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

Input:
Patient: 60yo Female
Vitals: BP 112/79 mmHg, BMI 28.4, Weight 76.9 kg, HR 85 bpm
Labs: Glucose 80.1 mg/dL, Glucose (serum) 88.4 mg/dL, HbA1c 5.6 %, Total Cholesterol 167.8 mg/dL, HDL Cholesterol 30.8 mg/dL, Triglycerides 190.3 mg/dL, Creatinine 3.2 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Neuropathy
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 62yo Female
Vitals: BP 124/80 mmHg, BMI 27.2, Weight 78.8 kg, HR 100 bpm
Labs: Glucose 107.7 mg/dL, HbA1c 6.8 %, Total Cholesterol 230.7 mg/dL, HDL Cholesterol 44.8 mg/dL, Triglycerides 151.9 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes, Diabetic Neuropathy
Medications: Hydrochlorothiazide 25 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 38yo Female
Vitals: BP 125/80 mmHg, BMI 28.3, Weight 77.9 kg, HR 76 bpm
Labs: Glucose 83.5 mg/dL, HbA1c 5.9 %, Total Cholesterol 154.9 mg/dL, HDL Cholesterol 30.2 mg/dL, Triglycerides 144.1 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.3 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 125/80 mmHg (elevated)

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


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

Input:
Patient: 42yo Female
Vitals: BP 149/101 mmHg, BMI 27.2, Weight 73.7 kg, HR 81 bpm
Labs: Total Cholesterol 316.7 mg/dL, HDL Cholesterol 51.6 mg/dL, Triglycerides 120.3 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.2 (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: 44yo Female
Vitals: BP 129/91 mmHg, BMI 28.7, Weight 68.8 kg, HR 92 bpm
Labs: Total Cholesterol 188.9 mg/dL, HDL Cholesterol 55.5 mg/dL, Triglycerides 129.6 mg/dL
Active conditions: Essential Hypertension
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.7 (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: 27yo Female
Vitals: BP 116/76 mmHg, BMI 29.9, Weight 72.2 kg, HR 89 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: 49yo Female
Vitals: BP 126/88 mmHg, BMI 28.4, Weight 74.5 kg, HR 61 bpm
Labs: Glucose 70.3 mg/dL, HbA1c 6.0 %, Total Cholesterol 244.4 mg/dL, HDL Cholesterol 52.7 mg/dL, Triglycerides 114.5 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 49 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 126/88 mmHg (elevated)

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


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

Input:
Patient: 26yo Female
Vitals: BP 116/71 mmHg, BMI 27.2, Weight 65.1 kg, HR 92 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.2 (overweight)

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

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


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

Input:
Patient: 79yo Male
Vitals: BP 105/85 mmHg, BMI 27.4, Weight 86.4 kg, HR 77 bpm
Labs: Glucose 103.2 mg/dL, HbA1c 6.8 %, Total Cholesterol 234.2 mg/dL, HDL Cholesterol 40.1 mg/dL, Triglycerides 156.8 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Neuropathy, Diabetic Retinopathy
Medications: atorvastatin 10 MG Oral Tablet, amlodipine 5 MG / benazepril hydrochloride 40 MG Oral Capsule, Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 57yo Female
Vitals: BP 137/76 mmHg, BMI 30.2, Weight 88.5 kg, HR 94 bpm
Labs: Glucose 69.7 mg/dL, Glucose (serum) 91.9 mg/dL, HbA1c 5.8 %, Total Cholesterol 230.3 mg/dL, HDL Cholesterol 54.4 mg/dL, Triglycerides 235.5 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- Age 57 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 137/76 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: 37yo Female
Vitals: BP 143/84 mmHg, BMI 30.3, Weight 69.1 kg, HR 71 bpm
Labs: Total Cholesterol 158.4 mg/dL, HDL Cholesterol 52.4 mg/dL, Triglycerides 100.7 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 143/84 mmHg (Stage 1+ hypertension)
- BMI 30.3 (obesity increases BP risk)

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


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

Input:
Patient: 50yo Female
Vitals: BP 130/79 mmHg, BMI 24.2, Weight 70.7 kg, HR 96 bpm
Labs: Glucose 76.7 mg/dL, HbA1c 5.9 %, Total Cholesterol 191.9 mg/dL, HDL Cholesterol 57.5 mg/dL, Triglycerides 126.0 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 21yo Female
Vitals: BP 124/70 mmHg, BMI 37.5, Weight 99.9 kg, HR 72 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 37.5 (obese)

**Hypertension: MODERATE**
- BP 124/70 mmHg (slightly elevated)
- BMI 37.5 (obesity increases BP risk)

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


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

Input:
Patient: 24yo Male
Vitals: BP 118/83 mmHg, BMI 21.4, Weight 64.5 kg, HR 88 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 118/83 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: 57yo Female
Vitals: BP 117/76 mmHg, BMI 27.9, Weight 74.6 kg, HR 66 bpm
Labs: Glucose 73.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 138.5 mg/dL, HDL Cholesterol 53.8 mg/dL, Triglycerides 135.6 mg/dL, Creatinine 0.7 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 57 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 57 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: 52yo Female
Vitals: BP 115/78 mmHg, BMI 30.2, Weight 95.9 kg, HR 76 bpm
Labs: Glucose 95.3 mg/dL, Glucose (serum) 91.7 mg/dL, HbA1c 3.4 %, Total Cholesterol 161.3 mg/dL, HDL Cholesterol 33.6 mg/dL, Triglycerides 143.3 mg/dL, Creatinine 2.7 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], lisinopril 10 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.2 (obese)
- Age 52 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 48yo Male
Vitals: BP 83/48 mmHg, BMI 27.8, Weight 105.9 kg, HR 72 bpm
Labs: Total Cholesterol 171.3 mg/dL, HDL Cholesterol 56.4 mg/dL, Triglycerides 144.7 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.8 (overweight)
- Age 48 years (≥45 increases risk)

