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

Input:
Patient: 57yo Male
Vitals: BP 102/85 mmHg, BMI 30.2, Weight 99.2 kg, HR 81 bpm
Labs: Total Cholesterol 133.4 mg/dL, HDL Cholesterol 56.9 mg/dL, Triglycerides 100.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 57 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 102/85 mmHg (elevated)
- BMI 30.2 (obesity increases BP risk)
- Age 57 years (≥55 increases risk)

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


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

Input:
Patient: 51yo Male
Vitals: BP 104/74 mmHg, BMI 27.9, Weight 96.1 kg, HR 85 bpm
Labs: Glucose 99.8 mg/dL, HbA1c 6.3 %, Total Cholesterol 87.6 mg/dL, HDL Cholesterol 43.3 mg/dL, Triglycerides 127.7 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 51 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 15yo Female
Vitals: BP 110/75 mmHg, BMI 17.4, Weight 39.9 kg, HR 90 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 47yo Female
Vitals: BP 95/71 mmHg, BMI 28.2, Weight 72.0 kg, HR 82 bpm
Labs: Glucose 74.1 mg/dL, HbA1c 6.2 %, Total Cholesterol 133.4 mg/dL, HDL Cholesterol 51.3 mg/dL, Triglycerides 104.4 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 28.2 (overweight)
- Age 47 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 15yo Male
Vitals: BP 134/91 mmHg, BMI 24.4, Weight 74.6 kg, HR 86 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 134/91 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: 75yo Female
Vitals: BP 121/73 mmHg, BMI 30.6, Weight 80.7 kg, HR 97 bpm
Labs: Glucose (serum) 75.3 mg/dL, Total Cholesterol 228.8 mg/dL, HDL Cholesterol 62.4 mg/dL, Triglycerides 119.2 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.6 (obese)
- Age 75 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: 27yo Male
Vitals: BP 113/86 mmHg, BMI 25.3, Weight 77.3 kg, HR 75 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 113/86 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: 80yo Female
Vitals: BP 111/62 mmHg, BMI 29.4, Weight 76.3 kg, HR 81 bpm
Labs: Glucose (serum) 88.9 mg/dL, HbA1c 5.1 %, Total Cholesterol 122.1 mg/dL, HDL Cholesterol 54.9 mg/dL, Triglycerides 101.1 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 29.4 (overweight)
- Age 80 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: 47yo Male
Vitals: BP 117/89 mmHg, BMI 29.7, Weight 82.6 kg, HR 73 bpm
Labs: Glucose 78.8 mg/dL, Total Cholesterol 175.7 mg/dL, HDL Cholesterol 54.5 mg/dL, Triglycerides 112.6 mg/dL, Creatinine 3.3 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.7 (overweight)
- Age 47 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 117/89 mmHg (elevated)

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


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

Input:
Patient: 58yo Male
Vitals: BP 104/74 mmHg, BMI 30.1, Weight 89.0 kg, HR 97 bpm
Labs: Glucose 79.8 mg/dL, Glucose (serum) 79.8 mg/dL, HbA1c 3.0 %, Total Cholesterol 177.1 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 119.5 mg/dL, Creatinine 2.5 mg/dL
Active conditions: Essential Hypertension, Prediabetes, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 58 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 20yo Female
Vitals: BP 125/72 mmHg, BMI 31.2, Weight 81.5 kg, HR 65 bpm
Labs: Glucose (serum) 80.3 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 125/72 mmHg (slightly elevated)
- BMI 31.2 (obesity increases BP risk)

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


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

Input:
Patient: 20yo Female
Vitals: BP 136/73 mmHg, BMI 25.0, Weight 62.2 kg, HR 75 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 136/73 mmHg (elevated)

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


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

Input:
Patient: 45yo Female
Vitals: BP 87/86 mmHg, BMI 29.6, Weight 73.5 kg, HR 87 bpm
Labs: Total Cholesterol 174.8 mg/dL, HDL Cholesterol 47.9 mg/dL, Triglycerides 134.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.6 (overweight)
- Age 45 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 87/86 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: 81yo Female
Vitals: BP 102/62 mmHg, BMI 28.4, Weight 78.2 kg, HR 77 bpm
Labs: Glucose 95.3 mg/dL, HbA1c 6.1 %, Total Cholesterol 170.6 mg/dL, HDL Cholesterol 30.6 mg/dL, Triglycerides 191.9 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 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 81 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 60yo Male
Vitals: BP 119/85 mmHg, BMI 30.1, Weight 107.0 kg, HR 63 bpm
Labs: Glucose 69.0 mg/dL, HbA1c 6.1 %, Total Cholesterol 199.1 mg/dL, HDL Cholesterol 47.2 mg/dL, Triglycerides 165.2 mg/dL, Creatinine 2.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- Age 60 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: 63yo Male
Vitals: BP 120/95 mmHg, BMI 30.4, Weight 96.7 kg, HR 92 bpm
Labs: Glucose 98.0 mg/dL, HbA1c 6.0 %, Total Cholesterol 184.0 mg/dL, HDL Cholesterol 48.5 mg/dL, Triglycerides 167.0 mg/dL, Creatinine 3.3 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 30.4 (obese)
- Age 63 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 4yo Male
Vitals: BP 125/81 mmHg, BMI 16.0, Weight 16.7 kg, HR 72 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 125/81 mmHg (elevated)

