Chat GPT patient meets NICE: This is what happened‪!‬ Diabetes in Primary Care

"Chat GPT Patient Meets NICE - Here's What Happened!"
My name is Fernando Florido and I am a GP in the United Kingdom. In today’s episode I look at a complex random clinical case of a patient created by Chat GPT to see how the NICE guidelines could apply to it. By way of disclaimer, I am not giving medical advice; this podcast is intended for health care professionals, it is only my interpretation of the guidelines and you must use your clinical judgement.  
There is a YouTube version of this and other videos that you can access here: 
The NICE GP YouTube Channel: NICE GP - YouTube 
ChatGPT prompt to create a patient:  
A)   Provide a fictitious patient. Details that you should include are:
1)   patient's medical information including:
·      name
·      age
·      sex
·      ethnicity
·      BMI
·      blood pressure
2)   medical history- you must include:
·      either one, two or three of the following poorly controlled conditions:
·      type 2 diabetes
·      hypertension
·      dyslipidaemia,
·      Any number of other medical conditions of your choice, along with whether they are well controlled or not – the medication for these conditions should appear in the next section “medications”
Medications given:·      indicate whether the patient is currently taking medication for each medical condition or not.
·      If medication is prescribed for a condition, indicate the specific drug(s) and their dosages. You may choose to prescribe one, two, or three drugs for each condition as appropriate.
3)   State whether the patient tolerates the medication well or not, and if not, describe the side effect(s) and their severity.
4)   blood test results (give a bulleted list but do not number them):
·      HbA1c expressed in % and mmol/mol
·      renal function tests to include creatinine (expressed first in µmol/L and then in mg/dL), eGFR, urea, sodium, and potassium (expressed in UK units first and then USA units)
·      lipid profile expressed both in mmol/L first and then in mg/dL.
·      include any other relevant test results for the patient, expressing them in both UK and USA units. If the patient has hypothyroidism or takes levothyroxine medication, provide the results of their thyroid function tests, including both T4 and TSH levels, in both UK and USA units. Also, include the normal range for these investigations.
B)  Provide the patient's cardiovascular risk using the QRISK2 tool, calculated as a percentage of the likelihood of experiencing a cardiovascular event over the next 10 years.
C)   At the end of the patient information, ask: 'What treatment recommendations would you make?' – do not make recommendations yourself
D)  Do not include a disclaimer that the patient is fictitious.
The NICE hypertension flowcharts can be found here: 
Website: https://www.nice.org.uk/guidance/ng136/resources/visual-summary-pdf-6899919517 Download: https://1drv.ms/b/s!AiVFJ_Uoigq0lgKKs3AbARF_VLEI?e=KRIWrn 
The full NICE Guideline on hypertension (NG136) can be found here:  
Website: https://www.nice.org.uk/guidance/NG136 Download: https://1drv.ms/b/s!AiVFJ_Uoigq0lgP6nFVHRypL9fdj?e=Jbtgus  
The full NICE Guideline on Type 2 diabetes (NG28) can be found here:  
·      Overview | Type 2 diabetes in adults: management | Guidance | NICE 
The full NICE guidance on osteoarthritis (NG226) can be found here: 
·      Overview | Osteoarthritis in over 16s: diagnosis and management | Guidance | NICE 
The full NICE guidance on cardiovascular disease risk reduction (CG181) can be found here: 
·      Overview | Cardiovascular disease: risk assessment and reduction, including lipid modification | Guidance | NICE
The full NICE guidance on asthma (NG80) can be found here: 
·      Overview | Asthma: diagnosis, monitoring and chronic asthma man