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

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


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

Input:
Patient: 69yo Female
Vitals: BP 143/83 mmHg, BMI 28.2, Weight 79.4 kg, HR 72 bpm
Labs: Glucose 78.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 200.5 mg/dL, HDL Cholesterol 49.8 mg/dL, Triglycerides 157.8 mg/dL, Creatinine 2.8 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 6.3% (prediabetes range 5.7-6.4%)
- BMI 28.2 (overweight)
- Age 69 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 49yo Female
Vitals: BP 137/91 mmHg, BMI 30.0, Weight 84.4 kg, HR 88 bpm
Labs: Glucose 92.3 mg/dL, HbA1c 6.0 %, Total Cholesterol 186.7 mg/dL, HDL Cholesterol 65.3 mg/dL, Triglycerides 144.5 mg/dL, Creatinine 3.2 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 30.0 (obese)
- Age 49 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 137/91 mmHg (Stage 1+ hypertension)
- BMI 30.0 (obesity increases BP risk)

## Recommendations
1. Lifestyle counseling: diet modification, increase physical activity
2. Recheck glucose/HbA1c in 3-6 months
3. 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: 31yo Male
Vitals: BP 132/100 mmHg, BMI 27.8, Weight 82.1 kg, HR 62 bpm
Labs: Total Cholesterol 235.2 mg/dL, HDL Cholesterol 54.5 mg/dL, Triglycerides 141.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 132/100 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 11yo Female
Vitals: BP 106/76 mmHg, BMI 16.0, Weight 31.8 kg, HR 73 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 49yo Male
Vitals: BP 125/77 mmHg, BMI 27.3, Weight 86.5 kg, HR 76 bpm
Labs: Glucose 96.7 mg/dL, HbA1c 6.4 %, Total Cholesterol 117.6 mg/dL, HDL Cholesterol 52.3 mg/dL, Triglycerides 116.4 mg/dL, Creatinine 1.1 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 6.4% (prediabetes range 5.7-6.4%)
- BMI 27.3 (overweight)
- Age 49 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 74yo Female
Vitals: BP 78/56 mmHg, BMI 27.5, Weight 65.1 kg, HR 71 bpm
Labs: Glucose 73.3 mg/dL, HbA1c 6.0 %, Total Cholesterol 222.7 mg/dL, HDL Cholesterol 49.7 mg/dL, Triglycerides 149.9 mg/dL, Creatinine 0.5 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, atorvastatin 40 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 27.5 (overweight)
- Age 74 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 74 years (≥55 increases risk)

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


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

Input:
Patient: 20yo Female
Vitals: BP 104/96 mmHg, BMI 23.9, Weight 57.1 kg, HR 91 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 104/96 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 63yo Male
Vitals: BP 92/68 mmHg, BMI 27.4, Weight 89.3 kg, HR 76 bpm
Labs: Glucose 82.6 mg/dL, HbA1c 6.1 %, Total Cholesterol 149.4 mg/dL, HDL Cholesterol 57.1 mg/dL, Triglycerides 126.7 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 27.4 (overweight)
- Age 63 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- Age 63 years (≥55 increases risk)

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


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

Input:
Patient: 54yo Female
Vitals: BP 101/76 mmHg, BMI 27.2, Weight 75.7 kg, HR 94 bpm
Labs: Glucose 98.9 mg/dL, HbA1c 6.3 %, Total Cholesterol 130.6 mg/dL, HDL Cholesterol 65.0 mg/dL, Triglycerides 122.9 mg/dL, Creatinine 1.1 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 27.2 (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: 31yo Female
Vitals: BP 116/86 mmHg, BMI 28.7, Weight 73.0 kg, HR 97 bpm
Labs: Total Cholesterol 302.0 mg/dL, HDL Cholesterol 57.0 mg/dL, Triglycerides 130.1 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.7 (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: 41yo Female
Vitals: BP 112/77 mmHg, BMI 29.4, Weight 89.7 kg, HR 98 bpm
Labs: Total Cholesterol 166.2 mg/dL, HDL Cholesterol 32.5 mg/dL, Triglycerides 112.6 mg/dL

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 64yo Female
Vitals: BP 105/95 mmHg, BMI 30.1, Weight 74.2 kg, HR 73 bpm
Labs: Total Cholesterol 139.2 mg/dL, HDL Cholesterol 57.5 mg/dL, Triglycerides 103.1 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (obese)
- Age 64 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: 46yo Female
Vitals: BP 133/88 mmHg, BMI 30.1, Weight 86.9 kg, HR 66 bpm
Labs: Total Cholesterol 196.3 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 133.9 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.1 (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: 29yo Male
Vitals: BP 111/78 mmHg, BMI 30.6, Weight 90.6 kg, HR 73 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- 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. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