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


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

Input:
Patient: 40yo Male
Vitals: BP 119/63 mmHg, BMI 30.3, Weight 90.7 kg, HR 71 bpm
Labs: Total Cholesterol 155.4 mg/dL, HDL Cholesterol 53.6 mg/dL, Triglycerides 123.2 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: 39yo Male
Vitals: BP 125/76 mmHg, BMI 30.1, Weight 83.6 kg, HR 72 bpm
Labs: Glucose 69.9 mg/dL, HbA1c 6.3 %, Total Cholesterol 203.0 mg/dL, HDL Cholesterol 33.8 mg/dL, Triglycerides 127.5 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 125/76 mmHg (slightly elevated)
- BMI 30.1 (obesity increases BP risk)

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


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

Input:
Patient: 8yo Male
Vitals: BP 128/72 mmHg, BMI 15.4, Weight 26.4 kg, HR 66 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 128/72 mmHg (slightly elevated)

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


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

Input:
Patient: 70yo Male
Vitals: BP 107/77 mmHg, BMI 28.5, Weight 85.6 kg, HR 64 bpm
Labs: Glucose 77.1 mg/dL, Total Cholesterol 239.5 mg/dL, HDL Cholesterol 53.4 mg/dL, Triglycerides 169.5 mg/dL, Creatinine 2.9 mg/dL
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.5 (overweight)
- Age 70 years (≥45 increases risk)

**Hypertension: LOW**
- Age 70 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: 71yo Female
Vitals: BP 96/72 mmHg, BMI 27.9, Weight 73.8 kg, HR 74 bpm
Labs: Glucose 93.2 mg/dL, HbA1c 6.0 %, Total Cholesterol 198.6 mg/dL, HDL Cholesterol 66.9 mg/dL, Triglycerides 179.7 mg/dL, Creatinine 2.7 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 71 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 71 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: 23yo Male
Vitals: BP 84/82 mmHg, BMI 23.0, Weight 75.3 kg, HR 94 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 84/82 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: 76yo Male
Vitals: BP 100/75 mmHg, BMI 28.3, Weight 91.6 kg, HR 100 bpm
Labs: Glucose 76.2 mg/dL, Glucose (serum) 76.2 mg/dL, HbA1c 3.0 %, Total Cholesterol 202.0 mg/dL, HDL Cholesterol 67.6 mg/dL, Triglycerides 189.4 mg/dL, Creatinine 2.0 mg/dL
Active conditions: Essential Hypertension, Prediabetes, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.3 (overweight)
- Age 76 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 36yo Female
Vitals: BP 117/83 mmHg, BMI 30.3, Weight 86.6 kg, HR 79 bpm
Labs: Glucose 84.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 196.0 mg/dL, HDL Cholesterol 56.8 mg/dL, Triglycerides 113.2 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 117/83 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: 69yo Female
Vitals: BP 117/72 mmHg, BMI 27.9, Weight 80.9 kg, HR 85 bpm
Labs: Glucose 84.8 mg/dL, HbA1c 6.3 %, Total Cholesterol 168.7 mg/dL, HDL Cholesterol 56.0 mg/dL, Triglycerides 144.0 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 69 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 69 years (≥55 increases risk)

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


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

Input:
Patient: 0yo Female
Vitals: BP 110/79 mmHg, Weight 5.7 kg, HR 97 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 22yo Female
Vitals: BP 134/86 mmHg, BMI 22.0, Weight 49.5 kg, HR 79 bpm
Labs: Glucose 85.4 mg/dL, HbA1c 5.8 %, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 134/86 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: 40yo Male
Vitals: BP 137/99 mmHg, BMI 28.7, Weight 77.5 kg, HR 71 bpm
Labs: Glucose 75.7 mg/dL, HbA1c 5.9 %, Total Cholesterol 175.5 mg/dL, HDL Cholesterol 47.7 mg/dL, Triglycerides 149.6 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 41yo Male
Vitals: BP 114/89 mmHg, BMI 28.8, Weight 78.3 kg, HR 75 bpm
Labs: Total Cholesterol 151.1 mg/dL, HDL Cholesterol 29.7 mg/dL, Triglycerides 128.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.8 (overweight)

