I will not include any medical directives — only a factual summary your clinician can interpret.

Patient Vitals Summary — June 24 to August 16, 2026

Patient: Joe Pegasus Location: McCormick, SC Monitoring Period: 6/24/26 – 8/16/26 Source: Daily home log (blood glucose, BP, pulse, temperature, symptoms)

1. Blood Glucose (Morning Readings)

Overall pattern: Elevated fasting glucose with significant variability. Range: 131–243 mg/dL Lowest recorded: 48 mg/dL on 7/20 Recent readings: 175 (8/10), 131 (8/12), 217 (8/13), 151 (8/16)

Summary: Glucose control inconsistent; mostly above recommended fasting ranges. One hypoglycemic event noted.

2. Blood Pressure

Overall pattern: Stable; normal to mildly elevated. Range: Systolic 118–140 mmHg; Diastolic 65–84 mmHg Recent readings: 129/72 (8/10), 126/73 (8/12), 118/67 (8/13), 124/71 (8/16)

Summary: No hypertensive spikes or dangerous lows observed.

3. Pulse

Overall pattern: Low‑normal range. Range: 52–72 bpm (one reading at 86 bpm) Recent readings: 52–55 bpm consistently in August

Summary: Pulse stable and bradycardic‑leaning, consistent with patient’s history.

4. Temperature

Overall pattern: Normal to low‑normal. Range: 96.1–97.7°F One mild elevation: 99.6°F on 7/24 Recent readings: 96.1–97.5°F

Summary: No fever pattern.

5. Symptoms & Notes (Patient‑Reported)

Primary recurring symptom: “LB” (loud heartbeat) Pattern:

    Frequent late June → mid‑July

    Gradual reduction after 7/22

    Intermittent episodes continue into early August

    Several “W” (well) days noted

Additional symptoms:

    Tremors (“tremors out of control” on 7/10 and 7/12)

    Lingering cough (early July)

    Chest/abdomen/ear pain (7/9)

    Fatigue/sudden sleep episodes (7/10)

    Heat‑related strain (7/19)

    Antibiotic course noted early in log

Representative entries:

“7-3 — Very loud and feeling LB” “7-18 — super LB” “7-12 — Tremors out of control.”

6. Medication Notes (Patient Statement)

    Primidone: Not currently taking.

    Took one dose last year; caused dizziness, cold sensation, and lowered BP for ~5 hours.

    Logged on 6/24 only as a reminder to ask about alternative tremor medication.

    Propranolol: Previously used; associated with two heart attacks in 2025 (per patient history).

    Current goal: Discuss safe tremor‑reducing alternatives.

7. Overall Trend Summary

    Blood pressure, pulse, and temperature remain stable.

    Blood glucose shows persistent elevation with occasional improvement and one severe low.

    LB (loud heartbeat) improved but still appears intermittently.

    Tremors remain a concern.

    General condition improved after mid‑July but glucose variability and symptoms continue.

8. Items to Discuss With Clinician

    Persistent loud heartbeat episodes

    Elevated fasting glucose and variability

    Hypoglycemic event (48 mg/dL on 7/20)

    Tremor severity and medication options

    Any lingering chest/ear discomfort

    Heat‑related symptoms and hydration

    Whether current symptoms relate to medication interactions or underlying conditions