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

Input:
Patient: 72yo Male
Vitals: BP 120/79 mmHg, BMI 30.0, Weight 88.8 kg, HR 68 bpm
Labs: Glucose (serum) 90.7 mg/dL, Total Cholesterol 163.9 mg/dL, HDL Cholesterol 25.6 mg/dL, Triglycerides 120.8 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.0 (obese)
- Age 72 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: 40yo Female
Vitals: BP 123/74 mmHg, BMI 30.6, Weight 67.3 kg, HR 94 bpm
Labs: Glucose 67.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 181.0 mg/dL, HDL Cholesterol 53.3 mg/dL, Triglycerides 131.1 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 30.6 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 123/74 mmHg (slightly elevated)
- 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. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


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

Input:
Patient: 72yo Male
Vitals: BP 111/79 mmHg, BMI 27.9, Weight 84.3 kg, HR 84 bpm
Labs: Glucose 70.5 mg/dL, Glucose (serum) 96.1 mg/dL, HbA1c 2.9 %, Total Cholesterol 258.8 mg/dL, HDL Cholesterol 49.8 mg/dL, Triglycerides 107.9 mg/dL, Creatinine 2.8 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease, Prediabetes
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], lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.9 (overweight)
- Age 72 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 33yo Female
Vitals: BP 121/70 mmHg, BMI 27.2, Weight 73.8 kg, HR 78 bpm
Labs: Total Cholesterol 136.0 mg/dL, HDL Cholesterol 56.7 mg/dL, Triglycerides 137.6 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.2 (overweight)

**Hypertension: LOW**
- BP 121/70 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: 78yo Male
Vitals: BP 121/72 mmHg, BMI 27.7, Weight 79.1 kg, HR 85 bpm
Labs: Total Cholesterol 127.9 mg/dL, HDL Cholesterol 59.1 mg/dL, Triglycerides 108.3 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.7 (overweight)
- Age 78 years (≥45 increases risk)

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

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


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

Input:
Patient: 24yo Male
Vitals: BP 96/74 mmHg, BMI 20.6, Weight 74.6 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: 12yo Male
Vitals: BP 128/75 mmHg, BMI 17.7, Weight 39.8 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 128/75 mmHg (slightly elevated)

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


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

Input:
Patient: 40yo Male
Vitals: BP 105/74 mmHg, BMI 28.3, Weight 81.9 kg, HR 80 bpm
Labs: Glucose 93.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 177.5 mg/dL, HDL Cholesterol 52.5 mg/dL, Triglycerides 106.5 mg/dL, Creatinine 1.2 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 28.3 (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: 69yo Female
Vitals: BP 143/82 mmHg, BMI 28.4, Weight 75.1 kg, HR 76 bpm
Labs: Glucose 83.9 mg/dL, HbA1c 5.9 %, Total Cholesterol 279.3 mg/dL, HDL Cholesterol 55.4 mg/dL, Triglycerides 134.5 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 69 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 143/82 mmHg (Stage 1+ hypertension)
- Age 69 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: 47yo Female
Vitals: BP 106/93 mmHg, BMI 27.3, Weight 70.9 kg, HR 73 bpm
Labs: Glucose 64.4 mg/dL, HbA1c 6.3 %, Total Cholesterol 140.6 mg/dL, HDL Cholesterol 50.3 mg/dL, Triglycerides 122.6 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 27.3 (overweight)
- Age 47 years (≥45 increases risk)
- History of prediabetes

**Hypertension: HIGH**
- BP 106/93 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: 18yo Male
Vitals: BP 138/78 mmHg, BMI 29.7, Weight 86.0 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 138/78 mmHg (elevated)

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


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

Input:
Patient: 55yo Male
Vitals: BP 118/91 mmHg, BMI 29.3, Weight 82.7 kg, HR 64 bpm
Labs: Glucose 115.1 mg/dL, HbA1c 7.3 %, Total Cholesterol 220.7 mg/dL, HDL Cholesterol 46.3 mg/dL, Triglycerides 161.6 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Diabetic Neuropathy, Diabetic Retinopathy

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 118/91 mmHg (Stage 1+ hypertension)
- Age 55 years (≥55 increases risk)

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


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

Input:
Patient: 59yo Male
Vitals: BP 102/62 mmHg, BMI 27.6, Weight 75.1 kg, HR 66 bpm
Labs: Glucose 109.8 mg/dL, Glucose (serum) 111.5 mg/dL, HbA1c 6.9 %, Total Cholesterol 228.4 mg/dL, HDL Cholesterol 48.1 mg/dL, Triglycerides 182.1 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Essential Hypertension, Type 2 Diabetes
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 46yo Female
Vitals: BP 110/86 mmHg, BMI 30.1, Weight 79.0 kg, HR 96 bpm
Labs: Glucose 90.5 mg/dL, HbA1c 6.2 %, Total Cholesterol 204.7 mg/dL, HDL Cholesterol 51.5 mg/dL, Triglycerides 137.2 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- Age 46 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 110/86 mmHg (elevated)
- BMI 30.1 (obesity increases BP risk)

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


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

Input:
Patient: 23yo Female
Vitals: BP 85/77 mmHg, BMI 23.8, Weight 67.3 kg, HR 67 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 19yo Female
Vitals: BP 124/65 mmHg, BMI 26.2, Weight 65.0 kg, HR 93 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 124/65 mmHg (slightly elevated)