**Hypertension: MODERATE**
- BP 114/89 mmHg (elevated)

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


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

Input:
Patient: 59yo Male
Vitals: BP 116/80 mmHg, BMI 28.0, Weight 78.9 kg, HR 75 bpm
Labs: Total Cholesterol 101.5 mg/dL, HDL Cholesterol 60.8 mg/dL, Triglycerides 147.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)
- Age 59 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 116/80 mmHg (elevated)
- Age 59 years (≥55 increases risk)

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


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

Input:
Patient: 1yo Male
Vitals: BP 114/84 mmHg, Weight 9.8 kg, HR 79 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 114/84 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: 28yo Male
Vitals: BP 106/80 mmHg, BMI 27.6, Weight 78.8 kg, HR 66 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 34yo Male
Vitals: BP 141/83 mmHg, BMI 29.6, Weight 89.4 kg, HR 91 bpm
Labs: Total Cholesterol 166.4 mg/dL, HDL Cholesterol 63.0 mg/dL, Triglycerides 141.0 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 141/83 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 65yo Male
Vitals: BP 112/72 mmHg, BMI 29.7, Weight 85.6 kg, HR 78 bpm
Labs: Glucose 88.9 mg/dL, HbA1c 6.0 %, Total Cholesterol 182.6 mg/dL, HDL Cholesterol 36.5 mg/dL, Triglycerides 164.8 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 29.7 (overweight)
- Age 65 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 27yo Male
Vitals: BP 103/61 mmHg, BMI 25.9, Weight 81.3 kg, HR 61 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.9 (overweight)

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

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


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

Input:
Patient: 50yo Male
Vitals: BP 109/86 mmHg, BMI 28.2, Weight 93.1 kg, HR 95 bpm
Labs: Total Cholesterol 168.5 mg/dL, HDL Cholesterol 50.5 mg/dL, Triglycerides 101.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)
- Age 50 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 109/86 mmHg (elevated)

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


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

Input:
Patient: 19yo Female
Vitals: BP 130/76 mmHg, BMI 24.8, Weight 68.1 kg, HR 71 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 27yo Female
Vitals: BP 117/74 mmHg, BMI 28.1, Weight 61.6 kg, HR 97 bpm
Labs: Glucose (serum) 86.7 mg/dL

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 43yo Female
Vitals: BP 132/98 mmHg, BMI 27.4, Weight 70.4 kg, HR 77 bpm
Labs: Glucose 84.0 mg/dL, HbA1c 6.4 %, Total Cholesterol 221.2 mg/dL, HDL Cholesterol 52.0 mg/dL, Triglycerides 140.5 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 27.4 (overweight)
- History of prediabetes

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

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


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

Input:
Patient: 29yo Female
Vitals: BP 106/78 mmHg, BMI 23.2, Weight 69.0 kg, HR 77 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 36yo Female
Vitals: BP 112/94 mmHg, BMI 25.7, Weight 77.8 kg, HR 69 bpm
Labs: Total Cholesterol 179.1 mg/dL, HDL Cholesterol 63.8 mg/dL, Triglycerides 141.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 112/94 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 5yo Male
Vitals: BP 111/89 mmHg, BMI 15.5, Weight 18.3 kg, HR 99 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 111/89 mmHg (elevated)

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


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

Input:
Patient: 54yo Male
Vitals: BP 130/95 mmHg, BMI 28.1, Weight 86.6 kg, HR 61 bpm
Labs: Glucose 73.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 201.5 mg/dL, HDL Cholesterol 27.9 mg/dL, Triglycerides 140.6 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 28.1 (overweight)
- Age 54 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 59yo Female
Vitals: BP 117/98 mmHg, BMI 27.8, Weight 79.2 kg, HR 84 bpm
Labs: Glucose 83.2 mg/dL, HbA1c 5.8 %, Total Cholesterol 173.7 mg/dL, HDL Cholesterol 49.7 mg/dL, Triglycerides 110.8 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 27.8 (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: 12yo Female
Vitals: BP 115/86 mmHg, BMI 20.1, Weight 43.4 kg, HR 83 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 115/86 mmHg (elevated)

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


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

Input:
Patient: 24yo Female
Vitals: BP 133/76 mmHg, BMI 28.0, Weight 71.7 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 133/76 mmHg (elevated)

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


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

Input:
Patient: 19yo Female
Vitals: BP 103/70 mmHg, BMI 28.9, Weight 73.9 kg, HR 63 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 102yo Female
Vitals: BP 112/65 mmHg, BMI 27.9, Weight 77.0 kg, HR 68 bpm
Labs: Glucose 71.8 mg/dL, HbA1c 3.0 %, Total Cholesterol 200.9 mg/dL, HDL Cholesterol 69.5 mg/dL, Triglycerides 150.6 mg/dL, Creatinine 3.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.9 (overweight)
- Age 102 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 46yo Female
Vitals: BP 122/74 mmHg, BMI 30.2, Weight 96.1 kg, HR 87 bpm
Labs: Total Cholesterol 198.0 mg/dL, HDL Cholesterol 50.4 mg/dL, Triglycerides 142.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 46 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 122/74 mmHg (slightly elevated)
- BMI 30.2 (obesity increases BP risk)

