C10021031 / invoice 10000

Species:CANINE
Breed:Border Collie
Age (years):8
Diagnosis or signs:Appointment
Consult notes

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 10:21:23
Since increasing dose to 15IU SID PM we have nadirs of 13, 13, 18, 10
Increase dose to 17 IU SID PM
RV and replace sensor as planned this Thursday
2026-03-05T00:00:00Z 16:11:34
SUBJECTIVE:sensor placed 6 days ago
finished clav last night
bumping into things - anxious about this, sticking close to owner
going ok giving the injections 13IU toujeo SID PM
in past 5 days have 2 days of nadir around 15, one naidr 18 and 3 days glucose stayed above 20

OBJECTIVE:quiet, alert
MM Pink
chest NAD
bilateral cataracts blind
mild scleral hyperaemia / chemosis

ASSESSMENT:Diabetes mellitus

PLAN:acular BID both eyes -may be able to reduce to SID in future
check eye pressure at next appt
increase insulin from 13IU to 15IU SID from tonight

CLIENT COMMUNICATION: will talk on phone over next few days
recheck 1 week to discuss, remove and likely replace sensor, check eye pressure, O to bring in urine sample from that morning if able to chk UTI resolved

2026-03-01T00:00:00Z 00:09:57
O called as concerned that glucose reading HIGH, even after insulin dose. 
Ate dinner but seems lethargic and not wanting to get up much
Spoke to NB who recco monitoring overnight. If still all readings high tomorrow call clinic and we may increase dose 

Previous claim history (1)

DateClaim #Diagnosis
2026-02-25C09969340DIABETIC KETOACIDOSIS (DKA)

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit90.002026-03-12
20000tstarc_insulin66.772026-03-12
30000tstarc_diagnostic_test_-_glucose165.002026-03-12

UPM+

  • DG00639DIABETIC KETOACIDOSIS (DKA)DSTP_diabetes_mellitus

Variant (sleepy_king)

DIABETES MELLITUS
DSTP_diabetes_mellitus
Conf: 0.990
Threshold: 0.17
Above:
Correct?