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


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

Input:
Patient: 51yo Male
Vitals: BP 122/81 mmHg, BMI 27.3, Weight 78.0 kg, HR 80 bpm
Labs: Glucose 93.9 mg/dL, HbA1c 6.4 %, Total Cholesterol 157.2 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 109.5 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.4% (prediabetes range 5.7-6.4%)
- BMI 27.3 (overweight)
- Age 51 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 122/81 mmHg (elevated)

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


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

Input:
Patient: 30yo Female
Vitals: BP 146/77 mmHg, BMI 23.9, Weight 74.5 kg, HR 67 bpm
Labs: Glucose 92.6 mg/dL, HbA1c 6.0 %, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 146/77 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: 35yo Female
Vitals: BP 143/91 mmHg, BMI 30.6, Weight 82.5 kg, HR 94 bpm
Labs: Total Cholesterol 174.8 mg/dL, HDL Cholesterol 26.0 mg/dL, Triglycerides 133.4 mg/dL
Active conditions: Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 56yo Female
Vitals: BP 112/78 mmHg, BMI 28.1, Weight 89.2 kg, HR 78 bpm
Labs: Total Cholesterol 156.4 mg/dL, HDL Cholesterol 59.4 mg/dL, Triglycerides 132.5 mg/dL
Active conditions: Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 56 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 Female
Vitals: BP 123/77 mmHg, BMI 27.3, Weight 73.5 kg, HR 68 bpm
Labs: Glucose (serum) 97.0 mg/dL, Total Cholesterol 180.0 mg/dL, HDL Cholesterol 50.7 mg/dL, Triglycerides 148.0 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 123/77 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: 17yo Female
Vitals: BP 93/72 mmHg, BMI 32.7, Weight 88.4 kg, HR 76 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 32.7 (obese)

**Hypertension: MODERATE**
- BMI 32.7 (obesity increases BP risk)

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


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

Input:
Patient: 21yo Female
Vitals: BP 132/80 mmHg, BMI 19.1, Weight 51.4 kg, HR 77 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 132/80 mmHg (elevated)

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


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

Input:
Patient: 65yo Female
Vitals: BP 118/79 mmHg, BMI 30.6, Weight 82.5 kg, HR 92 bpm
Labs: Glucose 86.7 mg/dL, HbA1c 5.9 %, Total Cholesterol 193.1 mg/dL, HDL Cholesterol 48.9 mg/dL, Triglycerides 120.6 mg/dL, Creatinine 0.7 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 30.6 (obese)
- Age 65 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 30.6 (obesity increases BP risk)
- Age 65 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: 68yo Female
Vitals: BP 105/95 mmHg, BMI 27.8, Weight 84.6 kg, HR 72 bpm
Labs: Glucose 87.9 mg/dL, Glucose (serum) 72.0 mg/dL, HbA1c 2.4 %, Total Cholesterol 200.4 mg/dL, HDL Cholesterol 39.3 mg/dL, Triglycerides 173.0 mg/dL, Creatinine 2.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Type 2 Diabetes, Diabetic Kidney Disease
Medications: insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 34yo Female
Vitals: BP 117/87 mmHg, BMI 30.0, Weight 79.9 kg, HR 91 bpm
Labs: Glucose 91.5 mg/dL, HbA1c 6.1 %, Total Cholesterol 154.6 mg/dL, HDL Cholesterol 59.5 mg/dL, Triglycerides 140.1 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.0 (obese)
- History of prediabetes

**Hypertension: MODERATE**
- BP 117/87 mmHg (elevated)
- BMI 30.0 (obesity increases BP risk)

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


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

Input:
Patient: 45yo Male
Vitals: BP 101/80 mmHg, BMI 28.5, Weight 89.1 kg, HR 77 bpm
Labs: Glucose 82.0 mg/dL, HbA1c 6.2 %, Total Cholesterol 185.7 mg/dL, HDL Cholesterol 53.6 mg/dL, Triglycerides 100.7 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 28.5 (overweight)
- Age 45 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 101/80 mmHg (elevated)

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


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

Input:
Patient: 38yo Female
Vitals: BP 108/63 mmHg, BMI 28.9, Weight 75.9 kg, HR 75 bpm
Labs: Glucose 96.0 mg/dL, HbA1c 6.0 %, Total Cholesterol 179.9 mg/dL, HDL Cholesterol 59.2 mg/dL, Triglycerides 110.1 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 28.9 (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: 17yo Female
Vitals: BP 101/75 mmHg, BMI 33.2, Weight 93.3 kg, HR 77 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 33.2 (obese)