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


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

Input:
Patient: 54yo Male
Vitals: BP 103/77 mmHg, BMI 28.7, Weight 102.9 kg, HR 79 bpm
Labs: Total Cholesterol 209.8 mg/dL, HDL Cholesterol 44.0 mg/dL, Triglycerides 133.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.7 (overweight)
- Age 54 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: 18yo Female
Vitals: BP 122/94 mmHg, BMI 23.6, Weight 72.5 kg, HR 98 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 122/94 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 73yo Male
Vitals: BP 128/88 mmHg, BMI 28.0, Weight 100.3 kg, HR 72 bpm
Labs: Glucose 80.1 mg/dL, Glucose (serum) 73.3 mg/dL, Total Cholesterol 195.2 mg/dL, HDL Cholesterol 76.8 mg/dL, Triglycerides 187.3 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)
- Age 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: 22yo Male
Vitals: BP 122/70 mmHg, BMI 25.6, Weight 84.9 kg, HR 71 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 25.6 (overweight)

**Hypertension: LOW**
- BP 122/70 mmHg (slightly elevated)

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


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

Input:
Patient: 67yo Male
Vitals: BP 116/82 mmHg, BMI 27.8, Weight 85.2 kg, HR 89 bpm
Labs: Glucose 73.7 mg/dL, Total Cholesterol 195.3 mg/dL, HDL Cholesterol 70.0 mg/dL, Triglycerides 130.2 mg/dL, Creatinine 3.0 mg/dL
Active conditions: 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: LOW**
- BMI 27.8 (overweight)
- Age 67 years (≥45 increases risk)

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

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


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

Input:
Patient: 32yo Male
Vitals: BP 138/86 mmHg, BMI 29.4, Weight 91.8 kg, HR 73 bpm
Labs: Glucose 66.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 203.3 mg/dL, HDL Cholesterol 26.4 mg/dL, Triglycerides 103.1 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 29.4 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 138/86 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: 64yo Male
Vitals: BP 94/78 mmHg, BMI 27.5, Weight 72.2 kg, HR 87 bpm
Labs: Glucose 85.6 mg/dL, HbA1c 5.9 %, Total Cholesterol 172.4 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 102.5 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.5 (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: 10yo Male
Vitals: BP 117/70 mmHg, BMI 20.9, Weight 38.3 kg, HR 85 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: 24yo Male
Vitals: BP 135/80 mmHg, BMI 21.2, Weight 68.7 kg, HR 63 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 135/80 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: 8yo Male
Vitals: BP 111/66 mmHg, BMI 16.2, Weight 24.7 kg, HR 87 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 54yo Female
Vitals: BP 120/84 mmHg, BMI 27.5, Weight 68.1 kg, HR 79 bpm
Labs: Glucose 83.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 153.3 mg/dL, HDL Cholesterol 58.1 mg/dL, Triglycerides 120.8 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 54 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 1yo Female
Vitals: BP 122/77 mmHg, Weight 10.6 kg, HR 89 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 122/77 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: 47yo Female
Vitals: BP 98/56 mmHg, BMI 27.3, Weight 76.6 kg, HR 86 bpm
Labs: Glucose 87.6 mg/dL, Glucose (serum) 67.4 mg/dL, HbA1c 6.1 %, Total Cholesterol 190.8 mg/dL, HDL Cholesterol 31.2 mg/dL, Triglycerides 107.0 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.3 (overweight)
- Age 47 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 84yo Female
Vitals: BP 97/72 mmHg, BMI 27.9, Weight 78.8 kg, HR 79 bpm
Labs: Total Cholesterol 210.2 mg/dL, HDL Cholesterol 63.8 mg/dL, Triglycerides 102.7 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.9 (overweight)
- Age 84 years (≥45 increases risk)

**Hypertension: LOW**
- Age 84 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: 72yo Female
Vitals: BP 103/87 mmHg, BMI 26.5, Weight 79.6 kg, HR 65 bpm
Labs: Glucose 95.0 mg/dL, Total Cholesterol 190.2 mg/dL, HDL Cholesterol 36.1 mg/dL, Triglycerides 181.4 mg/dL, Creatinine 3.0 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.5 (overweight)
- Age 72 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 103/87 mmHg (elevated)
- Age 72 years (≥55 increases risk)

