:
Patient: 100yo Female
Vitals: BP 115/68 mmHg, BMI 27.4, Weight 78.4 kg, HR 88 bpm
Labs: Glucose 90.0 mg/dL, Glucose (serum) 67.9 mg/dL, HbA1c 2.3 %, Total Cholesterol 138.3 mg/dL, HDL Cholesterol 50.4 mg/dL, Triglycerides 103.6 mg/dL, Creatinine 0.5 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Kidney Disease, Diabetic Retinopathy
Medications: Simvastatin 20 MG Oral Tablet, pravastatin sodium 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, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 64yo Female
Vitals: BP 119/95 mmHg, BMI 27.3, Weight 78.2 kg, HR 78 bpm
Labs: Glucose 99.6 mg/dL, Glucose (serum) 97.2 mg/dL, HbA1c 5.3 %, Total Cholesterol 168.9 mg/dL, HDL Cholesterol 55.3 mg/dL, Triglycerides 105.8 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Retinopathy, Diabetic Neuropathy, Diabetic Kidney Disease
Medications: Simvastatin 10 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 43yo Female
Vitals: BP 133/82 mmHg, BMI 28.9, Weight 70.0 kg, HR 71 bpm
Labs: Glucose 69.0 mg/dL, HbA1c 6.1 %, Total Cholesterol 157.2 mg/dL, HDL Cholesterol 63.0 mg/dL, Triglycerides 110.7 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.9 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 133/82 mmHg (elevated)

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


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

Input:
Patient: 1yo Male
Vitals: BP 127/74 mmHg, Weight 12.9 kg, HR 65 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 127/74 mmHg (slightly elevated)

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


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

Input:
Patient: 69yo Female
Vitals: BP 112/67 mmHg, BMI 28.0, Weight 79.4 kg, HR 84 bpm
Labs: Glucose 78.5 mg/dL, Glucose (serum) 96.4 mg/dL, HbA1c 5.5 %, Total Cholesterol 170.5 mg/dL, HDL Cholesterol 55.6 mg/dL, Triglycerides 149.2 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes, Diabetic Neuropathy
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 50yo Female
Vitals: BP 124/79 mmHg, BMI 28.4, Weight 80.0 kg, HR 95 bpm
Labs: Glucose 70.3 mg/dL, HbA1c 5.9 %, Total Cholesterol 138.2 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 106.6 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 50 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 124/79 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: 53yo Male
Vitals: BP 119/82 mmHg, BMI 28.0, Weight 95.6 kg, HR 75 bpm
Labs: Glucose 73.4 mg/dL, HbA1c 5.9 %, Total Cholesterol 114.5 mg/dL, HDL Cholesterol 45.9 mg/dL, Triglycerides 106.3 mg/dL, Creatinine 1.5 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.0 (overweight)
- Age 53 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 2yo Female
Vitals: BP 116/83 mmHg, Weight 13.7 kg, HR 95 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 116/83 mmHg (elevated)

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


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

Input:
Patient: 54yo Male
Vitals: BP 127/86 mmHg, BMI 27.5, Weight 81.1 kg, HR 73 bpm
Labs: Glucose 85.7 mg/dL, HbA1c 5.9 %, Total Cholesterol 126.8 mg/dL, HDL Cholesterol 50.3 mg/dL, Triglycerides 145.5 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 54 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 127/86 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: 52yo Female
Vitals: BP 106/80 mmHg, BMI 27.8, Weight 68.0 kg, HR 76 bpm
Labs: Glucose 89.7 mg/dL, HbA1c 6.2 %, Total Cholesterol 194.1 mg/dL, HDL Cholesterol 33.1 mg/dL, Triglycerides 137.7 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.8 (overweight)
- Age 52 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 106/80 mmHg (elevated)

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


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

Input:
Patient: 45yo Female
Vitals: BP 127/75 mmHg, BMI 30.3, Weight 73.2 kg, HR 60 bpm
Labs: Glucose 82.8 mg/dL, HbA1c 6.2 %, Total Cholesterol 208.6 mg/dL, HDL Cholesterol 49.8 mg/dL, Triglycerides 114.8 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 30.3 (obese)
- Age 45 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 127/75 mmHg (slightly elevated)
- BMI 30.3 (obesity increases BP risk)

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