**Hypertension: MODERATE**
- BMI 33.2 (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: 19yo Male
Vitals: BP 144/74 mmHg, BMI 23.2, Weight 79.5 kg, HR 88 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: 21yo Male
Vitals: BP 145/80 mmHg, BMI 20.8, Weight 60.2 kg, HR 76 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 145/80 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: 108yo Female
Vitals: BP 91/42 mmHg, BMI 28.0, Weight 66.8 kg, HR 84 bpm
Labs: Glucose 77.7 mg/dL, Glucose (serum) 68.2 mg/dL, HbA1c 3.1 %, Total Cholesterol 181.0 mg/dL, HDL Cholesterol 30.1 mg/dL, Triglycerides 122.8 mg/dL, Creatinine 0.3 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 28.0 (overweight)
- Age 108 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 47yo Male
Vitals: BP 147/95 mmHg, BMI 27.7, Weight 87.2 kg, HR 76 bpm
Labs: Glucose 75.7 mg/dL, Glucose (serum) 75.7 mg/dL, HbA1c 2.9 %, Total Cholesterol 290.4 mg/dL, HDL Cholesterol 60.1 mg/dL, Triglycerides 253.1 mg/dL, Creatinine 1.6 mg/dL
Active conditions: Essential Hypertension, Prediabetes, Diabetic Kidney Disease
Medications: Simvastatin 10 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 27.7 (overweight)
- Age 47 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 43yo Male
Vitals: BP 115/81 mmHg, BMI 29.4, Weight 94.0 kg, HR 93 bpm
Labs: Glucose 81.6 mg/dL, HbA1c 6.0 %, Total Cholesterol 196.3 mg/dL, HDL Cholesterol 46.7 mg/dL, Triglycerides 114.5 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 29.4 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 115/81 mmHg (elevated)

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


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

Input:
Patient: 20yo Male
Vitals: BP 108/72 mmHg, BMI 25.7, Weight 81.4 kg, HR 77 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 24yo Male
Vitals: BP 146/89 mmHg, BMI 28.9, Weight 94.6 kg, HR 89 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 146/89 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: 61yo Male
Vitals: BP 110/73 mmHg, BMI 28.6, Weight 91.3 kg, HR 74 bpm
Labs: Total Cholesterol 181.4 mg/dL, HDL Cholesterol 27.8 mg/dL, Triglycerides 142.0 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.6 (overweight)
- Age 61 years (≥45 increases risk)

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

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


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

Input:
Patient: 38yo Male
Vitals: BP 114/79 mmHg, BMI 30.2, Weight 88.0 kg, HR 90 bpm
Labs: Glucose 65.0 mg/dL, HbA1c 6.2 %, Total Cholesterol 205.3 mg/dL, HDL Cholesterol 47.7 mg/dL, Triglycerides 103.2 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 30.2 (obese)
- 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: 34yo Male
Vitals: BP 136/73 mmHg, BMI 29.6, Weight 100.4 kg, HR 94 bpm
Labs: Total Cholesterol 256.8 mg/dL, HDL Cholesterol 61.0 mg/dL, Triglycerides 105.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.6 (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: 41yo Male
Vitals: BP 120/84 mmHg, BMI 27.7, Weight 84.3 kg, HR 81 bpm
Labs: Glucose 76.0 mg/dL, HbA1c 6.4 %, Total Cholesterol 168.5 mg/dL, HDL Cholesterol 58.4 mg/dL, Triglycerides 104.3 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 27.7 (overweight)
- History of prediabetes

**Hypertension: MODERATE**
- BP 120/84 mmHg (elevated)

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


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

Input:
Patient: 26yo Male
Vitals: BP 123/89 mmHg, BMI 25.7, Weight 77.6 kg, HR 74 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 123/89 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: 84yo Female
Vitals: BP 98/69 mmHg, BMI 27.3, Weight 65.2 kg, HR 67 bpm
Labs: Total Cholesterol 115.1 mg/dL, HDL Cholesterol 54.0 mg/dL, Triglycerides 132.1 mg/dL
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.3 (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: 54yo Female
Vitals: BP 120/67 mmHg, BMI 30.6, Weight 74.8 kg, HR 98 bpm
Labs: Glucose 90.1 mg/dL, HbA1c 6.3 %, Total Cholesterol 201.3 mg/dL, HDL Cholesterol 52.4 mg/dL, Triglycerides 124.6 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 30.6 (obese)
- Age 54 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 120/67 mmHg (slightly elevated)
- 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. Lifestyle modifications: reduce sodium, DASH diet, exercise
4. Recheck BP in 2-4 weeks


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

Input:
Patient: 34yo Female
Vitals: BP 109/84 mmHg, BMI 26.9, Weight 71.4 kg, HR 67 bpm
Labs: Total Cholesterol 132.0 mg/dL, HDL Cholesterol 51.9 mg/dL, Triglycerides 124.0 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.9 (overweight)

**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: 50yo Male
Vitals: BP 95/81 mmHg, BMI 35.3, Weight 115.1 kg, HR 72 bpm
Labs: Total Cholesterol 210.4 mg/dL, HDL Cholesterol 57.9 mg/dL, Triglycerides 101.7 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 35.3 (obese)
- Age 50 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 95/81 mmHg (elevated)
- BMI 35.3 (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: 51yo Female
Vitals: BP 133/79 mmHg, BMI 29.4, Weight 80.4 kg, HR 87 bpm
Labs: Total Cholesterol 208.0 mg/dL, HDL Cholesterol 56.8 mg/dL, Triglycerides 137.9 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.4 (overweight)
- Age 51 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 133/79 mmHg (elevated)

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


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

Input:
Patient: 58yo Male
Vitals: BP 124/78 mmHg, BMI 28.4, Weight 78.5 kg, HR 75 bpm
Labs: Glucose 88.5 mg/dL, Glucose (serum) 92.2 mg/dL, HbA1c 5.9 %, Total Cholesterol 123.8 mg/dL, HDL Cholesterol 53.3 mg/dL, Triglycerides 123.4 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 28.4 (overweight)
- Age 58 years (≥45 increases risk)
- History of prediabetes