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


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

Input:
Patient: 51yo Female
Vitals: BP 113/78 mmHg, BMI 27.3, Weight 74.1 kg, HR 83 bpm
Labs: Glucose 92.7 mg/dL, HbA1c 6.1 %, Total Cholesterol 199.4 mg/dL, HDL Cholesterol 54.7 mg/dL, Triglycerides 143.7 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 27.3 (overweight)
- Age 51 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 52yo Female
Vitals: BP 123/74 mmHg, BMI 30.0, Weight 65.9 kg, HR 93 bpm
Labs: Glucose 105.7 mg/dL, HbA1c 7.5 %, Total Cholesterol 188.4 mg/dL, HDL Cholesterol 61.5 mg/dL, Triglycerides 140.1 mg/dL, Creatinine 2.9 mg/dL
Active conditions: Type 2 Diabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 123/74 mmHg (slightly elevated)
- BMI 30.0 (obesity increases BP risk)

## Recommendations
1. Lifestyle modifications: reduce sodium, DASH diet, exercise
2. Recheck BP in 2-4 weeks
3. Assess cardiovascular risk (Framingham or ASCVD score)


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

Input:
Patient: 26yo Male
Vitals: BP 145/83 mmHg, BMI 29.4, Weight 97.5 kg, HR 61 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.4 (overweight)

**Hypertension: HIGH**
- BP 145/83 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 89yo Female
Vitals: BP 131/87 mmHg, BMI 27.9, Weight 78.3 kg, HR 77 bpm
Labs: Glucose 87.8 mg/dL, Glucose (serum) 87.8 mg/dL, HbA1c 3.1 %, Total Cholesterol 186.3 mg/dL, HDL Cholesterol 54.6 mg/dL, Triglycerides 108.2 mg/dL, Creatinine 1.9 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 27.9 (overweight)
- Age 89 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 5yo Female
Vitals: BP 119/71 mmHg, BMI 16.4, Weight 20.6 kg, HR 60 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: 19yo Female
Vitals: BP 118/76 mmHg, BMI 18.3, Weight 49.5 kg, HR 82 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 6yo Male
Vitals: BP 145/84 mmHg, BMI 14.0, Weight 20.0 kg, HR 88 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 145/84 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 4yo Male
Vitals: BP 117/69 mmHg, BMI 16.9, Weight 16.9 kg, HR 68 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 115/71 mmHg, BMI 28.3, Weight 88.3 kg, HR 91 bpm
Labs: Total Cholesterol 134.6 mg/dL, HDL Cholesterol 65.6 mg/dL, Triglycerides 128.7 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.3 (overweight)
- Age 64 years (≥45 increases risk)

**Hypertension: LOW**
- Age 64 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: 45yo Male
Vitals: BP 107/88 mmHg, BMI 30.0, Weight 83.5 kg, HR 90 bpm
Labs: Total Cholesterol 146.5 mg/dL, HDL Cholesterol 55.5 mg/dL, Triglycerides 142.1 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (obese)
- Age 45 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: 26yo Male
Vitals: BP 139/78 mmHg, BMI 23.7, Weight 72.8 kg, HR 89 bpm
Labs: Glucose 85.9 mg/dL, HbA1c 5.9 %, Creatinine 1.3 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: MODERATE**
- BP 139/78 mmHg (elevated)

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


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

Input:
Patient: 36yo Male
Vitals: BP 119/84 mmHg, BMI 29.7, Weight 89.7 kg, HR 67 bpm
Labs: Total Cholesterol 190.0 mg/dL, HDL Cholesterol 64.8 mg/dL, Triglycerides 122.6 mg/dL

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 119/84 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: 50yo Female
Vitals: BP 103/84 mmHg, BMI 29.4, Weight 80.2 kg, HR 92 bpm
Labs: Total Cholesterol 183.5 mg/dL, HDL Cholesterol 43.8 mg/dL, Triglycerides 139.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.4 (overweight)
- Age 50 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 103/84 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: 46yo Male
Vitals: BP 121/85 mmHg, BMI 30.2, Weight 93.8 kg, HR 62 bpm
Labs: Total Cholesterol 152.4 mg/dL, HDL Cholesterol 33.2 mg/dL, Triglycerides 123.8 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 46 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: 41yo Male
Vitals: BP 124/68 mmHg, BMI 29.1, Weight 101.1 kg, HR 70 bpm
Labs: Total Cholesterol 177.3 mg/dL, HDL Cholesterol 25.6 mg/dL, Triglycerides 107.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 124/68 mmHg (slightly elevated)

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


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

Input:
Patient: 50yo Female
Vitals: BP 108/75 mmHg, BMI 30.2, Weight 77.7 kg, HR 70 bpm
Labs: Glucose 68.7 mg/dL, HbA1c 6.0 %, Total Cholesterol 191.5 mg/dL, HDL Cholesterol 46.1 mg/dL, Triglycerides 120.1 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- Age 50 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 43yo Female
Vitals: BP 103/79 mmHg, BMI 29.9, Weight 65.6 kg, HR 99 bpm
Labs: Total Cholesterol 198.1 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 108.1 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 29.9 (overweight)

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

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


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

Input:
Patient: 67yo Male
Vitals: BP 112/81 mmHg, BMI 33.5, Weight 102.4 kg, HR 84 bpm
Labs: Total Cholesterol 274.1 mg/dL, HDL Cholesterol 60.0 mg/dL, Triglycerides 119.0 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 33.5 (obese)
- Age 67 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: 8yo Female
Vitals: BP 151/80 mmHg, BMI 16.9, Weight 30.9 kg, HR 81 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 151/80 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 55yo Female
Vitals: BP 117/76 mmHg, BMI 28.1, Weight 75.0 kg, HR 90 bpm
Labs: Total Cholesterol 175.1 mg/dL, HDL Cholesterol 44.6 mg/dL, Triglycerides 126.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 55 years (≥45 increases risk)

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

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


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

Input:
Patient: 9yo Female
Vitals: BP 109/70 mmHg, BMI 19.8, Weight 38.6 kg, HR 90 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 18yo Female
Vitals: BP 124/70 mmHg, BMI 18.7, Weight 49.3 kg, HR 71 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 124/70 mmHg (slightly elevated)

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


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

Input:
Patient: 72yo Male
Vitals: BP 140/87 mmHg, BMI 27.7, Weight 79.1 kg, HR 91 bpm
Labs: Glucose 87.6 mg/dL, HbA1c 6.0 %, Total Cholesterol 171.2 mg/dL, HDL Cholesterol 35.3 mg/dL, Triglycerides 115.2 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.7 (overweight)
- Age 72 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 140/87 mmHg (Stage 1+ hypertension)
- Age 72 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: 13yo Male
Vitals: BP 118/87 mmHg, BMI 19.3, Weight 54.1 kg, HR 88 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 118/87 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: 81yo Female
Vitals: BP 114/96 mmHg, BMI 27.9, Weight 70.0 kg, HR 68 bpm
Labs: Glucose 79.1 mg/dL, Glucose (serum) 71.4 mg/dL, HbA1c 5.9 %, Total Cholesterol 162.2 mg/dL, HDL Cholesterol 51.9 mg/dL, Triglycerides 120.8 mg/dL, Creatinine 0.5 mg/dL
Active conditions: Essential Hypertension, Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, atorvastatin 20 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.9 (overweight)
- Age 81 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 55yo Male
Vitals: BP 130/71 mmHg, BMI 30.2, Weight 100.9 kg, HR 99 bpm
Labs: Glucose 83.8 mg/dL, HbA1c 6.3 %, Total Cholesterol 182.7 mg/dL, HDL Cholesterol 23.5 mg/dL, Triglycerides 102.5 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- Age 55 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 130/71 mmHg (elevated)
- BMI 30.2 (obesity increases BP risk)
- Age 55 years (≥55 increases risk)

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


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

Input:
Patient: 25yo Female
Vitals: BP 111/63 mmHg, BMI 29.8, Weight 73.3 kg, HR 60 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.8 (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: 54yo Female
Vitals: BP 108/87 mmHg, BMI 30.4, Weight 83.4 kg, HR 92 bpm
Labs: Glucose 88.2 mg/dL, Total Cholesterol 124.9 mg/dL, HDL Cholesterol 51.2 mg/dL, Triglycerides 126.0 mg/dL, Creatinine 3.2 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 54 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 108/87 mmHg (elevated)
- BMI 30.4 (obesity increases BP risk)

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


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

Input:
Patient: 31yo Female
Vitals: BP 94/76 mmHg, BMI 30.3, Weight 86.8 kg, HR 98 bpm
Labs: Total Cholesterol 163.7 mg/dL, HDL Cholesterol 55.2 mg/dL, Triglycerides 113.3 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: 48yo Male
Vitals: BP 110/91 mmHg, BMI 29.8, Weight 95.2 kg, HR 97 bpm
Labs: Glucose 84.1 mg/dL, HbA1c 6.4 %, Total Cholesterol 313.4 mg/dL, HDL Cholesterol 25.7 mg/dL, Triglycerides 114.7 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 29.8 (overweight)
- Age 48 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 110/91 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: 59yo Female
Vitals: BP 152/109 mmHg, BMI 30.0, Weight 81.7 kg, HR 98 bpm
Labs: Glucose 77.1 mg/dL, Glucose (serum) 77.1 mg/dL, HbA1c 3.1 %, Total Cholesterol 164.1 mg/dL, HDL Cholesterol 55.2 mg/dL, Triglycerides 129.7 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (obese)
- 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: 54yo Female
Vitals: BP 127/93 mmHg, BMI 30.6, Weight 80.3 kg, HR 89 bpm
Labs: Glucose 74.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 262.4 mg/dL, HDL Cholesterol 58.6 mg/dL, Triglycerides 125.3 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 30.6 (obese)
- Age 54 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 127/93 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: 42yo Male
Vitals: BP 105/77 mmHg, BMI 29.5, Weight 92.2 kg, HR 98 bpm
Labs: Glucose 123.5 mg/dL, HbA1c 7.4 %, Total Cholesterol 224.4 mg/dL, HDL Cholesterol 48.5 mg/dL, Triglycerides 164.7 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 5yo Male
Vitals: BP 133/87 mmHg, BMI 16.4, Weight 19.3 kg, HR 63 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 133/87 mmHg (elevated)