**Hypertension: LOW**
- BP 124/78 mmHg (slightly elevated)
- Age 58 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: 63yo Male
Vitals: BP 123/86 mmHg, BMI 27.6, Weight 82.8 kg, HR 65 bpm
Labs: Glucose 81.2 mg/dL, Glucose (serum) 83.8 mg/dL, HbA1c 2.8 %, Total Cholesterol 226.5 mg/dL, HDL Cholesterol 59.3 mg/dL, Triglycerides 115.8 mg/dL, Creatinine 2.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 27.6 (overweight)
- 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: 55yo Male
Vitals: BP 121/83 mmHg, BMI 28.1, Weight 81.6 kg, HR 69 bpm
Labs: Glucose 71.6 mg/dL, HbA1c 5.8 %, Total Cholesterol 195.5 mg/dL, HDL Cholesterol 32.5 mg/dL, Triglycerides 143.1 mg/dL, Creatinine 1.0 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 28.1 (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: 18yo Female
Vitals: BP 118/84 mmHg, BMI 18.1, Weight 48.8 kg, HR 67 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 118/84 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: 64yo Female
Vitals: BP 110/77 mmHg, BMI 30.4, Weight 86.2 kg, HR 87 bpm
Labs: Glucose 67.7 mg/dL, Total Cholesterol 173.1 mg/dL, HDL Cholesterol 79.2 mg/dL, Triglycerides 140.9 mg/dL, Creatinine 2.8 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- BMI 30.4 (obese)
- Age 64 years (≥45 increases risk)

**Hypertension: MODERATE**
- BMI 30.4 (obesity increases BP risk)
- Age 64 years (≥55 increases risk)

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


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

Input:
Patient: 42yo Female
Vitals: BP 105/56 mmHg, BMI 27.4, Weight 78.6 kg, HR 66 bpm
Labs: Total Cholesterol 259.7 mg/dL, HDL Cholesterol 52.4 mg/dL, Triglycerides 100.6 mg/dL
Active conditions: Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.4 (overweight)

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

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


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

Input:
Patient: 60yo Female
Vitals: BP 98/79 mmHg, BMI 22.7, Weight 57.0 kg, HR 67 bpm
Labs: Total Cholesterol 183.3 mg/dL, HDL Cholesterol 62.5 mg/dL, Triglycerides 140.8 mg/dL

Output:
## Risk Assessment

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

**Hypertension: LOW**
- Age 60 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: 77yo Female
Vitals: BP 96/75 mmHg, BMI 28.1, Weight 70.0 kg, HR 76 bpm
Labs: Total Cholesterol 283.2 mg/dL, HDL Cholesterol 61.5 mg/dL, Triglycerides 109.3 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.1 (overweight)
- Age 77 years (≥45 increases risk)

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

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


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

Input:
Patient: 58yo Male
Vitals: BP 132/109 mmHg, BMI 27.4, Weight 82.9 kg, HR 65 bpm
Labs: Glucose (serum) 86.3 mg/dL, Total Cholesterol 219.9 mg/dL, HDL Cholesterol 45.5 mg/dL, Triglycerides 132.2 mg/dL
Active conditions: Essential Hypertension, Diabetic Kidney Disease
Medications: amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 27.4 (overweight)
- Age 58 years (≥45 increases risk)

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

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


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

Input:
Patient: 25yo Female
Vitals: BP 108/68 mmHg, BMI 29.2, Weight 73.9 kg, HR 76 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 63yo Male
Vitals: BP 109/78 mmHg, BMI 30.0, Weight 89.7 kg, HR 75 bpm
Labs: Glucose 88.3 mg/dL, HbA1c 6.1 %, Total Cholesterol 196.5 mg/dL, HDL Cholesterol 62.4 mg/dL, Triglycerides 186.6 mg/dL, Creatinine 3.5 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.0 (obese)
- Age 63 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 30.0 (obesity increases BP risk)
- Age 63 years (≥55 increases risk)

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


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

Input:
Patient: 78yo Female
Vitals: BP 103/68 mmHg, BMI 28.5, Weight 73.0 kg, HR 64 bpm
Labs: Glucose 97.3 mg/dL, Total Cholesterol 209.0 mg/dL, HDL Cholesterol 54.4 mg/dL, Triglycerides 146.8 mg/dL, Creatinine 3.0 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 78 years (≥45 increases risk)

**Hypertension: LOW**
- Age 78 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: 25yo Female
Vitals: BP 125/83 mmHg, BMI 21.6, Weight 58.2 kg, HR 78 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 125/83 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: 11yo Female
Vitals: BP 106/79 mmHg, BMI 16.5, Weight 28.6 kg, HR 74 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 28yo Male
Vitals: BP 117/76 mmHg, BMI 27.0, Weight 78.1 kg, HR 87 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 62yo Female
Vitals: BP 134/101 mmHg, BMI 31.1, Weight 92.3 kg, HR 71 bpm
Labs: Glucose 74.2 mg/dL, HbA1c 6.1 %, Total Cholesterol 182.1 mg/dL, HDL Cholesterol 54.1 mg/dL, Triglycerides 144.7 mg/dL, Creatinine 0.9 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 6.1% (prediabetes range 5.7-6.4%)
- BMI 31.1 (obese)
- Age 62 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 14yo Male
Vitals: BP 105/71 mmHg, BMI 22.2, Weight 66.3 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: 73yo Female
Vitals: BP 102/87 mmHg, BMI 28.5, Weight 72.3 kg, HR 88 bpm
Labs: Glucose 68.4 mg/dL, HbA1c 6.0 %, Total Cholesterol 195.7 mg/dL, HDL Cholesterol 56.2 mg/dL, Triglycerides 145.4 mg/dL, Creatinine 3.3 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.0% (prediabetes range 5.7-6.4%)
- BMI 28.5 (overweight)
- Age 73 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BP 102/87 mmHg (elevated)
- Age 73 years (≥55 increases risk)

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


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

Input:
Patient: 23yo Male
Vitals: BP 131/77 mmHg, BMI 22.3, Weight 79.3 kg, HR 79 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/77 mmHg (elevated)

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


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

Input:
Patient: 47yo Male
Vitals: BP 107/84 mmHg, BMI 29.1, Weight 92.9 kg, HR 91 bpm
Labs: Glucose 86.0 mg/dL, Total Cholesterol 177.4 mg/dL, HDL Cholesterol 64.2 mg/dL, Triglycerides 141.5 mg/dL, Creatinine 3.5 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 29.1 (overweight)
- Age 47 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 107/84 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: 61yo Male
Vitals: BP 105/85 mmHg, BMI 29.4, Weight 103.8 kg, HR 87 bpm
Labs: Glucose 70.5 mg/dL, HbA1c 6.2 %, Total Cholesterol 160.3 mg/dL, HDL Cholesterol 55.9 mg/dL, Triglycerides 147.3 mg/dL, Creatinine 1.1 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 29.4 (overweight)
- Age 61 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 12yo Female
Vitals: BP 110/80 mmHg, BMI 18.8, Weight 43.9 kg, HR 79 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 110/80 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: 21yo Female
Vitals: BP 100/75 mmHg, BMI 18.2, Weight 50.2 kg, HR 67 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 20yo Male
Vitals: BP 116/78 mmHg, BMI 19.5, Weight 59.3 kg, HR 84 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 13yo Female
Vitals: BP 111/72 mmHg, BMI 18.4, Weight 43.1 kg, HR 78 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 36yo Female
Vitals: BP 131/89 mmHg, BMI 30.1, Weight 77.8 kg, HR 69 bpm
Labs: Glucose 91.1 mg/dL, HbA1c 6.0 %, Total Cholesterol 209.1 mg/dL, HDL Cholesterol 51.3 mg/dL, Triglycerides 135.6 mg/dL, Creatinine 1.2 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 131/89 mmHg (elevated)
- BMI 30.1 (obesity increases BP risk)

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


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

Input:
Patient: 83yo Male
Vitals: BP 111/78 mmHg, BMI 32.8, Weight 96.6 kg, HR 68 bpm
Labs: Glucose 75.8 mg/dL, HbA1c 6.3 %, Total Cholesterol 176.4 mg/dL, HDL Cholesterol 42.1 mg/dL, Triglycerides 192.0 mg/dL, Creatinine 2.9 mg/dL
Active conditions: Prediabetes
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.3% (prediabetes range 5.7-6.4%)
- BMI 32.8 (obese)
- Age 83 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 32.8 (obesity increases BP risk)
- Age 83 years (≥55 increases risk)

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


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

Input:
Patient: 16yo Female
Vitals: BP 140/73 mmHg, BMI 27.3, Weight 71.0 kg, HR 67 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 140/73 mmHg (Stage 1+ hypertension)

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


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

Input:
Patient: 27yo Female
Vitals: BP 111/74 mmHg, BMI 30.3, Weight 82.7 kg, HR 96 bpm

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: 61yo Female
Vitals: BP 110/82 mmHg, BMI 28.2, Weight 78.7 kg, HR 63 bpm
Labs: Total Cholesterol 164.8 mg/dL, HDL Cholesterol 61.8 mg/dL, Triglycerides 125.2 mg/dL

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.2 (overweight)
- Age 61 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 110/82 mmHg (elevated)
- Age 61 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: 27yo Male
Vitals: BP 103/81 mmHg, BMI 26.8, Weight 80.5 kg, HR 95 bpm

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 26.8 (overweight)

**Hypertension: MODERATE**
- BP 103/81 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: 55yo Male
Vitals: BP 120/74 mmHg, BMI 34.2, Weight 96.1 kg, HR 82 bpm
Labs: Glucose 64.3 mg/dL, HbA1c 6.2 %, Total Cholesterol 183.2 mg/dL, HDL Cholesterol 57.0 mg/dL, Triglycerides 110.3 mg/dL, Creatinine 2.6 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Simvastatin 20 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.2% (prediabetes range 5.7-6.4%)
- BMI 34.2 (obese)
- 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: 26yo Male
Vitals: BP 129/67 mmHg, BMI 29.4, Weight 87.2 kg, HR 78 bpm