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


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

Input:
Patient: 55yo Female
Vitals: BP 96/75 mmHg, BMI 31.2, Weight 82.2 kg, HR 85 bpm
Labs: Glucose 95.4 mg/dL, HbA1c 6.3 %, Total Cholesterol 167.9 mg/dL, HDL Cholesterol 61.9 mg/dL, Triglycerides 135.1 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 31.2 (obese)
- Age 55 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 31.2 (obesity increases BP risk)
- Age 55 years (≥55 increases risk)

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


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

Input:
Patient: 57yo Male
Vitals: BP 119/76 mmHg, BMI 30.4, Weight 89.1 kg, HR 71 bpm
Labs: Glucose 87.7 mg/dL, Glucose (serum) 87.7 mg/dL, HbA1c 4.6 %, Total Cholesterol 103.6 mg/dL, HDL Cholesterol 62.5 mg/dL, Triglycerides 149.8 mg/dL, Creatinine 3.6 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 57 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 58yo Female
Vitals: BP 136/82 mmHg, BMI 30.4, Weight 77.5 kg, HR 78 bpm
Labs: Total Cholesterol 215.8 mg/dL, HDL Cholesterol 53.1 mg/dL, Triglycerides 110.4 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 58 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 136/82 mmHg (elevated)
- BMI 30.4 (obesity increases BP risk)
- Age 58 years (≥55 increases risk)

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


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

Input:
Patient: 27yo Male
Vitals: BP 119/83 mmHg, BMI 28.1, Weight 85.8 kg, HR 72 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 119/83 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: 59yo Male
Vitals: BP 140/96 mmHg, BMI 30.3, Weight 97.8 kg, HR 75 bpm
Labs: Glucose 96.0 mg/dL, HbA1c 6.4 %, Total Cholesterol 157.5 mg/dL, HDL Cholesterol 45.8 mg/dL, Triglycerides 132.8 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 30.3 (obese)
- 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: 27yo Male
Vitals: BP 116/86 mmHg, BMI 28.9, Weight 94.9 kg, HR 91 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 116/86 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: 35yo Male
Vitals: BP 125/69 mmHg, BMI 28.3, Weight 79.2 kg, HR 78 bpm
Labs: Total Cholesterol 219.2 mg/dL, HDL Cholesterol 54.4 mg/dL, Triglycerides 110.6 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 125/69 mmHg (slightly elevated)

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


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

Input:
Patient: 79yo Female
Vitals: BP 118/64 mmHg, BMI 27.7, Weight 85.2 kg, HR 67 bpm
Labs: Glucose 72.9 mg/dL, HbA1c 5.9 %, Total Cholesterol 151.1 mg/dL, HDL Cholesterol 41.4 mg/dL, Triglycerides 113.0 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.7 (overweight)
- Age 79 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 79 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: 93yo Female
Vitals: BP 127/81 mmHg, BMI 27.8, Weight 71.3 kg, HR 68 bpm
Labs: Total Cholesterol 160.7 mg/dL, HDL Cholesterol 65.0 mg/dL, Triglycerides 136.5 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.8 (overweight)
- Age 93 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 127/81 mmHg (elevated)
- Age 93 years (≥55 increases risk)

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


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

Input:
Patient: 49yo Male
Vitals: BP 113/84 mmHg, BMI 29.5, Weight 86.4 kg, HR 72 bpm
Labs: Total Cholesterol 113.5 mg/dL, HDL Cholesterol 58.5 mg/dL, Triglycerides 104.0 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 29.5 (overweight)
- Age 49 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: 18yo Female
Vitals: BP 141/75 mmHg, BMI 22.2, Weight 70.4 kg, HR 73 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 141/75 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: 6yo Female
Vitals: BP 119/76 mmHg, BMI 14.6, Weight 19.0 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: 39yo Female
Vitals: BP 126/87 mmHg, BMI 27.6, Weight 74.3 kg, HR 89 bpm
Labs: Glucose 98.3 mg/dL, HbA1c 6.3 %, Total Cholesterol 195.4 mg/dL, HDL Cholesterol 58.0 mg/dL, Triglycerides 102.7 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.6 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 126/87 mmHg (elevated)