Output:
## Risk Assessment

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

**Hypertension: LOW**
- BP 129/67 mmHg (slightly elevated)

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


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

Input:
Patient: 32yo Male
Vitals: BP 109/78 mmHg, BMI 29.1, Weight 79.3 kg, HR 70 bpm
Labs: Glucose 68.9 mg/dL, HbA1c 5.8 %, Total Cholesterol 156.0 mg/dL, HDL Cholesterol 57.0 mg/dL, Triglycerides 104.9 mg/dL, Creatinine 1.3 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet, amLODIPine 2.5 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.8% (prediabetes range 5.7-6.4%)
- BMI 29.1 (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: 70yo Female
Vitals: BP 119/76 mmHg, BMI 27.7, Weight 68.5 kg, HR 67 bpm
Labs: Glucose 65.3 mg/dL, HbA1c 5.9 %, Total Cholesterol 174.3 mg/dL, HDL Cholesterol 27.2 mg/dL, Triglycerides 100.1 mg/dL, Creatinine 0.8 mg/dL
Active conditions: Prediabetes, Essential Hypertension
Medications: Hydrochlorothiazide 25 MG Oral Tablet, lisinopril 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 5.9% (prediabetes range 5.7-6.4%)
- BMI 27.7 (overweight)
- Age 70 years (≥45 increases risk)
- History of prediabetes

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

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


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

Input:
Patient: 44yo Female
Vitals: BP 136/90 mmHg, BMI 29.8, Weight 73.8 kg, HR 64 bpm
Labs: Glucose 81.7 mg/dL, HbA1c 6.3 %, Total Cholesterol 165.5 mg/dL, HDL Cholesterol 57.8 mg/dL, Triglycerides 131.0 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 29.8 (overweight)
- History of prediabetes

**Hypertension: HIGH**
- BP 136/90 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: 68yo Female
Vitals: BP 101/75 mmHg, BMI 30.1, Weight 75.0 kg, HR 89 bpm
Labs: Glucose 95.8 mg/dL, HbA1c 6.1 %, Total Cholesterol 147.2 mg/dL, HDL Cholesterol 57.4 mg/dL, Triglycerides 121.2 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes

Output:
## Risk Assessment

**Type 2 Diabetes: MODERATE**
- HbA1c 6.1% (prediabetes range 5.7-6.4%)
- BMI 30.1 (obese)
- Age 68 years (≥45 increases risk)
- History of prediabetes

**Hypertension: MODERATE**
- BMI 30.1 (obesity increases BP risk)
- Age 68 years (≥55 increases risk)

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


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

Input:
Patient: 4yo Female
Vitals: BP 125/75 mmHg, BMI 20.3, Weight 18.5 kg, HR 83 bpm

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 12yo Male
Vitals: BP 158/91 mmHg, BMI 18.8, Weight 51.3 kg, HR 89 bpm

Output:
## Risk Assessment

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

**Hypertension: HIGH**
- BP 158/91 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: 31yo Female
Vitals: BP 145/74 mmHg, BMI 27.8, Weight 86.8 kg, HR 65 bpm
Labs: Glucose 90.5 mg/dL, HbA1c 6.3 %, Total Cholesterol 173.0 mg/dL, HDL Cholesterol 61.7 mg/dL, Triglycerides 116.5 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 27.8 (overweight)
- History of prediabetes

**Hypertension: HIGH**
- BP 145/74 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: 10yo Male
Vitals: BP 104/79 mmHg, BMI 19.8, Weight 36.3 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: 18yo Male
Vitals: BP 106/89 mmHg, BMI 24.3, Weight 87.3 kg, HR 69 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 106/89 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: 69yo Female
Vitals: BP 128/81 mmHg, BMI 28.0, Weight 66.1 kg, HR 90 bpm
Labs: Glucose 64.4 mg/dL, Glucose (serum) 96.3 mg/dL, HbA1c 5.4 %, Total Cholesterol 181.0 mg/dL, HDL Cholesterol 41.9 mg/dL, Triglycerides 102.2 mg/dL, Creatinine 3.0 mg/dL
Medications: Simvastatin 10 MG Oral Tablet

Output:
## Risk Assessment

**Type 2 Diabetes: LOW**
- BMI 28.0 (overweight)
- Age 69 years (≥45 increases risk)

**Hypertension: MODERATE**
- BP 128/81 mmHg (elevated)
- Age 69 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: 94yo Female
Vitals: BP 120/82 mmHg, BMI 33.1, Weight 80.0 kg, HR 93 bpm
Labs: Glucose 121.8 mg/dL, Glucose (serum) 121.8 mg/dL, HbA1c 3.8 %, Total Cholesterol 219.1 mg/dL, HDL Cholesterol 59.0 mg/dL, Triglycerides 196.7 mg/dL, Creatinine 0.9 mg/dL
Active conditions: Prediabetes, Type 2 Diabetes, Essential Hypertension, Diabetic Retinopathy, Diabetic Kidney Disease
Medications: Simvastatin 20 MG Oral Tablet, Simvastatin 10 MG Oral Tablet, insulin isophane  human 70 UNT/ML / insulin  regular  human 30 UNT/ML Injectable Suspension [Humulin], 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet, 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: 16yo Female
Vitals: BP 105/73 mmHg, BMI 26.7, Weight 63.9 kg, HR 89 bpm
Labs: Glucose (serum) 91.6 mg/dL

Output:
## Risk Assessment

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

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

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


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

Input:
Patient: 3yo Female
Vitals: BP 105/81 mmHg, BMI 14.2, Weight 13.7 kg, HR 92 bpm

Output:
## Risk Assessment

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

**Hypertension: MODERATE**
- BP 105/81 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: 23yo Female
Vitals: BP 92/76 mmHg, BMI 26.4, Weight 69.8 kg, HR 82 bpm

Output:
## Risk Assessment

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

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

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