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


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

Input:
Patient: 21yo Female
Vitals: BP 135/75 mmHg, BMI 24.4, Weight 53.5 kg, HR 91 bpm
Labs: Glucose 80.2 mg/dL, HbA1c 6.1 %, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 135/75 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: 22yo Male
Vitals: BP 111/68 mmHg, BMI 29.9, Weight 94.0 kg, HR 73 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 5yo Male
Vitals: BP 144/74 mmHg, BMI 16.4, Weight 19.8 kg, HR 71 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 144/74 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 41yo Female
Vitals: BP 131/73 mmHg, BMI 29.0, Weight 74.2 kg, HR 95 bpm
Labs: Glucose 66.9 mg/dL, HbA1c 6.4 %, Total Cholesterol 104.9 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 122.1 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 29.0 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 131/73 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: 76yo Female
Vitals: BP 116/56 mmHg, BMI 27.5, Weight 83.2 kg, HR 85 bpm
Labs: Glucose 97.8 mg/dL, HbA1c 6.2 %, Total Cholesterol 197.4 mg/dL, HDL Cholesterol 28.0 mg/dL, Triglycerides 107.6 mg/dL, Creatinine 0.6 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 76 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 76 years (≥55 increases risk)

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


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

Input:
Patient: 25yo Male
Vitals: BP 117/81 mmHg, BMI 25.2, Weight 81.8 kg, HR 66 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 117/81 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: 16yo Female
Vitals: BP 109/84 mmHg, BMI 19.1, Weight 55.5 kg, HR 95 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 109/84 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: 31yo Male
Vitals: BP 112/96 mmHg, BMI 30.5, Weight 86.2 kg, HR 93 bpm
Labs: Glucose 87.5 mg/dL, HbA1c 6.1 %, Total Cholesterol 170.1 mg/dL, HDL Cholesterol 45.5 mg/dL, Triglycerides 145.6 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.5 (obese)
- History of prediabetes

**Hypertension: HIGH**
- BP 112/96 mmHg (Stage 1+ hypertension)
- 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. 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: 55yo Male
Vitals: BP 135/99 mmHg, BMI 28.9, Weight 100.1 kg, HR 81 bpm
Labs: Glucose 95.2 mg/dL, Glucose (serum) 95.2 mg/dL, HbA1c 2.9 %, Total Cholesterol 162.9 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 146.3 mg/dL, Creatinine 4.3 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.9 (overweight)
- Age 55 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 40yo Male
Vitals: BP 125/69 mmHg, BMI 28.3, Weight 83.4 kg, HR 87 bpm
Labs: Total Cholesterol 123.6 mg/dL, HDL Cholesterol 61.0 mg/dL, Triglycerides 124.3 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 28.3 (overweight)

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

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


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

Input:
Patient: 58yo Male
Vitals: BP 114/94 mmHg, BMI 30.4, Weight 105.1 kg, HR 65 bpm
Labs: Glucose (serum) 73.1 mg/dL, HbA1c 5.5 %, Total Cholesterol 264.1 mg/dL, HDL Cholesterol 61.2 mg/dL, Triglycerides 118.5 mg/dL
Medications: rosuvastatin calcium 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 58 years (≥45 increases risk)

**Hypertension: HIGH**
- BP 114/94 mmHg (Stage 1+ hypertension)
- BMI 30.4 (obesity increases BP risk)
- Age 58 years (≥55 increases risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. 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: 42yo Female
Vitals: BP 106/73 mmHg, BMI 20.5, Weight 51.6 kg, HR 96 bpm
Labs: Total Cholesterol 186.8 mg/dL, HDL Cholesterol 59.2 mg/dL, Triglycerides 137.3 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 Male
Vitals: BP 128/84 mmHg, BMI 30.4, Weight 85.4 kg, HR 86 bpm
Labs: Glucose 92.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 276.7 mg/dL, HDL Cholesterol 59.9 mg/dL, Triglycerides 141.1 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.4 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 128/84 mmHg (elevated)
- BMI 30.4 (obesity increases BP risk)

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


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

Input:
Patient: 4yo Female
Vitals: BP 139/81 mmHg, BMI 17.4, Weight 17.2 kg, HR 66 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 139/81 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: 20yo Male
Vitals: BP 110/78 mmHg, BMI 21.4, Weight 61.8 kg, HR 95 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 54yo Male
Vitals: BP 111/89 mmHg, BMI 29.5, Weight 90.4 kg, HR 61 bpm
Labs: Total Cholesterol 139.3 mg/dL, HDL Cholesterol 56.3 mg/dL, Triglycerides 100.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.5 (overweight)
- Age 54 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 111/89 mmHg (elevated)

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